文章摘要
围绝经期门诊患者的认知与行为现状及影响因素分析
Analysis of cognition and behavior status of perimenopausal outpatients and its influencing factors
投稿时间:2024-01-23  
DOI:10.3969/j.issn.1000-0399.2024.10.020
中文关键词: 围绝经期  认知  行为  围绝经期综合征  影响因素
英文关键词: Perimenopause  Cognition  Behavior  Perimenopausal syndrome  Influencing factors
基金项目:重庆市卫生健康委医学科研项目(编号:2024WSJK009)
作者单位E-mail
刘美辰 401147 重庆 重庆医科大学附属妇女儿童医院妇产科  
刘春梅 401147 重庆 重庆医科大学附属妇女儿童医院妇产科  
杨青兰 401147 重庆 重庆医科大学附属妇女儿童医院妇产科 yangqinglan2013@163.com 
郝丽娟 401147 重庆 重庆医科大学附属妇女儿童医院妇产科  
谢明慧 401147 重庆 重庆医科大学附属妇女儿童医院妇产科  
王渝 401147 重庆 重庆医科大学附属妇女儿童医院妇产科  
林奕 401147 重庆 重庆医科大学附属妇女儿童医院妇产科  
孙文洁 401147 重庆 重庆医科大学附属妇女儿童医院妇产科  
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中文摘要:
      目的 明确围绝经期门诊患者的认知、求医和遵医行为现状,分析其影响因素,为构建围绝经期门诊患者的医疗-保健-护理管理方案提供依据。方法 2022年3月至2023年3月,采用便利抽样方法选取重庆医科大学附属妇女儿童医院更年期保健门诊的376例围绝经期女性为研究对象。采用一般资料调查表、围绝经期认知与行为调查表、改良Kupperman评分量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)对其进行调查,采用单因素比较和多元线性回归分析方法探讨围绝经期门诊患者认知与行为现状的影响因素。结果 376例围绝经期门诊患者中,围绝经期综合征患病率为71.80%,认知与行为得分为(82.02±8.34)分。多元线性回归分析显示,文化程度(β=3.439,P<0.001)、病情程度(β=2.124,P<0.001)、在职状况(β=-1.979,P=0.006)、抑郁程度(β=-1.028,P=0.005)是围绝经期门诊患者认知与行为水平的影响因素,共解释总变异水平的30.8%(F=21.912,P<0.001)。结论 围绝经期门诊患者的认知与行为水平参差不齐,文化程度、病情程度、在职状况及心理因素是影响其认知行为和求医遵医行为的关键因素。
英文摘要:
      Objective To clarify the cognition, medical seeking and compliance behavior of perimenopausal outpatients and analyze the influencing factors, so as to provide a basis for the construction of medical-health care-nursing management plan for perimenopausaloutpatients. Methods A total of 376 perimenopausal women from the Department of Menopause health clinic of a tertiary hospital in Chongqing were selected by convenience sampling method from March 2022 to March 2023. General data questionnaire, Perimenopausal Cognition and Behavior Questionnaire, modified Kupperman rating scale, self-rating anxiety scale (SAS), and self-rating depression scale (SDS) were used to investigate the factors affecting the cognition and behavior status of perimenopausal outpatients. Results Among 376 perimenopausal outpatients, the prevalence of perimenopausal syndrome was 71.80%, and the cognitive and behavioral scores were (82.02±8.34). The cognitive and behavioral scores of perimenopausal outpatients were (82.02±8.34) points,Multiple linear regression analysis showed that education level (β= 3.439,P<0.001), illness degree(β=2.124,P<0.001),employmentstatus(β=-1.979,P=0.006),depression degree(β=-1.028, P=0.005) were the influencing factors of cognition and behavior in perimenopausal outpatients.A total of 30.8% of the total variation level was explained (F=21.912, P<0.001). Conclusions The cognitive and behavioral levels of perimenopausal outpatients are uneven. Education level, disease severity, onthe-job status and psychological factors are the key factors affecting the cognitive behavior and medical treatment compliance behavior of perimenopausal outpatients.
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