發(fā)布時間：2018-05-25 05:30

  本文選題：圍絕經(jīng)期婦女 + 生活質(zhì)量　； 參考：《南華大學(xué)》2016年碩士論文

【摘要】：目的了解衡陽市圍絕經(jīng)期婦女抑郁癥狀和生活質(zhì)量的現(xiàn)狀,探討廣場舞對圍絕經(jīng)期婦女抑郁和生活質(zhì)量的影響。進而采用結(jié)構(gòu)方程模型,引入中介效應(yīng)來研究圍絕經(jīng)期婦女生活質(zhì)量的影響因素,為了解圍絕經(jīng)期婦女精神健康的內(nèi)在聯(lián)系,提升其精神健康水平提供理論與數(shù)據(jù)支持,同時提供有效的干預(yù)措施,以進一步加強這一特殊人群的衛(wèi)生保健工作。方法1.以領(lǐng)悟社會支持量表(PSSS)中的家庭支持分量表、Zung氏抑郁自評量表(SDS)和WHO世界衛(wèi)生組織生存質(zhì)量測定簡表(WHOQOL-BREF)作為研究工具,抽樣調(diào)查了衡陽市542名圍絕經(jīng)期婦女(45-59歲)生活質(zhì)量狀況,了解生活質(zhì)量的現(xiàn)狀并分析其影響因素;2.研究對象中廣場舞組204例,對照組338例,廣場舞組為參與廣場舞蹈鍛煉3~4次/周,30~44min/次,持續(xù)6個月的圍絕經(jīng)期婦女,對照組為居住在相同社區(qū)內(nèi)未參與的同齡未參加體育鍛煉的圍絕經(jīng)期婦女;3.數(shù)據(jù)分析采用SPSS18.0軟件和AMOS18.0軟件進行,多元逐步回歸及構(gòu)建結(jié)構(gòu)方程模型,進行量表信效度及影響因素的研究。計量資料以??±s的形式表示,計數(shù)資料以百分數(shù)(%)的形式表示,檢驗水準α=0.05。結(jié)果1.生活質(zhì)量評價量表和抑郁量表的信度和效度較好,量表的結(jié)構(gòu)設(shè)計與問卷數(shù)據(jù)擬合較好。Zung氏抑郁自評量表與WHO生活質(zhì)量簡明量表之間呈顯著負相關(guān)(r=-0.85,P0.05),且量表的結(jié)構(gòu)模型假設(shè)均成立(P0.05);2.542名圍絕經(jīng)期婦女的生活質(zhì)量得分為79.95±13.76,處于中等偏上水平,抑郁評分為46.36±8.22,抑郁的發(fā)生率為48.17%,程度較嚴重;3.生活質(zhì)量影響因素的多元逐步回歸結(jié)果顯示,學(xué)歷、廣場舞鍛煉、家庭支持、抑郁是生活質(zhì)量的影響因素(P0.05),家庭支持和抑郁這兩個因素可以解釋方程總變異的58.3%。家庭支持得分越高,生活質(zhì)量越高,同時抑郁程度越輕,生活質(zhì)量也越高。4.廣場舞蹈鍛煉能顯著提高圍絕經(jīng)期婦女的生活質(zhì)量,緩解其抑郁程度,差異具有統(tǒng)計學(xué)意義(P0.05);5.構(gòu)建圍絕經(jīng)期婦女生活質(zhì)量影響因素的結(jié)構(gòu)方程模型,路徑:家庭支持→抑郁、家庭支持→生活質(zhì)量、抑郁→生活質(zhì)量假設(shè)均成立(P0.05),說明家庭支持會影響生活質(zhì)量,抑郁會影響生活質(zhì)量,同時家庭支持會通過影響抑郁來影響生活質(zhì)量,相關(guān)系數(shù)分別為0.162、-0.758、-0.580,證明了抑郁的中介效應(yīng)。結(jié)論1.WHO生活質(zhì)量簡明量表和Zung氏抑郁自評量表具有很好的信效度,能夠應(yīng)用于評價圍絕經(jīng)期婦女的生活質(zhì)量和抑郁程度。2.圍絕經(jīng)期婦女生活質(zhì)量居于中等水平,社會關(guān)系領(lǐng)域得分最高,環(huán)境領(lǐng)域得分最低;抑郁程度較為嚴重,精神運動障礙得分較高,情感障礙得分較低。3.廣場舞作為當下新興運動,能顯著提高圍絕經(jīng)期女的生活質(zhì)量,緩解其抑郁程度。4.家庭支持及抑郁能直接影響生活質(zhì)量,另一方面,家庭支持也能通過影響抑郁來間接影響生活質(zhì)量。應(yīng)用結(jié)構(gòu)方程模型不僅能夠作為對量表進行驗證性因子分析,檢驗信效度,同時適用于不可觀測變量間復(fù)雜聯(lián)系的研究。
[Abstract]:Objective to understand the status of depressive symptoms and quality of life for perimenopausal women in Hengyang, and to explore the influence of square dance on depression and quality of life for perimenopausal women, and then adopt the structural equation model and introduce the mediating effect to study the factors affecting the quality of life of perimenopausal women in order to eliminate the inner connection of the mental health of women in menopause. The Department provided theoretical and data support for improving the mental health level and provided effective interventions to further strengthen the health care work of this particular population. Method 1. to understand the family support subscale in the social support scale (PSSS), the Zung depression self rating scale (SDS) and the WHO WHO quality of life (QOL). WHOQOL-BREF) as a research tool, the quality of life of 542 perimenopausal women (45-59 years old) in Hengyang was sampled and the quality of life was investigated and the influencing factors were analyzed. In 2. subjects, 204 cases of square dance group, 338 control group, and square dance group participated in the square dance exercise for 3~4 times / week, 30~44min/ time and continuous 6 months. Menstrual women, the control group was the non participating perimenopausal women who did not participate in the same age in the same community. The 3. data analysis was carried out by SPSS18.0 software and AMOS18.0 software, multiple