目的 探讨围绝经期综合征患者二元应对现状及其影响因素，为提高二元应对水平提供参考。 方法 便利抽样法选取2022年12月至2023年6月黑龙江中医药大学附属第一医院就诊的围绝经期综合征210例患者及配偶，采用一般资料调查表、二元应对问卷和改良Kupperman评分表等进行横断面调查。并采用单因素分析和方差分解模型分析探究围绝经期综合征患者二元应对水平的影响因素。 结果 回收有效问卷200份。200例患者年龄（50.52 ± 2.89）岁，二元应对得分为（79.64 ± 22.74）分；方差分解模型分析显示，患者婚龄、医疗保险类型、子女数量、受教育水平、家庭月收入、配偶受教育水平、配偶有无合并重大及慢性疾病、改良Kupperman评分、配偶是否存在广泛性焦虑是围绝经期综合征患者二元应对的主要影响因素（均P<0.05）。 结论 围绝经期综合征患者二元应对得分低于正常水平，并且考虑到患者配偶的影响和参与，护理人员应特别重视婚龄较短、子女数量较多、受教育水平和家庭月收入较低的患者。此外对存在广泛性焦虑、受教育水平较低、合并重大及慢性疾病的配偶应该给予关注，通过制订和实施综合性的干预措施，提高患者改良Kupperman评分和二元应对水平,促进双方更好的相互支持,从而改善围绝经期患者的夫妻关系。 Objective To explore the current situation of binary coping in patients with perimenopausal syndrome and analyze its influencing factors, in order to provide a basis for improving the level of binary coping. Methods Using convenience sampling method, a total of 210 patients with perimenopausal syndrome and their spouses from the First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine were cross-sectional surveyed by a general data questionnaire, the Binary Coping Scale, and the Modified Kupperman Score Scale. The influencing factors of binary coping level in patients with perimenopausal syndrome were explored by univariate analysis and variance decomposition model analysis. Results A total of 200 valid questionnaires were retrieved.The patients aged (50.52 ± 2.89) years old. The binary coping score was (79.64 ± 22.74) points. The variance decomposition model analysis showed that marriage age, type of medical insurance, number of children, education level, family monthly income, spouse′s education level, presence of major comorbidities in spouse, modified Kupperman score, presence of generalized anxiety in spouse were the main influencing factors of binary coping in patients with perimenopausal syndrome (all P<0.05). Conclusions The binary coping scores of patients with perimenopausal syndrome are lower than normal, and considering the influence and involvement of patients' spouses, nursing staff should pay special attention to patients who are married relatively early, have more children, have lower education levels, and have lower family monthly incomes. Additionally, attention should be given to spouses who experience widespread anxiety, have a lower level of education, and suffer from major chronic diseases. By developing and implementing comprehensive intervention measures aimed at improving the Kupperman score and the level of binary coping, both parties can be encouraged to support each other more effectively, thereby improving the marital relationships of patients during the perimenopausal period.
Study on the level of binary coping and its influencing factors in patients with perimenopausal syndrome
Objective To explore the current situation of binary coping in patients with perimenopausal syndrome and analyze its influencing factors, in order to provide a basis for improving the level of binary coping. Methods Using convenience sampling method, a total of 210 patients with perimenopausal syndrome and their spouses from the First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine were cross-sectional surveyed by a general data questionnaire, the Binary Coping Scale, and the Modified Kupperman Score Scale. The influencing factors of binary coping level in patients with perimenopausal syndrome were explored by univariate analysis and variance decomposition model analysis. Results A total of 200 valid questionnaires were retrieved.The patients aged (50.52 ± 2.89) years old. The binary coping score was (79.64 ± 22.74) points. The variance decomposition model analysis showed that marriage age, type of medical insurance, number of children, education level, family monthly income, spouse′s education level, presence of major comorbidities in spouse, modified Kupperman score, presence of generalized anxiety in spouse were the main influencing factors of binary coping in patients with perimenopausal syndrome (all P<0.05). Conclusions The binary coping scores of patients with perimenopausal syndrome are lower than normal, and considering the influence and involvement of patients' spouses, nursing staff should pay special attention to patients who are married relatively early, have more children, have lower education levels, and have lower family monthly incomes. Additionally, attention should be given to spouses who experience widespread anxiety, have a lower level of education, and suffer from major chronic diseases. By developing and implementing comprehensive intervention measures aimed at improving the Kupperman score and the level of binary coping, both parties can be encouraged to support each other more effectively, thereby improving the marital relationships of patients during the perimenopausal period.
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