上海市浦东新区产后半年内妇女生命质量评价
상해시포동신구산후반년내부녀생명질량평개
Evaluation on quality of life in women within six months after delivery in Pudong New Area in Shanghai
  • 万方数据
    中华围产医学杂志 중화위산의학잡지
    CHINESE JOURNAL OF PERINATAL MEDICINE
    2013年 5期 284-287 ,共4页

    张亚萍%吕军%张治萍%钱俏%陈珉惺%孙媛媛%杨慧琳

    장아평%려군%장치평%전초%진민성%손원원%양혜림

    产后期%妇女%生活质量%健康调查%评价研究 產後期%婦女%生活質量%健康調查%評價研究
    산후기%부녀%생활질량%건강조사%평개연구
    Postpartum period%Women%Quality of life%Health surveys%Evaluation studies
    目的 了解上海市浦东新区产后半年内妇女的生命质量状况. 方法 于2011年1月1日至6月30日应用健康调查量表(SF-36量表)对435例在浦东新区妇幼保健院、高桥社区卫生服务中心和陆家嘴社区卫生服务中心随访的产后半年内妇女进行生命质量评价,与浦东新区社区26～35岁女性(对照组)生命质量进行比较.并将产后半年内妇女按照分娩后时间分为产后8～42、43～119和120～180 d共3组,比较3组生命质量状况.采用t检验、方差分析进行统计学分析.结果 (1)浦东新区产后半年内妇女生命质量8个维度得分中,生理功能(79.0±19.0)分、生理角色限制(47.5±12.2)分、躯体疼痛(74.0±18.7)分、总体健康(73.9±13.1)分、活力(69.8±16.2)分、社会功能(78.3±20.1)分、情感角色限制(63.4±21.7)分、总评分(74.2±11.7)分,均低于对照组(分别为94.6、85.7、78.4、71.0、75.0、86.9、83.5和80.5分),差异均有统计学意义(t分别为 17.105、-18.914、4.893、3.688、-6.642、8.881、10.076和-11.225,P均＜0.05)；仅心理健康(78.3±15.0)分与对照组(77.8分)比较差异无统计学意义(t=0.629,P＞0.05).(2)产后8～42、43～119和120～180 d的3组妇女8个维度得分中,生理功能[(73.1±19.1)分、(86.3±17.1)分和(89.1±12.9)分]、生理角色限制[(32.4±18.6)分、(57.7±19.1)分和(79.9±12.0)分]、躯体疼痛[(70.7±18.0)分、(75.6±19.0)分和(81.6±17.3)分]、社会功能[(76.3±19.6)分、(78.2±21.7)分和(83.9±19.3)分]、情感角色限制[(58.5±12.9)分、(71.4±18.3)分和(70.1±19.5)分]、总评分[(72.2±11.1)分、(76.1±12.8)分和(78.0±11.1)分]比较,差异均有统计学意义(F分别为37.744、60.640、13.137、5.185、4.577和10.548,P均＜0.05).产后120～180 d妇女生命质量评分中生理功能、活力、情感角色限制与总评分均低于对照组,差异均有统计学意义(t分别为-4.174、-2.353、-3.341和-2.166,P均＜0.05). 结论 产后妇女在社区人群中属于脆弱人群,其生命质量至产后120～180 d仍未能完全恢复.全社会应给予产后妇女更多长期的帮助和支持.
    목적 료해상해시포동신구산후반년내부녀적생명질량상황. 방법 우2011년1월1일지6월30일응용건강조사량표(SF-36량표)대435례재포동신구부유보건원、고교사구위생복무중심화륙가취사구위생복무중심수방적산후반년내부녀진행생명질량평개,여포동신구사구26～35세녀성(대조조)생명질량진행비교.병장산후반년내부녀안조분면후시간분위산후8～42、43～119화120～180 d공3조,비교3조생명질량상황.채용t검험、방차분석진행통계학분석.결과 (1)포동신구산후반년내부녀생명질량8개유도득분중,생리공능(79.0±19.0)분、생리각색한제(47.5±12.2)분、구체동통(74.0±18.7)분、총체건강(73.9±13.1)분、활력(69.8±16.2)분、사회공능(78.3±20.1)분、정감각색한제(63.4±21.7)분、총평분(74.2±11.7)분,균저우대조조(분별위94.6、85.7、78.4、71.0、75.0、86.9、83.5화80.5분),차이균유통계학의의(t분별위 17.105、-18.914、4.893、3.688、-6.642、8.881、10.076화-11.225,P균＜0.05)；부심리건강(78.3±15.0)분여대조조(77.8분)비교차이무통계학의의(t=0.629,P＞0.05).(2)산후8～42、43～119화120～180 d적3조부녀8개유도득분중,생리공능[(73.1±19.1)분、(86.3±17.1)분화(89.1±12.9)분]、생리각색한제[(32.4±18.6)분、(57.7±19.1)분화(79.9±12.0)분]、구체동통[(70.7±18.0)분、(75.6±19.0)분화(81.6±17.3)분]、사회공능[(76.3±19.6)분、(78.2±21.7)분화(83.9±19.3)분]、정감각색한제[(58.5±12.9)분、(71.4±18.3)분화(70.1±19.5)분]、총평분[(72.2±11.1)분、(76.1±12.8)분화(78.0±11.1)분]비교,차이균유통계학의의(F분별위37.744、60.640、13.137、5.185、4.577화10.548,P균＜0.05).산후120～180 d부녀생명질량평분중생리공능、활력、정감각색한제여총평분균저우대조조,차이균유통계학의의(t분별위-4.174、-2.353、-3.341화-2.166,P균＜0.05). 결론 산후부녀재사구인군중속우취약인군,기생명질량지산후120～180 d잉미능완전회복.전사회응급여산후부녀경다장기적방조화지지.
