CAJ | 학술논문

目的：通过测定绝经期生存质量量表(Menopause-Specific Quality of Life，MENQOL)中文版的标准关联效度，探讨MENQOL量表中文版对评价绝经期妇女相关症状的严重程度及对生活质量影响的有效性。方法：本课题为横断面调查，从长沙市随机抽取三个社区，在这三个社区卫生服务中心已建档的45~55岁处于绝经期的妇女中随机抽取340名，采取自评方式进行绝经期生存质量的问卷调查，以改良Kupperman评分(Kupperman Index，KI)量表和世界卫生组织生存质量简表(World Health Organization Quality of Life-BREF， WHOQOL-BREF)为外部校标，用相关分析来测量MENQOL量表中文版的标准关联效度。结果：MENQOL量表中文版各维度(心血管舒缩症状、心理社会状态、性生活、生理状态)与KI量表总分呈显著正相关(分别r=0.800，0.751，0.607，0.906)；与WHOQOL-BREF量表总分呈显著负相关(分别r=-0.694，-0.851，-0.585，-0.873)，即受绝经期症状影响程度越大，生活质量越低；与WHOQOL-BREF量表各维度(生理、心理、社会关系、环境)均呈显著负相关，且生理维度间的相关程度最高(r=-0.915)。结论：MENQOL量表中文版具有较好的标准关联效度，能够有效评价我国绝经期妇女的生存质量。
목적：통과측정절경기생존질량량표(Menopause-Specific Quality of Life，MENQOL)중문판적표준관련효도，탐토MENQOL량표중문판대평개절경기부녀상관증상적엄중정도급대생활질량영향적유효성。방법：본과제위횡단면조사，종장사시수궤추취삼개사구，재저삼개사구위생복무중심이건당적45~55세처우절경기적부녀중수궤추취340명，채취자평방식진행절경기생존질량적문권조사，이개량Kupperman평분(Kupperman Index，KI)량표화세계위생조직생존질량간표(World Health Organization Quality of Life-BREF， WHOQOL-BREF)위외부교표，용상관분석래측량MENQOL량표중문판적표준관련효도。결과：MENQOL량표중문판각유도(심혈관서축증상、심리사회상태、성생활、생리상태)여KI량표총분정현저정상관(분별r=0.800，0.751，0.607，0.906)；여WHOQOL-BREF량표총분정현저부상관(분별r=-0.694，-0.851，-0.585，-0.873)，즉수절경기증상영향정도월대，생활질량월저；여WHOQOL-BREF량표각유도(생리、심리、사회관계、배경)균정현저부상관，차생리유도간적상관정도최고(r=-0.915)。결론：MENQOL량표중문판구유교호적표준관련효도，능구유효평개아국절경기부녀적생존질량。
Objective:To investigate the criterion-related validity of Menopause-Specific Quality of Life Questionnaire (MENQOL)-Chinese version and to evaluate the effect of menopausal symptoms on health related quality of life. Methods:This study was a cross-sectional survey. Three communities were randomly chosenin Changsha,and then 340 menopausal women aged 45-55 years were randomly chosen from the documented data of the 3 community health service centers. They were required to fill out 4 questionnaires: demographic questionnaire, MENQOL-Chinese version, Kupperman Index (KI) and World Health Organization Quality of Life (WHQOL)-BREF. Correlation analysis was used to measure the criterion-related validity. Results: MENQOL-Chinese version subscales (vasomotor, psycho-social, sexual and physical) and KI total score were positively correlated (r=0.800,0.751, 0.607, 0.906 respectively); while negatively correlated with WHOQOL-BREF total score (r =-0.694,-0.851,-0.585,-0.873 respectively); MENQOL-Chinese version subscales (vasomotor, psycho-social, sexual and physical) were signiifcantly correlated with WHOQOL-BREF subscales (physical, psychological, social relationship, environment), and the physical domain was the highest among the correlation coeffcients (r=-0.915). Conclusion:MENQOL-Chinese version shows relatively high criterion-related validity compared with KI and WHOQOL-BREF, which can be widely used to measure the quality of life of menopause women in China.