stepwise regression and construction of structural equation model, the scale of the reliability and validity and the influence of the factors. The measurement data were expressed in the form of? + s. The number of data was expressed in the form of percent (%), and the reliability and validity of the 1. quality of life assessment scale and the Depression Scale were better. The structure design of the scale and the questionnaire data fit well the significant negative correlation between the.Zung's self rating depression scale and the WHO quality of life concise scale (r=-0.85, P0.05), and the structure model of the scale. The type hypothesis was established (P0.05). The quality of life of 2.542 perimenopausal women was 79.95 + 13.76, at the middle level, the depression score was 46.36 + 8.22, the incidence of depression was 48.17%, and the degree was more serious. The multiple stepwise regression results of the factors influencing the quality of life showed that education, square dance exercise, family support and depression were the quality of life. The two factors such as P0.05, family support and depression can explain the higher 58.3%. family support score, the higher the quality of life, the lower the degree of depression and the higher the quality of life, the higher the quality of.4. square dance can significantly improve the quality of life of the perimenopausal women and alleviate their depression, the difference is statistically significant. Learning significance (P0.05); 5. the structural equation model of the factors influencing the quality of life of perimenopausal women, the path: family support to depression, family support, quality of life, depression and life quality hypothesis were established (P0.05), indicating that family support would affect the quality of life, depression would affect the quality of life, and family support could affect depression by influencing depression. To influence the quality of life, the correlation coefficient was 0.162, -0.758, -0.580, which proved the mediating effect of depression. Conclusion the 1.WHO quality of life concise scale and the Zung depressive self rating scale have good reliability and validity, and can be used to evaluate the quality of life and depression of perimenopausal women. The quality of life of.2. perimenopausal women in.2. is medium water. In the field of social relations, the highest score in the field of social relations, the lowest score in the field of environment, the more serious depression, the higher score of the mental dyskinesia, the lower.3. square dance as the emerging sport, can significantly improve the quality of life of the women in peri menopause, and alleviate the depression degree of.4. family support and depression can directly affect the quality of life, the other is that the quality of life is directly affected by the depression. On the one hand, family support can also affect the quality of life indirectly through the impact of depression. The application of structural equation model can not only be used as a confirmatory factor analysis of the scale, test reliability and validity, but also apply to the study of complex connections between unobservable variables.
【學(xué)位授予單位】：南華大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R711.75

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