| Summary: | 碩士 === 嘉南藥理科技大學 === 醫務管理系 === 100 === This study assessed menopausal symptom and sleep quality in middle-aged women, and explored the possible influencing factors. 300 copies of questionnaires were sent, and the valid recovery was 73% (219 copies).
Compared with Asian women, the average menopausal rating scores (MRS) of women in Taiwan was lower. The percentages (MRS score) of extremely light, light and moderate to severe menopausal symptom were 42.4% (1.09 ± 1.17), 32.7% (5.76 ± 1.59) and 24.9% (12.84 ± 4.10), respectively. 58.2% surveyed women had higher pressure according to Perceived Stress Scale，（PSS）. Women with high PSS or BMI（≥27） had more serious menopausal symptoms. Obese women were prone to chest tightness, palpitations, irregular heartbeat; frequent micturition, urinary leakage, irritability and hot flashes.
Sleep quality was evaluated with Pittsburgh Sleep Quality Index (PSQI). The average score of respondents was 4.83 ± 3.42. Women with fair sleep quality accounted for 51.1%. The average sleep time was 7.23±1.47 hours, 30 to 60 minute of sleep latency accounted for 68.7%. Women who were disturbed during sleep by interrupted with arousing, urinating or breathing less than once and twice per week were 72.4%, as well as 18.2%. Only 9.4% never had such problem. Subjective satisfaction of sleep quality in respondents expressed with "fairly good" was 57.6%.
The MRS (r = 0.588, P <0.01) and PSS (r = 0.333, P <0.01) of middle-aged women positively correlated with PSQI, while family life negatively correlated (r = -0.236, P <0.01).
Those who used to take different methods to improve sleep quality had much higher PSQI (4.13 ± 2.59 vs. 7.51 ± 4.59, P <0.001). They included "Herbal Treatment" (4.61 ± 3.24 vs. 7.41 ± 4.23, P <0.01) and "Sleep drug"(4.32 ± 2.71 vs. 8.11 ± 5.11, P <0.001).
Finally, according to multiple regression analysis (enter method), the sleep quality of middle-aged women was influenced by MRS, PSS, and family life. 36.9% of sleep quality variance could be explained.
|
|---|