    Objective To evaluate the quality of life(QOL)of postpartum women within six months after delivery in Pudong New Area in Shanghai.Methods From January 1st to June 30th in 2011,435 postpartum women,discharged from Children and Women's Health Care Hospital in Pudong New Area,Gaoqiao Community Health Service Center and Lujiazui Community Health Service Center in Pudong New Area,were investigated by SF 36 questionaire including eight items [physical functioning (PF),role limitations due to physical problems (RP),bodily pain (BP),general health (GH),vitality (VT),social functioning (SF),role limitations due to emotional problems (RE) and mental health (MH)] and divided into three subgroups according to the duration after delivery (8-42,43-119 and 120 180 d).The SF-36 scores were compared with the control (baseline data of 25 to 36-year-old young women in Pudong New Area) or within the three groups.Statistical methods,such as t-test and analysis of variance,were applied.Results (1) The tota lscore and the scores of the seven items in SF-36 were lower than those of control (total score:74.2±11.7 vs 80.5,PF:79.0±19.0 vs 94.6,RP:47.5±12.2 vs 85.7,BP:74.0±18.7 vs 78.4,GH:73.9±13.1 vs 71.0,VT:69.8±16.2 vs 75.0,SF:78.3±20.1 vs 86.9,RE:63.4±21.7 vs 83.5,t=-11.225,-17.105,-18.914,-4.893,3.688,-6.642,-8.881 and-10.076,all P＜0.05) and no significant difference was found in MH score between the postpartum women and the control (78.3±15.0 vs 77.8,t=0.629,P＞0.05).Compared the SF-36 scores in three subgroups (8 42,43-119 and 120 180 d postpartum),the differences on PF score(73.0±19.1,86.3± 17.1,89.1±12.9),RP score(32.4±18.6,57.7±19.1,79.9±12.0),BP score(70.7±18.0,75.6±19.0,81.6±17.3),SF score(76.3±19.6,78.2±21.7,83.9±19.3),RE score(58.5±12.9,71.4± 18.3,70.1± 19.5) and SF-36 total score (72.2± 11.1,76.1± 12.8,78.0± 11.1) were all significant (F=37.744,60.640,13.137,5.185,4.577 and 10.548,allP＜0.05).The PF,VT,RE and total score of postpartum women at 120-180 days after delivery were still lower than those of the control group(t=-4.174,-2.353,-3.341 and-2.166,all P＜0.05).Conclusions The QOL of postpartum women within six months after delivery is not good enough.Up to 120-180 days after delivery,the QOL remains.More efforts should be made to improve the QOL of postpartum women by the whole society.
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