摘要
目的：探讨健康管理对围绝经期女性心理状况和生活质量的影响。方法：将280例围绝经期患者分为进行健康管理的研究组146例和对照组134例，随访时间为6个月。采用症状自评量表（SCL-90）、抑郁自评量表（SDS）、焦虑自评量表（SAS）、生存质量测定简表（WHOQOL-BREF）进行评定。结果：280例围绝经期患者抑郁症状的发生率为29.6﹪，焦虑症状的发生率为33.2﹪，均以轻度为主。6个月时，研究组患者围绝经期相关知识知晓率为97.3％，明显高于对照组41.8％（P＜0.01）；研究组SCL-90、SDS、SAS评分（144.36±32.12，32.21±18.11，34.36±19.21）明显低于对照组（173.61±30.58，41.27±18.41，43.67±17.49）（均P＜0.05）；两组在生理、心理、社会、环境各领域及总的生存质量评分均较研究前有提高（均P＜0.05），其中研究组提高程度更为显著（P＜0.05）。结论：抑郁和焦虑是围绝经期常见的情绪表现，健康管理可以明显改善围绝经期女性的心理状况，提高其生活质量。
Objective： To evaluate the effect of health management on psychological ststus and quality of Life of perimenopausal women. Methods： 280 perimenopause women for health management were divided in research group（n=146） and control group （n=134）, the follow-up time was 6 months. All the patients were studied and tested by using Symptom Checklist 90（SCL-90）, Self-rating Depression Scale （SDS）, Self-rating Anxiety Scale （SAS） and World Health Organization Quality of Life Assessment （WHOQOL-BREF）. Results： In these women the incidence of depression was 29.6 ﹪ and of anxiety was 33.2 ﹪, all of these symptoms were mild. At the sixth month, the awareness rate of correlation knowledge of perimenopausal syndrome in the research group（97.3﹪） was markedly higher than that in the control group （41.8﹪） （P〈0.01）; The scale of SCL-90, SDS, SAS in research group （144.36±32.12, 32.21±18.11, 34.36±19.21） were markedly lower than that in control group （173.61±30.58, 41.27±18.41, 43.67±17.49） （P 〈 0.05）; The scores of physiological domain, psychological domain, social domain, environmental domain and WHOQOL-BREF of the research group and the control group were obvious higher than that before the research in all these groups（P 〈 0.05）, the elevation degree was more marked in research group（P 〈 0.05）. Conclusion： Depression and anxiety were major emotional appearance in Perimenopausal Women. Health management can greatly improve the psychological condition of the perimenopausal women, and improve their quality of life.
出处
《中外女性健康研究》
2015年第1期1-2,4,共3页
Women＇s Health Research
关键词
健康管理
围绝经期
抑郁
焦虑
生活质量
Health management
Perimenopause
Depression
Anxiety
Quality of life
作者简介
通讯作者
