更年期憂鬱症狀與心律變異度及相關因子之探討

Heart Rate Variability and Associated Factors of Women in Menopause

張文典(Wen-Dien Chang) ； 蔡建宗(Chien-Tsung Tsai) ； 林鋐宇(Hung-Yu Lin) ； 劉榮啟(Yung-Chi Liu) ； 黎秉東(Ping-Tung Lai)

《身心障礙研究季刊》 10卷3期 (2012/09) Pp. 196-210

https://doi.org/10.30072/JDR.201209.0003

摘要

Female family caregivers, who care disability children, are often easy to suffer from depression. Because of aging and menopause, post-menopausal woman was increasingly suffered from depression. Depression would induce the autonomic nervous system disorders, and increased risk of cardiovascular disease. There are still lack of research to probe into the relevance among autonomic nerve and heart function. The aim of our study was to research the relevance of depression of post-menopausal woman with the heart rate variability (HRV) and adjustment of autonomic nerve by measurement of the latter two criteria. This was a cross-sectional study, and 184 post-menopausal women were assessed by the structured questionnaire and electrocardiography. In the result, we found 104 women were assessed as normal (Taiwanese depression questionnaire, TDQ; score: 3.17 ± 2.76), and 28 women with mild depression (TDQ score: 10.71 ± 1.90); 24 women with moderate depression (TDQ score: 16.25 ± 0.85), 20 women with severe depression (TDQ score: 23.20 ± 1.76) and 8 women with very severe depression (TDQ score: 34.50 ± 5.92). There was a statistical correlation between the age and BMI, HRV and adjustment of autonomic nerve (p ＜ 0.05). These variables were predictors for the depression symptom, the age was especially important. The adjustment of autonomic nerve did not have a statistical correlation with HRV (p ＞ 0.05), but it was a predictors which suit to assess the normal and mild depression. However, HRV was suit to assess the severe depression.

關鍵字

心律變異度 ； 自律神經 ； 停經後期 ； 憂鬱症狀

並列摘要

Female family caregivers, who care disability children, are often easy to suffer from depression. Because of aging and menopause, post-menopausal woman was increasingly suffered from depression. Depression would induce the autonomic nervous system disorders, and increased risk of cardiovascular disease. There are still lack of research to probe into the relevance among autonomic nerve and heart function. The aim of our study was to research the relevance of depression of post-menopausal woman with the heart rate variability (HRV) and adjustment of autonomic nerve by measurement of the latter two criteria. This was a cross-sectional study, and 184 post-menopausal women were assessed by the structured questionnaire and electrocardiography. In the result, we found 104 women were assessed as normal (Taiwanese depression questionnaire, TDQ; score: 3.17 ± 2.76), and 28 women with mild depression (TDQ score: 10.71 ± 1.90); 24 women with moderate depression (TDQ score: 16.25 ± 0.85), 20 women with severe depression (TDQ score: 23.20 ± 1.76) and 8 women with very severe depression (TDQ score: 34.50 ± 5.92). There was a statistical correlation between the age and BMI, HRV and adjustment of autonomic nerve (p ＜ 0.05). These variables were predictors for the depression symptom, the age was especially important. The adjustment of autonomic nerve did not have a statistical correlation with HRV (p ＞ 0.05), but it was a predictors which suit to assess the normal and mild depression. However, HRV was suit to assess the severe depression.

並列關鍵字

Autonomic nerve ； depression ； heart rate variability ； post-menopause

參考文獻

朱翠燕、李素卿、王祖琪、謝瑞雲、李秋玉、林秀麗(2010)。女性照顧者負荷之質性研究。北市醫學雜誌。7(2)，144-153。

李佩珊、李絳桃、黃久美、李奇龍(2006)。更年期婦女之更年期態度、更年期症狀與憂鬱情緒之相關性研究。實證護理。2(2)，156-165。

何志鴻、黃惠璣(2007)。影響身心障礙兒童家庭照顧者憂鬱之因素。身心障礙研究。5(1)，41-50。

郭堉圻、洪明達(2010)。應用心率變異度分析法對瑜伽運動效益之評估。大專體育。108，80-86。

胡蓉、林金定(2009)。特殊需求學生主要照顧者壓力與健康相關生活品質相關性之研究。身心障礙研究。7(2)，132-143。