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游菁,赵缨,王辉,杨岚.围绝经期妇女抑郁心理及其影响因素的调查研究[J].上海护理,2022,22(S1):
围绝经期妇女抑郁心理及其影响因素的调查研究
Study on depression and its influencing factors in perimenopausal women
DOI：
中文关键词:  围绝经期  抑郁  睡眠质量  社会支持
英文关键词:Perimenopause  depression  sleep quality  social support
基金项目:
作者单位E-mail
游菁 复旦大学附属妇产科医院 youjing1311@fckyy.org.cn 
赵缨* 复旦大学护理学院 zhaoying@fudan.edu.cn 
王辉 复旦大学附属妇产科医院  
杨岚 复旦大学附属妇产科医院  
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中文摘要:
      目的 调查围绝经期妇女抑郁状况,并探讨影响围绝经期妇女抑郁心理的影响因素。方法 采用方便抽样法,以抑郁自评量表(SDS)、改良Kupperman量表(KI)、匹兹堡睡眠质量指数问卷(PSQI)、社会支持评定量表(SSRS)为研究工具,对91例围绝经期妇女展开调查。结果 围绝经期妇女的SDS平均得分44.62±9.69,轻微至轻度抑郁者25人(27.47%),中至重度抑郁者2人(2.21%)。围绝经期妇女的PSQI平均得分6.54±4.00分,睡眠质量差者(PSQI≥8)30人(33.00%)。KI平均得分14.08±6.28,轻度围绝经症状者48人(52.75%),中度围绝经症状者32人(35.16%)。SSRS平均得分42.38±6.63。Pearson相关分析显示,围绝经期妇女的抑郁状况与社会支持呈负相关(P<0.05),与睡眠质量得分呈正相关(P<0.05),与围绝经症状呈显著正相关(P<0.01)。多元逐步回归分析显示,社会支持和围绝经症状是导致围绝经期妇女抑郁心理的风险因素。结论 应动态评估围绝经期妇女的症状,加强睡眠的监测和改善,给予围绝经期妇女充分的社会支持,以减轻其抑郁心理。
英文摘要:
      Objective: The study aimed to investigate the depression of perimenopausal women, and to investigate the factors related to depression among perimenopausal women. Methods: A convenience sample of 91 perimenopausal women was interviewed by using the self-rating depression scale (SDS), Kupperman index (KI), Pittsburgh sleep quality index (PSQI), and social support rating scale (SSRS) .Results: The average SDS score was 44.62±9.69, 25(27.47%) were slight to mild depression, 2 (2.21%) were moderate to severe depression. The average PSQI score was 6.54±4.00 points, 30 women (33.00%) had poor sleep quality (PSQI≥8). The average score of KI is 14.08±6.28, , 48 (52.75%) had mild perimenopausal symptoms, 32(35.16%) had moderate perimenopausal symptoms. The average SSRS score is 42.38±6.63. Pearson correlation analysis showed that depression in perimenopausal women was negatively correlated with social support (P<0.05), positively correlated with sleep quality score (P<0.05),and significantly positively correlated with perimenopausal symptoms (P<0.01). Multiple regression analysis showed that the factors of depression include social support and perimenopausal symptoms.
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