康复治疗对外阴阴道萎缩患者生活质量的影响

Q3 Medicine
D. M. Ampilogova, A. Solopova, D. Blinov, G. K. Bykovshchenko, S. Khlopkova, A. E. Ivanov
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引用次数: 0

摘要

目的:评估康复治疗对外阴阴道萎缩(VVA)患者生活质量(QoL)各组成部分的影响。这项前瞻性比较对照纵向研究涉及 350 名外阴阴道萎缩患者,根据绝经类型分为手术组(n = 140)和自然绝经组(n = 140),对照组为 70 名无外阴阴道萎缩的妇女。患者又被细分为接受复杂的 "主动"(1A、2A 组)和 "被动"(1B、2B 组)康复治疗的患者。研究包括 24 个月内的 6 次探访,使用女性性功能指数 (FSFI)、医院焦虑抑郁量表 (HADS)、改良更年期指数 (MMI)、幸福、活动、情绪问卷 (WAM)、镁缺乏症问卷 (MDQ) 和镁缺乏症评估测试 (ATMD) 评估患者的 QoL。手术绝经的妇女最初都有严重的性功能障碍。与 "被动 "康复训练相比,复杂的 "主动 "康复训练能明显改善性功能。手术绝经妇女最初的焦虑和抑郁程度较高。"主动 "康复治疗可明显降低这些水平,并在第一年内达到正常值。更年期手术患者表现出更严重的更年期症状。与 "被动式 "康复训练相比,"主动式 "康复训练能显著减轻这些症状,改善幸福感、活动和情绪,尤其是在第一年。复杂的 "积极 "康复在三个月内使镁缺乏指标恢复正常,并在整个研究过程中保持正常水平。综合的 "积极 "康复治疗能明显改善VVA女性患者的性功能,减轻焦虑和抑郁,缓解更年期症状,提高整体健康水平,尤其是那些处于手术绝经期的女性患者。个性化的康复计划对于提高这些患者的生活质量至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of rehabilitation on the quality of life of patients with vulvovaginal atrophy
Aim: to evaluate the impact of rehabilitation on various components of quality of life (QoL) in patients with vulvovaginal atrophy (VVA).Materials and Methods. A prospective comparative controlled longitudinal study involved 350 patients with VVA, divided into groups based on the type of menopause: surgical (n = 140) and natural (n = 140), with a control group of 70 women without VVA. Patients were further subdivided into those receiving complex "active" (groups 1A, 2A) and "passive" (groups 1B, 2B) rehabilitation. The study included 6 visits over 24 months, assessing QoL using the Female Sexual Function Index (FSFI), Hospital Anxiety and Depression Scale (HADS), Modified Menopausal Index (MMI), Well-being, Activity, Mood questionnaire (WAM), Magnesium Deficiency Questionnaire (MDQ), and the Assessment Test of Magnesium Deficiency (ATMD).Results. Women with surgical menopause had severe sexual dysfunction initially. Complex "active" rehabilitation significantly improved sexual function over time compared to "passive" rehabilitation. Surgical menopausal women had higher initial levels of anxiety and depression. "Active" rehabilitation significantly reduced these levels, reaching normal values within the first year. Patients with surgical menopause exhibited more severe menopausal symptoms. "Active" rehabilitation led to significant reductions in these symptoms, improved well-being, activity, and mood more significantly than "passive" rehabilitation, particularly in the first year. Complex "active" rehabilitation normalized magnesium deficiency indicators within three months, maintaining normal levels throughout the study.Conclusion. Comprehensive "active" rehabilitation significantly improves sexual function, reduces anxiety and depression, alleviates menopausal symptoms, and enhances overall well-being in women with VVA, especially those in surgical menopause. Personalized rehabilitation programs are crucial for enhancing QoL in these patients.
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来源期刊
CiteScore
1.00
自引率
0.00%
发文量
68
审稿时长
12 weeks
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