Comparison of Quality of Life in Perimenopausal and Postmenopausal Women: A Pilot Study in Central Taiwan

更年期婦女和更年期後婦女的生活品質比較：臺灣中部地區的前導性研究

許秋婷(Chew-Teng Kor) ； 謝玲俐(Ling-Lee Hsieh) ； 黃志成(Chih-Cheng Huang) ； 張育源(Yu-Yuan Chang) ； 梁家甄(Chia-Chen Liang) ； 陳雅萍(Ya-Ping Chen) ； 吳鴻明(Hung-Ming Wu)

《The Changhua Journal of Medicine》 14卷4期 (2016/12) Pp. 151-158

https://doi.org/10.6501/CJM.1404.001

摘要

Objective: Menopause is a period in the life of women that often elicits various psychosocial, physical, and sexual symptoms, in addition to hot flashes. Our research aimed to assess quality of life among perimenopausal and postmenopausal women in Taiwan. Methods: This cross-sectional study enrolled 216 participants aged from 45 to 65 years. Women with mental and chronic systemic diseases were excluded. The Menopause-Specific Quality of Life questionnaire (MENQOL) was used to measure quality of life. Results: The mean age of the perimenopausal women (n = 57) was 47.98 ± 3.88 years, and that of the postmenopausal women (n = 159) was 48.31 ± 5.14 years. The overall mean scores obtained for each domain were 2.354 ± 1.986 vs. 2.466 ± 1.994 (p = 0.6308) for the vasomotor domain, 2.681 ± 1.605 vs. 2.966 ± 1.706 (p = 0.0281) for the psychosocial domain, 2.862 ± 1.589 vs. 3.221 ± 1.675 (p ＜ 0.0001) for the physical domain and 2.216 ± 1.801 vs. 3.345 ± 1.805 (p = 0.0281) for the sexual domain in the perimenopausal and postmenopausal women, respectively. Among the 32 items of the MENQOL, our results showed that the scores for the items of accomplishing less than I used to, decrease in physical strength, decrease in stamina, lack of energy, dry skin, decrease in my sexual desire, and avoiding intimacy were higher in the postmenopausal women than in the perimenopausal women. Conclusion: Our study showed that impaired quality of life is common in menopausal women. Psychosocial, physical, and urogenital symptoms were more severe in the postmenopausal women than in the perimenopausal women.

關鍵字

menopausal ； menopause-specific quality ； of life questionnaire(MENQOL) ； quality of life

並列摘要

目標：更年期階段的婦女在生活中經常發生各種身心靈社會等相關不適的狀況。我們的研究旨在比較臺灣中部更年期和更年期階段（過渡期及期後）婦女的生活品質方法：本研究採橫斷式研究設計，收集45歲至65歲更年期共216位。排除有精神病史和慢性系統性疾病史的病患。本研究使用更年期特定生活品質問卷（MENQOL）用於評量婦女的生活品質。結果：更年期過度期的婦女的平均年齡為47.98 ± 3.88（n = 57），更年期後婦女的平均年齡為48.31 ± 5.14（n = 159）。對生活品質四個層面其平均分數，為（1）在熱潮紅症狀方面為2.354 ± 1.986比2.466 ± 1.994（p = 0.6308）。（2）在社會心理層面分數為2.681 ± 1.605比2.966 ± 1.706（p = 0.0281）。（3）在身體狀態層面為22.862 ± 1.589比3.221 ± 1.675（p ＜ 0.0001）。（4）在性生活層面分別為2.216 ± 1.801和3.345 ± 1.805（p = 0.0281）。在MENQOL 32項目中，我們發現，更年期後婦女較更年期過渡期婦女有較高差異為「做事不如以前得心應手」、「體力降低」、「感到缺乏精力」、「皮膚乾燥」、「性慾降低」、「迴避親密行為」6項指標。結論：我們的研究發現，生活品質不佳在更年期婦女是常見的。而更年期後婦女在社會心理，身體和泌尿生殖器的症狀比更年期過渡期婦女更嚴重。

並列關鍵字

更年期特定生活品質問卷 ； MENQOL ； 生活品質問卷