摘要
目的:调查济南市3个区围绝经期女性的心理困扰状况;研究心理弹性、社会支持与围绝经期心理困扰的关系。方法:采用凯勒斯心理困扰量表、Connor-Davidson弹性量表简化版、领悟社会支持量表及一般资料问卷对676名围绝经期女性进行问卷调查。结果:41.3%的围绝经期女性报告了中重度的心理困扰;心理困扰女性在无日常锻炼、患有慢性病、初潮年龄(≥16岁)与月经量减少上所占比例高于无心理困扰女性(χ~2=25.65,χ~2=15.12,χ~2=7.75,χ~2=17.06,P均<0.05);心理弹性(OR=0.965,P<0.05)、社会支持高(OR=0.924,P<0.05)的围绝经期女性发生心理困扰危险性越低,是其保护性因素。结论:围绝经期女性存在较高的心理困扰水平,社会支持、心理弹性是其心理困扰发生的保护因素。
Objective:To investigate the prevalence of psychological distress in perimenopausal women in China;the relationships of psychological resilience,social support and psychological distress.Methods:676 perimenopausal women were measured by 10-item Kessler Psychological Distress Scale (K10),10-item Connor-Davidson Resilience Scale (CD-RISC),Perceived Social Support Scale (PSSS),and provided sociodemographic information.Results:41.3% of the perimenopausal women reported some degree of psychological distress.Chi-squares found that more perimenopausal women in the distress group experienced no exercise,chronic diseases,menarche age(aged ≥16) and decreasing menstruation than those in the non-distress group (χ^2=25.65,χ^2=15.12,χ^2=7.75 and χ^2=17.06,allP<0.05).Binary logistic regression analysis showed that psychological resilience and social support were associated with a low likelihood of psychological distress.They were the important protective factors (OR=0.965,OR=0.924,allP<0.05).Conclusions:Psychological distress was highly prevalent in perimenopausal women.Psychological resilience and social support were important protective predictors for psychological distress during the perimenopause.
作者
刘春琴
刘晓华
厉萍
LIU Chun-qin;LIU Xiao-hua;LI Ping(School of Nursing,Gannan Medical University,Ganzhou,Jiangxi 341000;The Affiliated Shandong Provincial Hospital of Shandong University;School of Nursing,Shandong University,Jinan,Shandong 250012)
出处
《赣南医学院学报》
2019年第1期62-68,共7页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
心理困扰
心理弹性
社会支持
围绝经期
Psychological distress
Psychological resilience
Social support
Perimenopause
