使用网络比较测试对半年龄妇女在绝经前期和绝经后期之间的症状进行比较
Se Hee Min1, Qing Yang2, Sharron L Docherty2
1University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Western journal of nursing research
|April 12, 2025
概括
绝经前期和绝经后期的更年期症状有所不同,而绝经前期的情绪变化和绝经后期的焦虑是关键. 这凸显了在更年期的不同阶段为女性量身定制的症状管理策略的需要.
科学领域:
- 生殖医学 生殖医学
- 妇女健康 妇女健康
- 心理神经内分泌学心理学
背景情况:
- 中年妇女经历了各种更年期症状,但有关阶段特定差异的证据是相互矛盾的.
- 现有的研究往往忽视了更年期症状的相互联系,以及这种网络如何因更年期阶段而异.
研究的目的:
- 调查和比较在绝经前期和绝经后期期间女性更年期症状的网络结构.
- 识别关键症状并了解它们之间的关系在更年期各个阶段是如何不同的.
主要方法:
- 来自全国妇女健康研究 (SWAN) 队列的横截面数据的二次分析.
- 使用网络分析可视化症状的相互关系,并识别中心症状.
- 倾向性得分匹配用于控制共变量,并进行了网络比较测试.
主要成果:
- 经常的情绪变化被确定为绝经前妇女的关键症状.
- 焦虑成为绝经后妇女的关键症状.
- 尽管有明显的关键症状,但在经更年期和更年期后的两组之间,整体网络结构和全球强度并没有显著差异.
结论:
- 研究结果表明,需要针对绝经前期和绝经后期妇女制定不同的症状管理策略.
- 临床医生应考虑对关键症状进行有针对性的评估和管理,例如绝经前期的情绪变化和绝经后的焦虑.
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