首页|育龄女性多囊卵巢综合征患者焦虑抑郁负性情绪影响因素及健康管理的研究进展

育龄女性多囊卵巢综合征患者焦虑抑郁负性情绪影响因素及健康管理的研究进展

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多囊卵巢综合征(PCOS)是临床上较为多发的生殖内分泌疾病,发病原因与患者体内激素分泌紊乱具有重要关系,导致育龄女性PCOS患者相较于正常人群,更易表现出烦躁、紧张、情绪不稳定、焦虑、抑郁等负性情绪。而其中焦虑、抑郁是育龄女性PCOS患者最为主要的心理困扰,其对患者的生育、生活质量及生理健康均造成严重不良影响。近年国内外一系列研究表明,影响育龄女性PCOS患者产生焦虑、抑郁负性情绪的因素主要为社会人口学因素、睡眠质量、并发症及性功能障碍等。国内外PCOS临床诊疗指南指出,有效、规范化的健康管理可显著提高PCOS患者的治疗依从性,进而使其临床预后得到确切改善;而以管理师为主导的多学科协作全程健康管理、家庭参与式个案健康管理及基于"互联网+"的移动健康管理是目前有关育龄女性PCOS患者焦虑、抑郁负性情绪的主要管理策略,均可对患者焦虑、抑郁等负性情绪进行有效调节。基于此,本文将对育龄女性PCOS患者焦虑、抑郁负性情绪现状、影响因素及健康管理策略进行综述,希望以此引起对育龄女性PCOS患者焦虑、抑郁负性情绪的重视以及为帮助其建立长期依从的健康生活方式提供参考。
Research progress on factors affecting anxiety,depression negative emo-tions and health management in women of childbearing age with polycys-tic ovary syndrome
Polycystic ovary syndrome(PCOS)is a more common reproductive endocrine disease in clinical practice,and the cause of the pathogenesis has an important relationship with the hormone secretion disorder in the patients'body,resulting in female PCOS patients of childbearing age are more likely to show irritability,nervousness,emotional instability,anxiety,depression and other negative emotions than the normal population,and anxiety and depression are the most important psy-chological distress of PCOS patients of childbearing age,which have serious adverse effects on their fertility,quality of life and physical health.In recent years,a series of studies at home and abroad have shown that the factors affecting the negative emotions of anxiety and depression in women of childbearing age are mainly sociodemographic factors,sleep quality,com-plications and sexual dysfunction.The domestic and foreign PCOS clinical diagnosis and treatment guidelines point out that effective and standardized health management can significantly improve the treatment compliance of PCOS patients,and then improve their clinical prognosis.The manager-led multidisciplinary collaborative whole-process health management,family-participatory case health management and"Internet+"based mobile health management are the main management strategies for anxiety and depression in women of childbearing age with PCOS,which can effectively regulate negative emo-tions such as anxiety and depression.Based on this,this paper will review the status quo,influencing factors and health management strategies of anxiety and depression in female PCOS patients of childbearing age,hoping to arouse the attention of society to the anxiety and depression of PCOS patients of childbearing age and provide reference for helping them establish a healthy lifestyle with long-term compliance.

Polycystic ovary syndromeAnxietyDepres-sionInfluencing factorsHealth management

汪丹、钟晓林、罗泽芳

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广东省生殖医院国家卫生健康委员会男性生殖与遗传重点实验室,广东广州 510600

多囊卵巢综合征 焦虑 抑郁 影响因素 健康管理

广东省医学科学技术研究项目

B2021328

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(1)
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