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系統識別號 U0007-0807201122584300
論文名稱(中文) 經驗更年期症狀之臺灣中年婦女人口學特質及其健康相關生活品質探討
論文名稱(英文) Demographic Characteristics and Health-Related Quality of Life in Taiwanese Women with Menopause-Associated Symptoms.
校院名稱 臺北醫學大學
系所名稱(中) 護理學研究所
系所名稱(英) Graduate Institute of Nursing
學年度 99
學期 2
出版年 100
研究生(中文) 潘潔馨
研究生(英文) CHieh-Hsin Pan
學號 G455098016
學位類別 碩士
語文別 中文
口試日期 2011-05-23
論文頁數 66頁
口試委員 指導教授-蔡佩珊
委員-廖媛美
委員-王美業
中文關鍵字 更年期症狀  健康相關生活品質 
英文關鍵字 Menopause  Menopause-associated symptoms  Health-related quality of life. 
學科別分類
中文摘要 本研究目的旨在探討經驗更年期症狀之臺灣中年婦女之人口學特質及健康相關生活品質,並了解經驗更年期症狀對於健康相關生活品質不良之預測情形。
本研究係利用行政院衛生署國民健康局提供之「2005年國民健康局健康訪問暨藥物濫用調查資料」資料庫進行次級資料分析,納入35-64歲臺灣中年婦女進行分析,研究樣本數共4,321人。健康相關生活品質以SF-36生活品質量表之得分情形做為評量指標,再將SF-36生活品質得分低於第25個百分位定義為該層面之健康相關生活品質不良,以多變項羅吉斯迴歸(Multivariate logistic regression)方式檢定經驗更年期症狀的發生對健康相關生活品質不良之預測力。
本研究結果顯示:曾經經驗更年期症狀之中年婦女共計799人(18.5%)。經驗更年期症狀者其健康相關生活品質顯著較未經驗更年期症狀者差。婦女年齡、宗教信仰、吸菸習慣及罹患心血管、肝膽腸胃道、生殖泌尿、骨骼肌肉或精神疾患者較可能經驗更年期症狀。在控制干擾變項之影響後,經驗更年期症狀者有1.5倍機會(95% CI: 1.24-1.86)會有生理健康層面生活品質不良及1.63倍心理健康層面生活品質不良 (95% CI:1.36-1.95)等情形,顯示更年期症狀確實會影響臺灣中年婦女之健康相關生活品質。
本研究結果支持:是否經驗更年期症狀之臺灣中年婦女其人口學特質有所差異,發生更年期症狀能預測不良之健康相關生活品質。
英文摘要 The purpose of the study was to compare the demographic characteristics and health-related quality of life (HRQOL) in Taiwanese women with menopause-associated symptoms and those without symptoms. We also examined the predicting role of menopause- associated symptoms for poor HRQOL.
This cross-sectional study analyzed data from the 2005 National Health Interview Survey in Taiwan. A total of 4,321 women aged 35-64 years old were analyzed. HRQOL was assessed using the Medical Outcomes Study Short Form-36 Health Survey (SF-36), and “poor HRQOL” was defined as scores at or below the 25th percentile. Multivariable logistic regression analysis was used to determine the impact of menopause-associated symptoms on poor HRQOL
Among the study sample, 799 women (18.5%) reported that they experienced menopause-related symptoms. Women experienced menopause-related symptoms had significantly worse HRQOL than those without symptoms. Age (p < .001), religion (p = .02), smoking habit (p = .032) and comorbidities such as cardiovascular disease (p < .001), hepatogastrointestinal tract disease (p < .006), musculoskeletal disease (p < .001), urogenital disease (p < .001) and psychological disease (p < .001) were significant determinants of the presence of menopausal symptoms. The multivariate-adjusted odds of poor physical HRQOL for women with menopausal symptoms was 1.51 (95% CI: 1.24-1.86) as compared with their counterpart. The likelihood of having poor mental HRQOL in women with menopausal symptoms was 1.63 times (95% CI: 1.36-1.95) as high compared with those without symptoms after adjusting for the confounders.
Our findings supported that the presence of menopause-associated symptoms increased the odds of poor HRQOL in adult and middle-aged women even after controlling for possible confounders.
