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早发性卵巢功能不全患者围绝经期症状研究

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目的 调查我国早发性卵巢功能不全(premature ovarian insufficiency,POI)患者围绝经期症状和症状群。方法 便利选取2021年5月-2022年5月在某三级甲等综合医院卵巢衰老专病门诊就诊的220例POI患者为研究对象。采用一般资料调查表、改良Kupperman评定量表评估患者出现围绝经期症状的概率。结果 POI患者围绝经期症状总体发生率为82。5%,其中中重度症状发生率为45。8%,发生率最高的5个症状分别为情绪激动(86。3%)、疲乏(78。8%)、失眠(77。4%)、抑郁(69。3%)及性生活(61。8%)。运用主成分分析得出4个症状群,分别为精神神经症状群、疼痛症状群、感觉障碍症状群及泌尿生殖道症状群,潮热出汗症状单独存在,累计方差贡献率为63。026%。结论 认识POI患者围绝经期症状及症状群,可帮助临床医护人员对患者进行围绝经期症状健康宣教、监测和评估,尽早发现病情变化并及时干预。
Study on menopausal symptoms in women with premature ovarian insufficiency
Objective To explore menopausal symptoms and symptom clusters in women with premature ovarian insufficiency(POI).Methods A total of 220 women with POI from specialist ovarian aging clinic in a tertiary hospital in Wuhan from May 2021 to May 2022 were recruited by convenience sampling method.The general information questionnaire and modified Kupperman menopausal index were applied to assess the probability of patients with menopausal symptoms.Results The overall incidence of menopausal symptoms in patients with POI was 82.5%,of which the incidence of moderate and severe menopausal symptoms was 45.8%,and 5 symptoms with the highest in-cidence were emotional agitation(86.3%),fatigue(78.8%),insomnia(77.4%),depression(69.3%),and sexual life disorder(61.8%).Four symptom clusters had been found by principal component analysis,which were psycho-neurological symptom cluster,pain symptom cluster,sensory disorder symptom cluster,and genitourinary tract symptom cluster.Hot flashes and sweating symptom existed alone,and the cumulative variance contribution rate was 63.026%.Conclusion Understanding menopausal symptoms and symptom clusters in patients with POI can help clinical medical staff carry out health education,monitoring and evaluation of menopausal symptoms,detect changes in the condition as early as possible,and intervene in time.

premature ovarian insufficiencymenopausesymptom clusternursing

刘双、吴芬、刘莉

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华中科技大学同济医学院附属同济医院护理部,湖北武汉 430030

早发性卵巢功能不全 围绝经期 症状群 护理

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(24)