围绝经期医务人员抑郁、焦虑症状及其影响因素分析

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目的分析围绝经期女性抑郁、焦虑症状的现状及其影响因素,为制定有效的预防手段提供参考依据。方法于2015年1月-2016年1月选取新疆医科大学6所附属医院围绝经期女性在编员工600例为研究主体。以问卷调查的方式进行探究,参照抑郁自评量表(SDS)和焦虑自评(SAS),及自行编制的《围绝经期妇女抑郁焦虑症状及影响因素调查问卷》。结果有效问卷的回收率为99.67%,抑郁症及焦虑症的发生率分别为22.07%、10.37%。家庭收入满意度、生活环境满意度、夫妻关系、子女关系、精神病家族史、性欲、运动情况、患病情况、月经史、文化程度、婚姻状况、年龄为抑郁/焦虑评分的影响因素。家庭收入满意度、生活环境满意度、夫妻关系、子女关系、性欲、运动情况、月经史、文化程度、婚姻状况、年龄为抑郁/焦虑症发生率的影响因素。结论新疆医科大学六所附属医院围绝经期女性抑郁、焦虑症状的发生率较高,生理、性格、经济、社会、家庭均是围绝经期女性抑郁、焦虑症状的影响因素。今后应加强对围绝经期医务人员的保健及健康宣传工作,防止其焦虑症、抑郁症的产生。 Objective To analyze the current status of depression and anxiety and its influencing factors in perimenopausal women and provide reference for making effective preventive measures. Methods From January 2015 to January 2016, 600 female perimenopausal women in 6 affiliated hospitals of Xinjiang Medical University were selected as the research subjects. A questionnaire survey was conducted. The Self-rating Depression Scale (SDS) and Self-Rating Anxiety (SAS) were used to investigate the symptoms and influencing factors of depression and anxiety in perimenopausal women. Results The effective questionnaire recovery rate was 99.67%, the incidence of depression and anxiety were 22.07% and 10.37% respectively. Family satisfaction, living environment satisfaction, marital relationship, children’s relationship, family history of mental illness, sexual desire, exercise status, prevalence, menstrual history, educational level, marital status, and age were the influencing factors of depression / anxiety score. Family satisfaction, satisfaction with living environment, relationship between husband and wife, relationship between children, sexual desire, movement, menstrual history, educational level, marital status and age were the influencing factors of the incidence of depression / anxiety. Conclusion The prevalence of depression and anxiety in the perimenopausal women in six affiliated hospitals of Xinjiang Medical University is high. Physiological, personality, economic, social, and family factors are the influencing factors of depression and anxiety in perimenopausal women. In the future, health care and health promotion of perimenopausal medical staff should be strengthened to prevent their anxiety and depression.
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