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目的探讨广西瑶族原发性痛经患者的生存质量及其影响因素。方法在广西5个县,采用世界卫生组织生存质量简表(WHOQOL-BREF)调查无原发性痛经瑶族女性728人(A组),原发性痛经瑶族女性257人(B组)的生存质量。从B组中根据自愿的原则筛选出符合条件96人为C组,对C组采用症状自评量表(SCL-90)调查痛经程度及其抑郁、焦虑状况等。结果 A组的生存质量总分为(70.44±3.92)分,明显高于B组的(69.56±3.37)分(P<0.05);B组中不同县别原发性痛经瑶族女性的生存质量总分比较,差异具有统计学意义(P<0.05),金秀瑶族自治县原发性痛经瑶族女性的生存质量总分均明显高于其他4个县(P<0.05);未婚/独居、健康状况差、社会支持情况差、工作情况差、收入水平低、痛经对生活的影响严重、文化程度低及所在地区经济欠发达是原发性痛经瑶族女性的生存质量的危险因素(P<0.05);调查对象2组的经期疼痛程度与抑郁、焦虑呈正相关(P<0.05)。结论广西原发性痛经瑶族女性生存质量与经济发达地区还有不小差距;未婚/独居、健康状况差、社会支持情况差、工作情况差、收入水平低、痛经对生活的影响严重、文化程度低及所在地区经济欠发达是原发性痛经瑶族女性的生存质量的危险因素。
Objective To investigate the quality of life and its influencing factors in patients with primary dysmenorrhea of Yao ethnic group in Guangxi province. Methods The quality of life of 728 Yao women without primary dysmenorrhea (group A) and 257 women with primary dysmenorrhea (group B) were investigated in WHOQOL (WHOQOL-BREF) . According to the principle of voluntariness, 96 eligible patients were selected as Group C from Group B, and the degree of dysmenorrhea, depression and anxiety were investigated by Self-rating Symptom Scale (SCL-90) in Group C Results The total quality of life in group A was (70.44 ± 3.92) points, which was significantly higher than that in group B (69.56 ± 3.37) (P <0.05). In group B, the total quality of life of women with primary dysmenorrhea in group B The difference was statistically significant (P <0.05). The total quality of life of Yao women with primary dysmenorrhea in Jinxiu Yao Autonomous County was significantly higher than that in the other 4 counties (P <0.05). Unmarried / solitary, poor health status , Poor social support, poor working conditions, low income, severe dysmenorrhea, poor education and low economic development in the region are the risk factors for the quality of life of the Yao women with primary dysmenorrhea (P <0.05) The degree of menstrual pain in subjects 2 group was positively correlated with depression and anxiety (P <0.05). Conclusions The quality of life of the Yao women with primary dysmenorrhea in Guangxi is still not far behind in the economically developed areas. Unmarried / solitary, poor health, poor social support, poor working conditions, low income, severe dysmenorrhea have a serious impact on life, Low and the region’s economic underdevelopment is a risk factor for the quality of life of Yao women with primary dysmenorrhea.