子宫平滑肌瘤对女性生活质量的影响

M. Allah, F. Basama, A. Elnahas, Ameer Osman Abaker
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摘要

背景:大多数子宫平滑肌瘤(UL)患者将其一生中的各种负面经历归因于与UL相关的症状,如:子宫异常出血、各种压力症状和盆腔疼痛。大多数关于UL的研究都考察了治疗方式的疗效,但很少有研究人员关注该疾病对女性健康相关生活质量(HRQL)的影响。方法:这是一项描述性、前瞻性、基于医院的定性研究。数据收集采用焦点小组(FG)访谈和结构化问卷。在6个月的时间里招募了200名有症状性溃疡的女性。数据分析使用社会科学统计软件包(SPSS)数据分析工具,版本20。结果:大多数女性(98%)将其症状分为中度或重度。受影响最大的群体是处于生育年龄的人(20至39岁)。69%的就业妇女声称这种疾病影响了她们的工作,其中55%的人报告说,UL是她们缺勤的一个原因。27.2%的妇女认为这种疾病对她们的社交和体育活动造成了一定程度的限制,而66.4%的妇女认为这种疾病对她们的工作造成了严重影响。28.3%的女性认为她们的性生活因该疾病而受到中度功能障碍的影响,52.2%的女性认为影响严重。36.8%和61.6%的女性分别报告了中度至重度的心理问题,例如:恐惧感、不公平感和沮丧感。结论:子宫平滑肌瘤是育龄妇女常见的健康问题。症状性UL对女性的HRQL、性生活和社交生活都有明显的负面影响,似乎还会影响她们的工作表现。妇女的症状与就业类型之间没有显著的相关性;然而,该研究表明,女性症状的严重程度与社交活动、精力、情绪、控制感和性功能之间可能存在正相关。UPINE出版社开放获取L妇科和妇女保健研究干预措施文章ISSN: 2637-4544 DOI: 10.32474/IGWHC.2018.02.000139 Int Gyn & Women Health版权所有@ Amir Ehadi Elzein Elnahas, et al.。引用本文:Marwa M A A, Faisal M S B, Amir E, Ameer O A.子宫平滑肌瘤对女性生活质量的影响。《妇科与妇女健康》2(3)2018。IGWHC.MS.ID.000139。DOI: 10.32474 / IGWHC.2018.02.000139。161许多患有UL的女性可能有以下症状:a)月经频繁和/或月经延长
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impacts of Uterine Leiomyomata on Women’s Quality of Life
Background: Most women with Uterine Leiomyomata (UL) attribute various negative experiences in their lifetime to symptoms related to UL such as: abnormal uterine bleeding, various pressure symptoms and pelvic pain. Most of the research on UL examined the efficacy of treatment modalities, but only few researchers have addressed the impact of the disease on the women’s HealthRelated Quality of Life (HRQL). Methods: This is a descriptive, prospective, hospital-based qualitative study. The data was collected by: Focus Group (FG) interviews and by structured questionnaire. 200 women with symptomatic UL were recruited over a period of 6 months. The data was analyzed using the Statistical Package for Social Sciences (SPSS) data analysis tool, Version 20. Results: The majority of women (98%) graded their symptoms as moderate or severe. The mostly affected group are those in the reproductive age (20 to 39 years). 69% of the employed women claimed that the disease has affected their work and 55% of them reported UL as a reason for their absence from work. 27.2% of all women think that the disease has moderately restricted their social and physical activities, whereas 66.4% think the impact on their work is severe. 28.3% of all women think that their sexual life was moderately dysfunctional because of the disease and 52.2% think the effect was severe. 36.8% and 61.6% of all women reported moderate to severe psychological concerns respectively, such as: the sensation of fear, feeling of unfairness, and discouragement. Conclusions: Uterine leiomyomata are a common health concern for women in the child-bearing age. Symptomatic UL has apparently a negative impact on: women HRQL, sexual and social lives and it appears to affect their work performance. There is no significant correlation between the women symptoms and type of employment; however, the study is suggestive of a possible positive correlation between the women severity of symptoms and: social activities, energy, mood, sense of control, and sexual function. UPINE PUBLISHERS Open Access L Interventions in Gynecology and Women’s Healthcare Research Article ISSN: 2637-4544 DOI: 10.32474/IGWHC.2018.02.000139 Int Gyn & Women’s Health Copyrights@ Amir Ehadi Elzein Elnahas, et al. Citation: Marwa M A A, Faisal M S B, Amir E, Ameer O A. Impacts of Uterine Leiomyomata on Women’s Quality of Life. Int Gyn & Women’s Health 2(3)2018. IGWHC.MS.ID.000139. DOI: 10.32474/IGWHC.2018.02.000139. 161 Many women with UL may have symptoms like: a) Heavy and/or prolonged menses
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