論文目次 目 錄
頁 數
致 謝 ................................................. Ⅰ
中文摘要 .............................................. Ⅱ
英文摘要 .............................................. Ⅳ
目 錄 ................................................. Ⅴ
圖表目次 .............................................. Ⅸ
第一章 緒論
第一節 研究動機與重要性 ............................ 1
第二節 概念架構 .................................... 6
第三節 研究目的 .................................... 8
第四節 名詞定義 .................................... 9
第二章 文獻查証
第一節 更年期症狀困擾及其相關因素 ..................22
第二節 健康相關生活品質 ............................18
第三節 更年期症狀與健康相關生活品質 ................23
第四節 更年期症狀與荷爾蒙補充及健康相關生活品質 ....29
第三章 研究方法
第一節 研究設計 ....................................33
第二節 研究樣本 ....................................35
第三節 研究變項資料處理與減量 ......................36
第四節 資料處理 ....................................44
第四章 研究結果
第一節 研究樣本 ....................................46
第二節 經驗更年期症狀之臺灣中年婦女之人口學特質 ....50
第三節 經驗更年期症狀之臺灣中年婦女健康相關生活品質 54
第四節 更年期症狀之預測因子 ........................56
第五節 更年期症狀對健康相關生活品質之預測力 ........59
第六節 荷爾蒙補充療法與健康相關生活品質 ............62
第五章 討論
第一節 樣本特性 ....................................65
第二節 婦女人口學特質與更年期症狀 ..................67
第三節 更年期症狀與婦女健康相關生活品質 ............71
第四節 更年期症狀與荷爾蒙補充療法及婦女健康相關生活品
質 ..........................................74
第五節 小結 ........................................77
第六章 結論與建議
第一節 結論 ........................................78
第二節 研究限制 ....................................79
第三節 建議 ........................................80
參考資料
中文部份 ...........................................81
英文部份 ...........................................83
附錄
附錄一 原始問卷 ....................................89
參考文獻 參考資料
中文部份
內政部統計處(2010,1月12日)•簡易生命表及平均餘命查詢•99年
國人零歲平均餘命估測結果•2011年1月25日,取自
http://sowf.moi.gov.tw/stat/Life/T05-lt-quary.html
方茂守、楊美賞、蔡英美(2006)•都市原住民婦女更年期之症狀•
臺灣醫學,10(2),166-174。
白香菊、李選、曾月霞(2004)•更年期婦女自覺不確定感相關因素
之研究•護理雜誌,51(5),45-52。
李佩珊、李絳桃、黃久美、李奇龍(2006)•更年期婦女之更年期態
度、更年期症狀與憂鬱情結之相關性研究•實證護理,2(2),
156-165。
吳姿蓉、顏文娟、李選(2008)•更年期婦女症狀困擾、情緒狀態與
健康需求之相關性研究•中山醫學雜誌,19,51-65。
姚開屏(2002)•健康相關生活品質概念與測量原理之簡介•臺灣醫學,
6(2),183-192。
翁文舜、劉介宇、陳怡如、劉季鑫、張新儀、梁賡義等人(民96年)。
2005年國民健康訪問暨藥物濫用調查抽樣設計。苗栗縣:國家衛生
研究院。
孫淑惠、曹麗英(2010)•深耕社區-落實關懷更年期婦女健康•
長庚科技學刊,12,9-13。
陳靜敏、何美華、簡逸毅 (2000)•婦女接受荷爾蒙補充療法的遵從
行為與其更年期症狀緩解之相關研究•新台北護理期刊,2(2),
41-54。
張佑嘉、周政輝、蕭美君、曹麗英(2008)•婦科門診更年期婦女疲
憊感及相關因素之探討•實證護理,4(4),267-276。
黃惠美、趙湘台、林寬佳、鄭素月、廖媛美(2011)•45-60歲婦女
之更年期症狀與生活品質相關因素研究•新台北護理期刊,12
(1),7-20。
曾旭民、盧瑞芬、蔡益堅(2003)•國人生活品質評量(II):SF-36臺
灣版的常模與效度檢測•臺彎公共衛生雜誌,22(6),512-218。
羅旭宜、李選(2006)•更年期婦女症狀困擾與健康行為自我效能之
研究•中山醫學雜誌,17,153-168。
顏志峰(2008)•更年期的症狀與治療•中華民國內膜異位症婦女協
會會刊,15(8),8-10。
NHIS工作小組(民96年)。2005國民健康訪問調查研究簡訊。苗栗縣:
國家衛生研究院。

英文部份
Avis, N.E., Colvin, A., Bromberger, J. T., Hess, R., Matthews, K. A., Ory,
M., et al. (2009). Change in health-related quality of life over the
menopausal transition in a multiethnic cohort of middle-age women:
Study of Women’s Health Across the Nation. Menopause, 16(5),
860-869.
Avis, N.E., Ory, M., Matthews, K. A., Schocken, M., Bromberger, J. T., &
Colvin, A. (2003). Health-Related Quality of Life in a Multiethnic
Sample of Study of Women: Study of Women’s Health Across the
Nation (SWAN). Medical Care, 41(11), 1262-1276.
