婦科門診更年期婦女疲憊感及相關因素之探討

Exploration of Fatigue and Related Factors among Perimenopausal Women in Gynecological Clinics

10.6225/JEBN.4.4.267

張佑嘉(Yu-Chia Chang)；周輝政(Hui-Cheng Chou)；蕭美君(Mei-Chun Hsiao)；曹麗英(Lee-Ing Tsao)

更年期 ； 疲憊 ； 更年期症狀困擾 ； perimenopause ； fatigue ； perimenopausal disturbance

實證護理

4卷4期（2008 / 12 / 01）

267 - 276

繁體中文

本研究主要目的在探討婦科門診更年期婦女疲憊感及相關因素之情形。採用橫斷式相關研究設計，以立意取樣選取北市某區域教學醫院婦科門診介於42-58歲的更年期婦女，以結構性問卷收集資料，共發出91份問卷，回收有效問卷85份。研究結果發現：(1)更年期婦女有輕度至中度疲憊情形，受到疲憊影響的層面最高前三項為睡眠、個人生活作息、健康；(2)服用荷爾蒙者、服用屬營養補充品之植物性荷爾蒙者、長期用藥者及有職業者疲憊感顯著較高；(3)更年期症狀困擾程度越高，疲憊情形越嚴重，而更年期症狀困擾程度介於輕度至中度間，其中以心理精神系統症狀困擾程度最高；(4)更年期症狀困擾、有職業是疲憊感之重要預測因子，可解釋總變異量的70%。建議更年期相關照護中，注意更年期婦女之症狀困擾及疲憊感之評估，另一方面，提供長期服藥之婦女及在職婦女減輕疲憊之健康照護。

The purpose of this study was to explore fatigue and related factors among perimenopausal women. This was a cross-sectional, correlation study that employed structured questionnaires. Data was collected by purposeful sampling between December 2007 and January 2008 at gynecological clinics located in Taipei City. Eighty-five women between 42 and 58 years of age were recruited. Results showed that: (1) Perimenopausal women had scores concentrated in the range of ”slightly” to ”moderately” fatigued. Sleep, personal life and health were most influenced by fatigue; (2) Women who were ”taking hormones”, ”taking plant hormones”, ”taking medicine for a long period of time” or ”employed” were at a higher risk of greater fatigue; (3) Perimenopausal disturbance showed a significantly positive correlation with fatigue. Perimenopausal disturbance registered at a mild to moderate level, while psychological disturbance ranked as the most severe type of perimenopausal disturbance; (4) Predictive variables of fatigue included ”perimenopausal disturbance” and ”employed”, which together explained 70% of fatigue variance. The current study suggests that we should conduct fatigue assessments for women suffering perimanopausal symptoms on a routine basis. In addition, we should provide fatigue care for women taking long-term medicine or who are currently employed.