探討更年期女性之生活品質及其相關性研究

背景: 更年期是女性生命中的一個重要階段，通常伴隨著生理和心理上的變化，這些變化可能會影響她們的生活品質。然而，目前關於更年期女性生活品質及其相關因素的研究仍然有限。目的:本研究旨在探討更年期女性社會人口學特徵、健康狀況、更年期症狀、失能風險與生活品質之相關性以及影響更年期女性生活品質之預測因子。方法:橫斷面研究設計，以方便取樣，收集2024年2月6日至2024年5月31日來自中部某婦產科門診的201位年齡介於45至60歲之間的更年期女性的資料。參與者通過結構式問卷收集其社會人口學特徵、健康狀況、更年期症狀、失能風險及生活品質的資料。資料分析包括描述性統計、ANOVA、Pearson相關性和逐步多元迴歸分析，以識別影響生活品質的相關因素。結果:更年期女性的生活品質總平均得分為57.02 (SD = 8.29)，顯示中等水平的生活品質。逐步迴歸分析顯示；影響生活品質的重要預測因子包括，心理症狀之憂鬱症狀(17.9%），睡眠品質（5.6%），生活費用（8.0%），以及失能風險中的活動與運動（2.9%）、憂鬱 (7.0%)。這些因素可解釋更年期女性生活品質41.4%變異量。結論:本研究結果強調，要改善更年期女性的生活品質，需要針對更年期憂鬱之症狀、睡眠品質、生活費用及失能風險進行綜合性的支持。對於生活費用不足的更年期女性，建議政府提供全面的保險計劃，有更年期憂鬱症狀、睡眠品質不佳之女性，鼓勵尋求醫療專業之協助，並多參與社交活動預防活動與運動、憂鬱和失智失能之風險以提升更年期女性之生活品質。

BackgroundMenopause is a significant stage in a woman's life, often accompanied by physiological and psychological changes that can impact their quality of life. However, current research on the quality of life and related factors in menopausal women remains limited.PurposeThis study aims to explore the relationship between the sociodemographic characteristics, health status, menopausal symptoms, disability risk, and quality of life among menopausal women, and to identify the predictive factors affecting their quality of life.MethodsThis cross-sectional study employed a convenience sampling method to collect data from 201 menopausal women, aged between 45 and 60, who attended a gynecology and obstetrics clinic in the central region from February 6, 2024, to May 31, 2024. The participants provided information on their sociodemographic characteristics, health status, menopausal symptoms, disability risk, and quality of life through a structured questionnaire. Data analysis included descriptive statistics, ANOVA, Pearson correlation, and stepwise multiple regression analysis to identify factors associated with quality of life.ResultsThe overall average quality of life score for menopausal women was 57.02 (SD = 8.29), indicating a moderate level of quality of life. Stepwise regression analysis revealed that significant predictors of quality of life included depressive symptoms related to psychological conditions (17.9%), sleep quality (5.6%), living expenses (8.0%), and disability risk related to activities and exercise (2.9%).、depressive (7.0%).These factors collectively explained 41.4% of the variance in the quality of life among menopausal women.ConclusionThe findings of this study highlight the need for comprehensive support to improve the quality of life for menopausal women, particularly in addressing depressive symptoms, sleep quality, living expenses, and disability risk. For menopausal women with inadequate living expenses, it is recommended that the government provide comprehensive insurance plans. Women experiencing depressive symptoms or poor sleep quality are encouraged to seek professional medical assistance and engage in social activities to prevent risks associated with disability in activities and exercise, depression, and dementia, thereby enhancing their quality of life.