Blumel, J. E., Castelo-Branco, C., Binfa, L., Gramegna, G., Tacla, X.,
Aracena, B., et al. (2000). Quality of life after the menopause: a
population study. Maturitas, 34(1), 17-23.
Chedraui, P., Blumel, J. E., Baron, G., Belzares, E., Bencosme, A., Calle, A.,
et al. (2008). Impaired quality of life among middle aged women: A
muticentre American study. Maturitas, 61(4), 323-329.
Chedraui, P., Miguel, G. S., & Avila, C. (2009). Quality of life impairment
during the female menopausal transition is related to personal and
partner factors. Gynecological Endocrinology, 25(2), 130-135.
Chen, C. H., Booth-Laforce, C., Park, H., & Wang, S. Y. (2010). A
comparative study of menopausal hot flushes and their psychosocial
correlates in Taiwan and the United States. Maturitas, 67(2), 171-177.
Chiu, Y. W., Moore, R. W., Hsu, C. E., Huang, C. T., Liu, H. W., & Chang,
H. Y. (2008). Factors influencing women’s quality of life in the later half
of life. Climateric, 11(3), 201-211.
Daley, A., MacArthur, C., Stroke-Lampard, H., MacManus, R., Wilson, S., &
Mutrie, N. (2007). Exercise participation, body mass index, and health-
related quality of life in women of menopausal age. British Journal of
General Practice, 57(535), 130-135.
Daley, A. J., Stroke-Lampard, H. J., MacArthur, C. (2009). Exercise to reduce
vasomotor and other menopausal symptoms: a review. Maturitas, 63(3),
176-180.
Fallahzadeh, H. (2010). Quality of life after the menopause in Iran: a
population study. Quality of Life Research, 19(6), 813-819.
Ford, K., Sowers, M., Crutchfield, M., Wilson, A., & Jannausch, M. (2005). A
longitudinal study of the predictors of prevalence and severity of
symptoms commonly associated with menopause. Menopause, 12 (3),
308-317.
Fuh, J. L., Wang, S. J., Lu, S. R., Juang, K. D., & Lee, S. J. (2000).
Psychometric evaluation if Chinese (Taiwanese) version of SF-36 health
survey amongst middle-aged women from a rural community. Quality of
life research, 9(6), 675-683.
Fuh, T. L., Wang, S. J., Lee, S. J., Lu, S. R., & Juang, K. D. (2003). Quality
of life and menopause transition for meddle-aged women on Kinmen
Island. Quality of life research, 12(1), 53-61.
Gold, E. B., Block, G., Crawford, S., Lachance, L., FitzGerald, G., Miracle,
H., et al. (2004). Lifestyle and demographic factors in relation to
vasomotor symptoms: baseline results from the Study of Women's Health
Across the Nation. American Journal of Epidemiology, 159(12), 1189-
1199.
Greendale, G.A., & Gold, E. B. (2005). Lifestyle factors: are they related to
vasomotor symptoms and do they modify the effectiveness or side
effects of hormone therapy? The American Journal of Medicine,
118(12), 148-154.
Hess, R., Colvin, A., Avis, N. E., Bromberger, J. T., Schocken, M., Johnson,
J. M., et al. (2008). The impact of hormone therapy on health-related
quality of life: longitudinal results from the Study of Women’s Health
Across the Nation. Menopause, 15(3), 422-428.
Heyworth, I. TM., Hazell, M. L., Linehan, M. F., & Frank, T.L. (2009). How
do common chronic conditions affect health-related quality of life?
British Journal of General Practice, 59(568), e353-358.
Ho, S. C., Chen, S. G., Yip, Y. B., Chan, S. Y., & Sham, A. (2003). Factors
associated with menopausal symptoms reporting in Chinese midlife
women. Maturitas, 44(2), 149-156.
Im, E-O., Lee, B., Chee, W., Dormire, S., & Brown, A. (2010). A National
Multiethnic Online Forum Study on Menopausal Symptom Experience.
Nursing Research, 59(1), 26-33.
Laaksonen, M., RahKonen, O., Martikainen, P., Karvonen, S., & Lahelma, E.
(2006). Smoking and SF-36 health functioning. Preventive Medicine,
42(3), 206-109.
Lerner-Geva, L., Boyko, V., Blumstein, T., & Benyamini, Y. (2010). The
Impact of Education, Culture Background, and Lifestyle on Symptoms
of Menopausal Transition: The Women’s Health at Midlife Study.
Journal of Women’s Health, 19(5), 975-985.
