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目的了解河北省各地区城乡妇女围绝经期症状与抑郁程度及其影响因素,以便采取措施提高围绝经期妇女健康水平及生活质量。方法选取河北省7个地区,按照城乡分层,共抽取700名45~55岁妇女,进行问卷调查、Kupperm an评分。有效问卷627份。结果627名调查对象中,围绝经期综合征总发生率为95.22%,轻度症状占22.65%,中度症状占61.08%,重度症状占11.48%;抑郁总发生率为31.26%,可疑抑郁者占9.89%,肯定抑郁者占21.37%;城市、无工作、伴侣患病离异丧偶、婚姻质量差、居住环境欠佳、与子女及邻里同事关系差、月经紊乱、无社会或家庭支持发生围绝经期综合征的频率或程度高,差异有统计学意义(P<0.05或P<0.01);围绝经期综合征程度越重,抑郁发生率越高,差异有统计学意义(P<0.01)。结论河北省城乡妇女围绝经期综合征及抑郁发生率高,影响因素复杂,应引起重视。
Objective To understand the perimenopausal symptoms and depression in urban and rural areas of Hebei Province and its influencing factors in order to take measures to improve perimenopausal women’s health and quality of life. Methods Seven regions of Hebei Province were selected. According to the stratification of urban and rural areas, a total of 700 women aged 45-55 years were selected for questionnaire survey and Kupperm an score. 627 valid questionnaires. Results Among 627 subjects, the total incidence of perimenopausal syndrome was 95.22%, mild symptoms accounted for 22.65%, moderate symptoms accounted for 61.08%, severe symptoms accounted for 11.48%, and the total incidence of depression was 31.26%. Suspected depression Accounting for 9.89%, affirmative depression accounted for 21.37%; city, no job, spouse widowed, poor quality of marriage, poor living environment, poor relations with their children and their neighbors, menstrual disorders, no social or family support perimenopause The frequency or degree of stage syndrome was high, the difference was statistically significant (P <0.05 or P <0.01); the more severe the climacteric syndrome, the higher the incidence of depression, the difference was statistically significant (P <0.01). Conclusion The incidence of perimenopausal syndrome and depression in urban and rural women in Hebei Province is high, and the influencing factors are complex, which deserves great attention.