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目的调查邢台山区围绝经期综合征人群抑郁患病情况及相关因素,为围绝经期综合征抑郁的预防提供理论依据。方法采用分层整群抽样方法对邢台山区4个县市(邢台县、临城县、内丘县和沙河市)共935个行政村的符合条件的女性居民进行抽样,用自制调查问卷对调查对象进行问卷调查,调查内容包括调查对象基本情况、改良Kupperman评分和汉密尔顿抑郁量表17项,对调查对象的围绝经期综合征患病情况及围绝经期综合征人群抑郁情况进行描述,并采用单、多因素分析方法对围绝经期综合征人群抑郁患病的影响因素进行分析。结果共调查1 668人,平均年龄为(51.26±7.38)岁,以40~49岁为主,占55.34%(923/1 668)。围绝经期综合征人群抑郁的发生率为50.07%(348/695),围绝经期综合征患病严重程度与抑郁严重程度呈正相关(P<0.01),多因素logistic回归分析显示:无配偶(OR=3.865)、有慢性疾病(OR=5.114)、家庭关系差(OR=6.197)和邻居关系差(OR=2.366)的围绝经期综合征患者抑郁发生可能性较高。结论邢台山区围绝经期综合征妇女抑郁发病率高,应该对高危人群积极治疗慢性病,疏导其与家庭和邻居的关系,预防围绝经期综合征抑郁的发生。
Objective To investigate the prevalence of depression and related factors in the population of perimenopausal syndrome in Xingtai Mountains and to provide theoretical evidence for the prevention of depression in menopausal syndrome. Methods A stratified cluster sampling method was used to sample qualified female residents in 935 administrative villages in 4 counties (Xingtai County, Lincheng County, Neiqiu County and Shahe City) in Xingtai Mountains. The questionnaires were used to survey Subjects were surveyed, the survey includes the basic situation of the respondents, improved Kupperman score and Hamilton depression scale 17, the survey of the prevalence of perimenopausal syndrome and depression in people with menopausal syndrome were described and used Single factor and multivariate analysis were used to analyze the influencing factors of depression in the crowd of menopausal syndrome. Results A total of 1 668 people were surveyed, with an average age of (51.26 ± 7.38) years old, 40-49 years old, accounting for 55.34% (923/1 668). The prevalence rate of depression was 50.07% (348/695) in people with perimenopausal syndrome, the severity of perimenopausal syndrome was positively correlated with the severity of depression (P <0.01). Multivariate logistic regression analysis showed no spouse OR = 3.865). Patients with perimenopausal syndrome who had chronic diseases (OR = 5.114), poor family relationships (OR = 6.197) and poor neighbor relationships (OR = 2.366) were more likely to have depression. Conclusion The incidence of depression in Xingtai Mountain area is high. Women with chronic diseases should be actively treated in high-risk groups, and their relationship with their families and neighbors should be diverted to prevent the occurrence of depression in menopausal syndrome.