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1
題名:Health-Related Quality of Life and Healthcare Resource Utilization in Taiwanese Women With Menopausal Symptoms: A Nation-Wide Survey    
有停經症狀之臺灣婦女的健康相關生活品質與醫療資源利用-全國調查
著者:Yuh-Kae Shyu(徐育愷) ;Chieh-Hsin Pan(潘潔馨) ;Wei-Min Liu(劉偉民) ;Jui-Yuan Hsueh(薛瑞元) ;Chun-Sen Hsu(許淳森) ;Pei-Shan Tsai(蔡佩珊)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:停經症狀 ; 健康相關生活品質 ; 醫療資源利用 ; healthcare resource utilization ; health-related quality of life ; menopausal symptoms
刊名:The Journal of Nursing Research
卷期:20卷3期(2012.9)
頁碼:208-218
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

背景 不同文化與種族背景的婦女其停經經驗不同,且可能會影響生活品質。停經症狀嚴重的婦女會尋求醫療協助來減緩症狀。 目的 本研究探討有停經症狀之臺灣婦女的人口學特徵與健康相關生活品質,以及停經症狀與健康相關生活品質及醫療資源利用的相關性。 方法 此橫斷性研究使用2005年國民健康訪問暨藥物濫用調查多段分層系統抽樣設計資料,分析35至64歲婦女共4,437位,以多元邏輯斯回歸分析與停經症狀婦女有關的變項,及有停經症狀比無停經症狀婦女發生差的健康相關生活品質及醫療資源利用的機會。 結果 有846位(19.1%)婦女曾有停經症狀。年齡、宗教、吸菸、運動及共病情形與出現停經症狀有關。在控制傾向分數後,有停經症狀的婦女比無症狀的分別有1.85、1.66、1.39、1.73、1.44及1.36倍機會出現較差的身體與心理健康相關生活品質、使用門診、中醫與急診服務及住院。 結論 35至64歲的臺灣婦女約有五分之一有停經症狀。在控制可能的干擾因子後,有停經症狀的婦女其健康相關生活品質較差且醫療資源利用增加。
Background: Menopausal experience differs among women with different cultural and ethnic backgrounds and may impact quality of life. Some women with severe menopausal symptoms seek medical help to alleviate menopause-related symptoms. Purpose: This study examined the demographic characteristics and health-related quality of life (HRQOL) of Taiwanese women experiencing menopausal symptoms and examined associations between menopausal symptoms and, respectively, poor HRQOL and healthcare resource utilization. Methods: This cross-sectional study used data from the 2005 National Health Interview Survey in Taiwan, which used a multistaged stratified systematic sampling scheme. A total of 4,437 women aged 35Y64 years were analyzed. We used multivariable logistic regression models to identify variables significantly and independently associated with the presence of menopausal symptoms. We also used the model to assess the odds of poor HRQOL and healthcare resource utilization in women with menopausal symptoms compared with those without. Results: Eight hundred and forty-six women (19.1%) reported experiencing menopausal symptoms. Age, religion, smoking, exercise, and comorbidity were independently associated with the presence of such symptoms. The propensity score-adjusted odds ratio of poor physical HRQOL, poor mental HRQOL, use of outpatient, traditional Chinese medicine and emergency room services, and hospitalization for women with menopausal symptoms were 1.85 (95% CI [1.54, 2.21]), 1.66 (95% CI [1.40, 1.97]), 1.39 (95% CI [1.18, 1.63]), 1.73 (95% CI [1.37, 2.18]), 1.44 (95% CI [1.15, 1.81]), and 1.36 (95% CI [1.02, 1.81]), respectively, compared with those without symptoms. Conclusions: Nearly one fifth of women aged 35Y64 years in Taiwan experience menopausal symptoms. The presence of menopausal symptoms increases the likelihood of poor HRQOL and healthcare resource utilization even after controlling for possible confounders.


    

本卷期目次
The Journal of Nursing Research 20卷3期 (2012.9)
Measuring Nursing Care Time and Tasks in Long-Term Services and Supports: One Size Does Not Fit All/ Janet Prvu BettgerJulie A. SochalskiJanice B. FoustCynthia D. ZubritskyKaren B. HirschmanKatherine M. AbbottMary D. Naylor
A Pilot Study of the Telecare Medical Support System as an Intervention in Dementia Care: The Views and Experiences of Primary Caregivers/ Hsin-Kai ChouSui-Hing YanI-Chun LinMing-Tsu TsaiChu-Chieh ChenLin-Chung Woung
The Efficacy of Using Self-Monitoring Diaries in a Weight Loss Program for Chronically Ⅲ Obese Adults in a Rural Area/ Chi-Jane WangYi-Ching YangWen-Ling Wang
Characteristics and Underlying Meaning of Hoarding Behavior in Elders With Alzheimer's Dementia: Caregivers' Perspective/ Jing-Jy WangWen-Yun Cheng
Hospital Nurse Knowledge of and Approach to Dementia Care/ Pei-Chao LinMei-Hui HsiehLi-Chan Lin
Health-Related Quality of Life and Healthcare Resource Utilization in Taiwanese Women With Menopausal Symptoms: A Nation-Wide Survey/ Yuh-Kae ShyuChieh-Hsin PanWei-Min LiuJui-Yuan HsuehChun-Sen HsuPei-Shan Tsai
Nursing Student Perceptions of Spirituality and Spiritual Care/ Li-Fen WuYu-Chen LiaoDah-Cherng Yeh
The Development of an Evaluation Tool to Measure Nursing Core Curriculum Teaching Effectiveness: An Exploratory Factor Analysis/ Shu-Fang Chang
 
   
 
   

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