کاربرد مدل‎بندی معادلات ساختاری در تعیین عوامل مرتبط با علائم وازوموتور (گرگرفتگی و تعریق شبانه) در زنان 60-42 ساله ساکن شهر مشهد

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 استاد گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران. مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشگاه علوم پزشکی مشهد، مشهد، ایران

3 استادیار گروه آمار زیستی، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران

4 استادیار گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

5 استاد گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: علائم وازوموتور مانند گرگرفتگی و تعریق­شبانه، در مرحله نزدیک یائسگی و پس از آن رخ می­دهد و در کاهش کیفیت زندگی زنان مؤثر است. مطالعه حاضر با هدف تعیین عوامل مرتبط با شدت علائم وازوموتور با استفاده از مدل‌بندی معادلات ساختاری در زنان ساکن شهر مشهد انجام شد.
روش‌کار: این مطالعه مقطعی و از نوع توصیفی ­تحلیلی در سال 1396 بر روی 664 زن 60-42 ساله ساکن شهر مشهد انجام گرفت. اطلاعات متغیر­های گرگرفتگی، تعریق ­شبانه، افسردگی، اضطراب و مشکل در تمرکز از طریق پرسشنامه 38 آیتمی شدت علائم یائسگی اندازه‌گیری شد. اطلاعات دموگرافیک، پرسشنامه­های تغذیه و وقایع زندگی برای شرکت­کنندگان تکمیل گردید. تحلیل داده­ها با استفاده از روش برآورد حداقل مربعات موزون در مدل معادلات ساختاری انجام شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 16) و Mplus (نسخه 12/6) انجام گرفت. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته­ها: در مجموع فراوانی گرگرفتگی در 109 نفر (40/16%) در حد متوسط، 84 نفر (70/12%) شدید و 98 نفر (80/14%) خیلی شدید بود. فراوانی تعریق شبانه در 88 نفر (30/13%) در حد متوسط، 72 نفر (80/10%) شدید و 93 نفر (00/14%) خیلی شدید بود. بین متغیر­های وقایع زندگی (025/0=p)، اضطراب (013/0=p)، داشتن بیماری (005/0=p) و وضعیت یائسگی (001/0>p) با علائم وازوموتور ارتباط معناداری وجود داشت.
نتیجه­گیری: شرکت در کلاس‌های آموزشی و مشاوره‌ای در زمینه کاهش استرس و افزایش خودکارآمدی زنان، کنترل بیماری‌های زمینه‌ای با مراجعه به‌موقع به متخصص، ورزش کردن، تحرک و بهبود وضع اقتصادی می‌تواند در کاهش علائم وازوموتور مؤثر باشد.

کلیدواژه‌ها

عنوان مقاله [English]

Application of Structural Equation Modeling in Determination of Factors Related to Vasomotor Symptoms (Hot Flashes and Night Sweats) in Women Aged 42-60 Years in Mashhad

نویسندگان [English]

  • Fahimeh Hoseinzadeh 1
  • Habibollah Esmaily 2
  • Azadeh Saki 3
  • Jamshid Jamali 4
  • Fatemeh Tara 5
1 M.Sc. in Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Professor, Department of Biostatistics. School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. Social Determinants of Health Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Assistance Professor, Department of Biostatistics. Social Determinants of Health Research Centre, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Assistant Professor, Department of Biostatistics. School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
5 Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Vasomotor symptoms such as hot flashes and night sweats occur in the near-menopausal stage and thereafter and affect women's quality of life. This study was performed with aim to determine the factors related to the severity of vasomotor symptoms using structural equation modeling in women of Mashhad.
Methods: This cross-sectional, descriptive-analytical study was performed in 2017 on 664 women aged 42-60 years old in Mashhad. Information about hot flashes, night sweats, depression, anxiety and cognitive impairment were measured through MSSI-38 questionnaire. Demographic data as well as nutrition and life events questionnaires were completed for participants. Data were analyzed with weighted least squares estimation method in Structural Equation Modeling using SPSS software (version 16) and Mplus (version 6.12). P Results: The frequency of hot flashes was moderate in 109 women (%16.40), severe in 84 (%12.70) and very severe in 98 (%14.80). The frequency of night sweats was moderate in 88 women (%13.30), severe in 72 women (%10.80) and very severe in 93 women (%14.00). There was significant relationship between life events (p=0.025), anxiety (p=0.013), disease (p=0.005) and menopause status (p<0.001) with vasomotor symptoms.
Conclusion: Participation in training and counseling sessions on reducing stress and increasing women's self-efficacy, controlling underlying diseases by early visiting a specialist, exercising, mobility and improving economic status can be effective in reducing vasomotor symptoms.

کلیدواژه‌ها [English]

  • Hot flashes
  • Menopause
  • Night sweats
  • Structural equation modeling

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مجله زنان، مامایی و نازایی ایران
دوره 22، شماره 11
بهمن 1398
صفحه 38-48

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