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

The Relationship between Menopause Attitude, Climacteric Symptoms and Depression in Women Undergoing Menopause

李佩珊(Pei-Shan Lee) ； 李絳桃(Jian-Tao Lee) ； 黃久美(Chiu-Mieh Huang) ； 李奇龍(Chyi-Long Lee)

《實證護理》 2卷2期 (2006/06) Pp. 156-165

https://doi.org/10.6225/JEBN.2.2.156

摘要

本研究主要目的在探討更年期婦女的更年期態度、更年期症狀、人口學特性與憂鬱情緒的相關情形。採用橫斷式相關研究設計，以立意取樣方式選取北部某大學學生之40歲至59歲的母親。以結構性問卷進行資料收集，共發出187份問卷，回收有效問卷161份。研究結果發現：(1)更年期婦女憂鬱情緒比例為36%；(2)更年期態度量表中最被認同選項為「更年期是自然的生理現象」；(3)更年期症狀得分最高的前三項依序為：背痛、關節痛、容易疲勞；(4)教育程度越高，則憂鬱得分越低、更年期態度越正向、更年期症狀越少；(5)更年期症狀與人口學特性之關係：無疾病者顯著低於有疾病者；從未使用荷爾蒙者顯著低於曾使用荷爾蒙者；停經中期顯著高於停經前期；(6)憂鬱情緒與更年期症狀有顯著正相關，與更年期態度有顯著負相關；(7)更年期症狀、更年期態度是憂鬱情緒的重要預測因子，可解釋總變異量的45.4%。期望本研究結果在護理研究上可以根據影響因素作更進一步的分析與探討，並尋求改善或紓解更年期婦女的憂鬱情緒，進而達到預防憂鬱症發生之功效。

關鍵字

更年期 ； 憂鬱 ； 更年期態度 ； 更年期症狀

並列摘要

The purpose of this study was to explore the relationship between demographic data, menopause attitude, climacteric symptoms and depression among women undergoing menopause. The study used a cross-sectional design and structured questionnaires. The subjects, aged between 40 and 59, were selected by convenience sampling from among mothers of students at a college in northern Taiwan. A total of 161 valid subjects was recruited. The results showed that: (1) About 36% of the women had depressive symptoms. (2) Most of the women considered menopause to be a natural phenomenon. (3) Back pain, joint ache and fatigue were the most commonly reported climacteric symptoms. (4) Women of higher educational levels had low levels of depressive symptoms, a positive menopausal attitude, and low levels of climacteric symptoms; (5) women who were free of disease, and had not had hormone replacement therapy (HRT) had lower climacteric symptoms than those who had had HRT; scores for climacteric symptoms were higher among perimenopausal women than premenopausal women; (6) the correlation between climacteric symptoms and depressive symptoms was positive; the correlation between menopause attitude and depressive symptoms was negative; (7) in a multivariate model, climacteric symptoms and menopause attitude accounted for 45.4% of the variance in rating menopause as depression. This study illustrates the relationship between menopause and depression. We may apply these findings to develop intervention techniques and skills for preventing depression and promoting women's mental health.

並列關鍵字

menopause ； depression ； menopause attitude ； climacteric symptom