本文選題：圍絕經(jīng)期期綜合征 + 壓力��； 參考：《重慶醫(yī)科大學(xué)》2013年碩士論文

【摘要】：目的 了解重慶市女性圍絕經(jīng)期綜合征、知覺(jué)壓力、應(yīng)對(duì)方式和家庭功能狀況，探討知覺(jué)壓力、應(yīng)對(duì)方式和家庭功能與女性圍絕經(jīng)期綜合征的關(guān)系，分析影響圍絕經(jīng)期綜合征的因素，為臨床制定有效的干預(yù)措施，改善圍絕經(jīng)期婦女的生活質(zhì)量提供理論支持和實(shí)踐指導(dǎo)。 方法 采用便利抽樣的方法，遵循自愿原則，選取2012年3～6月在重慶醫(yī)科大學(xué)附屬第一醫(yī)院婦科門診就診或咨詢的符合納入標(biāo)準(zhǔn)的圍絕經(jīng)期女性300人進(jìn)行問(wèn)卷調(diào)查。調(diào)查問(wèn)卷包括自制一般情況調(diào)查表、改良更年期Kupperman量表、中文版知覺(jué)心理壓力量表（CPSS）、簡(jiǎn)易應(yīng)對(duì)方式問(wèn)卷（SCSQ）和家庭關(guān)懷度指數(shù)問(wèn)卷。用SPSS16.0統(tǒng)計(jì)軟件對(duì)調(diào)查所得數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析和處理。運(yùn)用的統(tǒng)計(jì)方法包括描述統(tǒng)計(jì)、獨(dú)立樣本t檢驗(yàn)、單因素方差分析、Pearson相關(guān)分析和多元逐步回歸分析等。 結(jié)果 1.本研究共發(fā)放問(wèn)卷300份，獲得有效問(wèn)卷278份，有效率為92.7%。 2.本次調(diào)查對(duì)象的Kupperman評(píng)分量表得分的平均分為（9.87±7.24），，圍絕經(jīng)期綜合征發(fā)生率為67.2%。 3.不同年齡、文化程度、工作情況、家庭人均月收入、月經(jīng)情況的圍絕經(jīng)期女性的Kupperman評(píng)分量表得分差異具有統(tǒng)計(jì)學(xué)意義（P＜0.05）。 4.本組研究對(duì)象的知覺(jué)壓力平均分為23.63±5.76；積極應(yīng)對(duì)方式平均分為20.85±4.66，消極應(yīng)對(duì)方式平均分為10.41±4.35；家庭功能平均分為6.56±2.50，家庭功能障礙者占45%。 5.圍絕經(jīng)期女性的Kupperman評(píng)分量表得分與知覺(jué)壓力得分和消極應(yīng)對(duì)方式得分呈正相關(guān)，且有統(tǒng)計(jì)學(xué)意義（P＜0.01），與積極應(yīng)對(duì)方式得分、家庭功能總分及家庭功能各維度得分呈負(fù)相關(guān)，且有統(tǒng)計(jì)學(xué)意義（P＜0.01）。 6.多元逐步回歸分析顯示月經(jīng)情況、知覺(jué)壓力得分、積極應(yīng)對(duì)方式得分、消極應(yīng)對(duì)方式得分和家庭功能得分是影響圍絕經(jīng)期綜合征的主要因素。 結(jié)論 1.重慶市女性圍絕經(jīng)期綜合征發(fā)生率比較高。 2.年齡、文化程度、工作情況、家庭人均月收入、月經(jīng)情況對(duì)圍絕經(jīng)期綜合征有影響。 3.月經(jīng)情況、知覺(jué)壓力、積極應(yīng)對(duì)、消極應(yīng)對(duì)、家庭功能均是女性圍絕經(jīng)期綜合征的主要影響因素。 4.醫(yī)護(hù)人員應(yīng)充分評(píng)估女性圍絕經(jīng)期綜合征發(fā)生的影響因素，采取針對(duì)性的措施以預(yù)防和緩解其圍絕經(jīng)癥狀，提高其生活質(zhì)量。
[Abstract]:Objective to investigate the relationship between perceived stress, coping style and family function in women with perimenopausal syndrome in Chongqing, and to explore the relationship between perceived stress, coping style and family function and menopausal syndrome in women. To analyze the influencing factors of peri-menopausal syndrome, to provide theoretical support and practical guidance for clinical effective intervention measures to improve the quality of life of menopausal women. Methods A questionnaire survey was conducted among 300 menopausal women who met the inclusion criteria in gynecological outpatient service or consultation in the first affiliated Hospital of Chongqing Medical University from March to June 2012 by adopting the convenient sampling method and following the voluntary principle. The questionnaires included self-made general situation questionnaire, modified climacteric Kupperman scale, Chinese version of perceived psychological stress scale (CPSS), simple coping style questionnaire (SCSQQ) and family care index questionnaire. SPSS 16.0 statistical software was used to analyze and process the data. The statistical methods used include descriptive statistics, independent sample t-test, single-factor ANOVA Pearson correlation analysis and multivariate stepwise regression analysis. Result 1. In this study, 300 questionnaires were distributed, 278 valid questionnaires were obtained, and the effective rate was 92.72.2. The average score of Kupperman scale was 9.87 鹵7.24 and the incidence of peri-menopausal syndrome was 67.2. 3. The scores of Kupperman scale in menopausal women with different age, education, working condition, family average monthly income and menstrual status were significantly different (P < 0.05). The mean perceptual stress was 23.63 鹵5.76, active coping style 20.85 鹵4.66, negative coping style 10.41 鹵4.35, family function 6.56 鹵2.50, family dysfunction 45.5. The scores of Kupperman scale in perimenopausal women were positively correlated with perceived stress score and negative coping style score, and were negatively correlated with positive coping style score, family function total score and family function dimension score. There was statistical significance (P < 0.01) and significant difference (P < 0.01). Multiple stepwise regression analysis showed that menstruation, perceived stress score, positive coping style score, negative coping style score and family function score were the main factors affecting perimenopausal syndrome. Conclusion 1. The incidence of peri-menopausal syndrome was higher in women in Chongqing. 2. 2. Age, education, work status, monthly income per family, menstruation have an impact on perimenopausal syndrome. Menstruation, perceptual stress, positive coping, negative coping and family function were all the main influencing factors of menopausal syndrome in women. 4. The medical staff should fully evaluate the influencing factors of female perimenopausal syndrome and take targeted measures to prevent and alleviate the symptoms of menopause and improve their quality of life.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R173

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