在降低更年期前风险的双边salpingo-oophorectomy之后的主观认知变化
A Ramachandra1, E H X Thomas1, A J Vincent2
1HER Centre Australia, Central Clinical School, Monash University, Melbourne, VIC, Australia.
Climacteric : the journal of the International Menopause Society
|September 26, 2023
概括
接受降低风险手术的女性在手术后24个月内会经历诸如脑雾和记忆问题等认知变化. 这突出了手术更年期后认知健康的脆弱时期,需要意识和支持.
科学领域:
- 妇科 妇科 妇科 妇科
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
背景情况:
- 患有卵巢癌的高风险女性在自然更年期之前经常进行双边卵管切除术 (BSO),以减少风险.
- 虽然在自然更年期期间认知症状很常见,但对手术后更年期认知变化的研究是有限的.
研究的目的:
- 探索女性在降低风险的BSO后24个月内的主观认知经验.
- 为了确定经过手术更年期后妇女报告的特定认知变化和情绪症状.
主要方法:
- 早期更年期和认知研究 (EM-COG) 的观察性,横截面子研究.
- 对16名澳大利亚妇女进行了定性采访,这些妇女接受了降低风险的BSO.
- 专题分析被用来确定参与者报告的认知经验中的关键主题.
主要成果:
- 93.75%的参与者 (15/16) 在BSO后24个月内报告了认知变化.
- 常见的认知症状包括脑雾,记忆和检索困难,处理速度减慢和注意力缺陷.
- 31.3%的参与者 (5/16) 在BSO后经历了负面情绪症状.
结论:
- 在降低风险的BSO之后的24个月内,女性经常经历主观认知变化.
- 手术后的更年期可能是女性认知健康的脆弱时期.
- 建议心理教育和提高意识,以帮助管理经过手术更年期后的认知症状,等待大型前性研究的确认.
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