經驗更年期症狀之臺灣中年婦女人口學特質及其健康相關生活品質探討

Demographic Characteristics and Health-Related Quality of Life in Taiwanese Women with Menopause-Associated Symptoms.

潘潔馨(CHieh-Hsin Pan)

指導教授 ： 蔡佩珊

臺北醫學大學/護理學院/護理學研究所/碩士(2011年)

摘要

本研究目的旨在探討經驗更年期症狀之臺灣中年婦女之人口學特質及健康相關生活品質，並了解經驗更年期症狀對於健康相關生活品質不良之預測情形。
本研究係利用行政院衛生署國民健康局提供之「2005年國民健康局健康訪問暨藥物濫用調查資料」資料庫進行次級資料分析，納入35-64歲臺灣中年婦女進行分析，研究樣本數共4,321人。健康相關生活品質以SF-36生活品質量表之得分情形做為評量指標，再將SF-36生活品質得分低於第25個百分位定義為該層面之健康相關生活品質不良，以多變項羅吉斯迴歸(Multivariate logistic regression)方式檢定經驗更年期症狀的發生對健康相關生活品質不良之預測力。
本研究結果顯示：曾經經驗更年期症狀之中年婦女共計799人（18.5%）。經驗更年期症狀者其健康相關生活品質顯著較未經驗更年期症狀者差。婦女年齡、宗教信仰、吸菸習慣及罹患心血管、肝膽腸胃道、生殖泌尿、骨骼肌肉或精神疾患者較可能經驗更年期症狀。在控制干擾變項之影響後，經驗更年期症狀者有1.5倍機會(95% CI: 1.24-1.86)會有生理健康層面生活品質不良及1.63倍心理健康層面生活品質不良 (95% CI:1.36-1.95)等情形,顯示更年期症狀確實會影響臺灣中年婦女之健康相關生活品質。
本研究結果支持：是否經驗更年期症狀之臺灣中年婦女其人口學特質有所差異，發生更年期症狀能預測不良之健康相關生活品質。

關鍵字

更年期症狀 ； 健康相關生活品質

並列摘要

The purpose of the study was to compare the demographic characteristics and health-related quality of life (HRQOL) in Taiwanese women with menopause-associated symptoms and those without symptoms. We also examined the predicting role of menopause- associated symptoms for poor HRQOL.
This cross-sectional study analyzed data from the 2005 National Health Interview Survey in Taiwan. A total of 4,321 women aged 35-64 years old were analyzed. HRQOL was assessed using the Medical Outcomes Study Short Form-36 Health Survey (SF-36), and “poor HRQOL” was defined as scores at or below the 25th percentile. Multivariable logistic regression analysis was used to determine the impact of menopause-associated symptoms on poor HRQOL
Among the study sample, 799 women (18.5%) reported that they experienced menopause-related symptoms. Women experienced menopause-related symptoms had significantly worse HRQOL than those without symptoms. Age (p < .001), religion (p = .02), smoking habit (p = .032) and comorbidities such as cardiovascular disease (p < .001), hepatogastrointestinal tract disease (p < .006), musculoskeletal disease (p < .001), urogenital disease (p < .001) and psychological disease (p < .001) were significant determinants of the presence of menopausal symptoms. The multivariate-adjusted odds of poor physical HRQOL for women with menopausal symptoms was 1.51 (95% CI: 1.24-1.86) as compared with their counterpart. The likelihood of having poor mental HRQOL in women with menopausal symptoms was 1.63 times (95% CI: 1.36-1.95) as high compared with those without symptoms after adjusting for the confounders.
Our findings supported that the presence of menopause-associated symptoms increased the odds of poor HRQOL in adult and middle-aged women even after controlling for possible confounders.

並列關鍵字

Menopause ； Menopause-associated symptoms ； Health-related quality of life.

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