希望维持生育能力的子宫肌瘤妇女的综合健康状况:一项基于Levine守恒模型的横断面研究。

Women's health nursing (Seoul, Korea) Pub Date : 2025-03-01 Epub Date: 2025-03-28 DOI:10.4069/whn.2025.03.02
Hye Moon Kim, ChaeWeon Chung
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引用次数: 0

摘要

目的:子宫肌瘤(UFs)的发病率增加的妇女谁可以考虑受孕提出了挑战。本研究考察了希望保持生育能力的UFs女性在不同生活条件和治疗阶段的疲劳、UF症状严重程度、性功能、焦虑和孤独感之间的关系。方法:在Levine's守恒模型的指导下,对221名希望保持生殖潜力的UFs女性进行描述性相关研究。参与者从关注妇科的在线社区中招募,并通过在线调查收集数据。问卷收集了一般和治疗相关特征的信息,以及疲劳、UF症状严重程度、性功能、焦虑和孤独感的测量。采用描述性统计、独立t检验、单因素方差分析、Welch检验和Pearson相关分析对资料进行分析。结果:大多数参与者(91.9%)感到疲劳,性功能障碍普遍存在(85.5%)。疲劳、性功能、焦虑和孤独水平显著相关(p≤0.001),而UF症状严重程度仅与疲劳相关(r= 0.001)。51 .结论:打算保持生育能力的子宫外瘘妇女面临多方面和相互关联的健康挑战。除了以子宫肌瘤为重点的治疗之外,临床护理和教育应结合身体和心理健康指标,同时支持生殖健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The integrative health status of women with uterine fibroids wishing to maintain fertility: a cross-sectional study based on Levine's conservation model.

Purpose: The increasing incidence of uterine fibroids (UFs) among women who could consider conception presents challenges. This study examined the relationships among fatigue, UF symptom severity, sexual function, anxiety, and loneliness across diverse life conditions and treatment stages in women with UFs wishing to maintain fertility.

Methods: This descriptive correlational study, guided by Levine's conservation model, included 221 women with UFs hoping to maintain their reproductive potential. Participants were recruited from gynecology-focused online communities, and data were collected through an online survey. The questionnaire gathered information on general and treatment-related characteristics, as well as measures of fatigue, UF symptom severity, sexual function, anxiety, and loneliness. The data were analyzed using descriptive statistics, independent t-test, one-way analysis of variance, the Welch test, and Pearson correlation analysis.

Results: Most participants (91.9%) experienced fatigue, and sexual dysfunction was prevalent (85.5%). Fatigue, sexual function, anxiety, and loneliness levels were significantly intercorrelated (p≤.001), whereas UF symptom severity was only associated with fatigue (r=.51, p<.001) and sexual function (r=-.41, p<.001). Women without specific pregnancy plans exhibited greater anxiety and poorer sexual function than those with plans, and women with low economic status showed poorer outcomes for most variables. Women currently undergoing medical treatment reported the highest UF symptom severity, while those with a longer diagnosis history or not currently receiving treatment exhibited greater anxiety and loneliness.

Conclusion: Women with UFs intending to maintain fertility face multidimensional and interrelated health challenges. Beyond fibroid-focused treatments, clinical nursing and education should integrate physical and psychosocial health indicators while supporting reproductive health.

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