多囊卵巢綜合征不孕癥婦女的臨床特征及社會支持分析
發(fā)布時(shí)間:2018-05-27 19:06
本文選題:多囊卵巢綜合征 + 臨床特征; 參考:《安徽醫(yī)科大學(xué)》2014年碩士論文
【摘要】:目的研究多囊卵巢綜合征(Polycystic Ovary Syndrome,PCOS)不孕癥婦女的臨床特征及探討可能影響到她們獲得社會支持的相關(guān)因素,從而為該病的治療和預(yù)防提供基礎(chǔ)資料。方法采用整群抽樣的辦法抽取2013年1月-3月在安徽醫(yī)科大學(xué)第一附屬醫(yī)院生殖醫(yī)學(xué)中心就診的PCOS不孕癥女性206例,入選標(biāo)準(zhǔn):經(jīng)該中心主診醫(yī)生使用鹿特丹診斷標(biāo)準(zhǔn)診斷為PCOS的病人,并排除已生育一個(gè)孩子的婦女。被調(diào)查婦女在專職調(diào)查員的指導(dǎo)下,完成一般資料調(diào)查問卷、社會支持量表(SSRS)等數(shù)據(jù)信息收集,使用SPSS16.0進(jìn)行統(tǒng)計(jì)分析,采用一般描述,t檢驗(yàn),方差分析、卡方檢驗(yàn)及多元線性回歸分析等統(tǒng)計(jì)分析方法。結(jié)果PCOS不孕癥女性的平均年齡為(26.7±3.2)歲,最大36歲,最小20歲。肥胖率達(dá)到18.4%。SSRS社會支持量表分析顯示:SSRS總分、客觀支持和支持利用度三方面的評分在不同文化程度、職業(yè)和家庭月收入水平中的分布有統(tǒng)計(jì)學(xué)意義。在肥胖與否、流產(chǎn)次數(shù)、結(jié)婚年限、主要飲食等因素在SSRS各方面的評分中差異沒有統(tǒng)計(jì)學(xué)意義。多因素回歸分析結(jié)果顯示:將單因素有意義的變量引入多因素回歸模型,文化程度與SSRS總分有關(guān)(b=-4.350,95%CI:-5.834,-2.866,t=-5.779,P0.001);文化程度(b=-1.254,95%CI:-1.874,-0.633,t=-3.983,P0.001)和家庭月收入(b=0.713,95%CI:0.131,1.295,t=2.414,P=0.017)與客觀支持評分有關(guān);文化程度(b=-1.829,95%CI:-2.859,-0.799,t=-3.500,P=0.001)與主觀支持評分有關(guān);同時(shí)文化程度(b=-0.932,95%CI:-1.341,-0.522,t=-4.481,P0.001)和家庭月收入(b=0.508,95%CI:0.124,0.893,t=2.608,P=0.010)又與支持利用度有關(guān)聯(lián)。結(jié)論多囊卵巢綜合征不孕癥婦女的肥胖率高于普通人群,社會支持評分在不同收入,文化程度人群中存在差異,應(yīng)該針對不同的人群予以不同的社會幫助。
[Abstract]:Objective to study the clinical characteristics of infertile women with polycystic Ovary Syndrome syndrome (PCOS) and to explore the related factors that may affect their access to social support, so as to provide basic data for the treatment and prevention of the disease. Methods A total of 206 PCOS infertile women were selected from the Reproductive Medicine Center of the first affiliated Hospital of Anhui Medical University from January to March 2013 by cluster sampling. Admission criteria: a patient diagnosed with PCOS by the center's attending physician using the Rotterdam criteria and excluding a woman who has given birth to a child. Under the guidance of full-time investigators, the investigated women completed data collection such as general information questionnaire, social support scale and SSRS, and used SPSS16.0 for statistical analysis, general description test and variance analysis. Chi-square test and multiple linear regression analysis. Results the average age of infertile women with PCOS was 26.7 鹵3.2 years old, the oldest was 36 years old and the youngest was 20 years old. The analysis of obesity rate to 18.4%.SSRS social support scale showed that the score of total score objective support and support utilization had statistical significance in the distribution of different education level occupation and family monthly income level. There were no significant differences in SSRS scores between obesity, abortion, marriage years and main diet. The results of multivariate regression analysis showed that the significant single factor variable was introduced into the multivariate regression model, and the education level was related to the total score of SSRS. The degree of education was related to the total score of SSRS. The education level was related to the score of objective support, the degree of education was 1.25495: CI-1.8744-0.633t-1) and the monthly income of the family was 0.1331 / 1.295t2.414P0.017). The education level is related to the subjective support score, and the education level is also related to the degree of support utilization. (BU -1.341C -0.522 TU -4.481C P 0.001) and the monthly income of the family is 0.50895 CI: 0.124 0.893t 2.893t 2.608T 0.010) and the degree of education is also related to the degree of support utilization in CIW (-1.341U -0.522) and the family income (0.50895 CI: 0.124t 0.893t 2.608U P0. 010). Conclusion the obesity rate of the infertile women with polycystic ovary syndrome is higher than that of the general population, and the social support score is different among the people with different income and education level, so different social help should be given to different population groups.
【學(xué)位授予單位】:安徽醫(yī)科大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2014
【分類號】:R711.75
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