Liu, J., & Eden, J. A. (2008). The menopausal experience in Greek women
living in Sydney. Menopause, 15(3), 476-481.
Lu, S. Y., Tseng, H. F., Lin, L. L., Luh, W. M., & Shu, B. C. (2009). Factors
Related to Depression During Menopause: A Study in Southern Taiwan.
Journal of Nursing Research, 17(2), 128-135.
Matthews, K. A. & Bromberger. J. T. (2005). Does the menopausal transition
affect health-related quality of life? The American Journal of Medicine,
118(12), 25-36.
Moilanen, J., Aalto, A. M., Hemminki, E., Aro, A. R., Raitanen, J., & Luoto,
R. (2010). Prevalence of menopausal symptoms and their association
with lifestyle among Finnish middle-aged women. Maturitas, 67(4), 368-
374.
Nappi, R.E., & Lachowsky, M. (2009). Menopause and sexuality: Prevalence
of symptoms and impact on quality of life. Maturitas,63(2), 138-141.
Rose, M. S., Koshman, M. L., Spreng, S., & Sheldon, R. (1999). Statistical
Issues Encountered in the Comparison of Health-Related Quality of Life
in Diseased Patients to Published General Population Norms: Problems
and Solutions. Journal of Clinical Epidemiology, 52(5), 405-412.
Schwarz, S., Volzke, H., Alte, D., Schwahn, C., Grabe, H. J., Hoffmann, W.,
et al. (2007). Menopause and determinants of quality of life in women at
midlife and beyond: the Study of Health in Pomerania (SHIP).
Menopause, 14(1), 123-134.
Shu, B. C., Luh, W. M., Li, S. M., & Lu, S. Y. (2007). Self-concept and
menopause among mid-life women: A survey in southern Taiwan.
Maturitas, 57(2), 132-138.
Soares, C. N., & Maki, P. M. (2010). Menopausal transition, mood, and
cognition: an integrated view to close the gaps. Menopause, 17(4),
812-814.
Taylor, H. S., & Manson, J. E. (2011). Update in Hormone Therapy Use in
Menopause. Journal Clinical Endocrinology and Metabolism, 96(2),
255-264.
Timur, S., & Sahin, N. H. (2010). The prevalence of depression symptoms
and influencing factors among perimenopausal and postmenopausal
women. Menopause, 17(3), 545-551.
Twiss, J. J., Wenger, J., Hunter, M., Kelsay, M., Rathe-Hart, M., & Salado,
W. (2007). Perimenopausal symptoms, quality of life, and health
behaviors in user and nonusers of hormone therapy. Journal of the
American Academy of Nurse Practitioners, 19(11), 602-613.
Van Dole, K. B., Williams, R. E., Brown, R. S., Gaynes, B., DeVellis, R., &
Funk, M. J. (2010). Longitudinal association of vasomotor symptoms
and psychosocial outcomes among postmenopausal women in United
States: a population-based study. Menopause, 17(5). 917-923.
Veerus, P., Fischer, K., Hovi, S-L., Karro, H., Rahu, M., & Hemminki, E.
(2009). Symptom reporting and quality of life in the Estonian
Postmenopausal Hormone Therapy Trial. BMC Women’s Health, 8(5).
Waidyasekera, H., Wijewardena, K., Lindmark, G., & Naessen, T. (2009).
Menopausal symptoms and quality of life during the menopausal
transition in Sri Lankan women. Menopause, 16(1), 164-170.
World Health Organization. (1993). Study Protocol for The World Health
Organization project to develop a Quality of Life assessment instrument
(WHOQOL). Quality of Life Research, 2(2), 153-159.
Williams, R. E., Levine, K. B., Kalilani, L., Lewis, J., & Clark, R. V. (2009).
Menopause-specific questionnaire assessment in US population-based
study shows negative impact on health-related quality of life. Maturitas,
62(2), 153-159.
Woods, N. F. (2010). Menopause, symptoms and quality of life: time for a
theoretical framework. Menopause, 17(5), 892-893.
Wu, C. Y., Wu, S. L., Lin, S. J., & Chu, C. M-Y. (2011). Changes in
Hormone Therapy Prescriptions Among Middle-Aged Women in
Taiwan: Implications for Health Needs at Menopause. Women’s Health
Issues, 21(2), 153-159.
Ziv-Gal, A., & Flaws, J.A. (2010). Factors That May Influence the
Experience of Hot Flushes by Healthy Middle-Aged Women. Journal of
Women’s Health, 19(10), 1905-1914.
Zollner, Y. F., Acquadro, C., & Schaefer, M. (2005). Literature review of
instruments to assess health-related quality of life during and after
menopause. Quality of Life Research, 14, 309-327.
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