子宫内膜异位症对妇女生活质量的影响。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2024-02-09 DOI:10.5603/gpl.93995
Grazyna Baczek, Marta Mietus, Julia Klimanek, Urszula Tataj-Puzyna, Zofia Sienkiewicz, Grazyna Dykowska, Aneta Duda-Zalewska, Justyna Teliga-Czajkowska
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摘要

目的:子宫内膜异位症是一种子宫内膜组织在子宫腔外异位生长的疾病。其平均发病率约为育龄妇女的 10%。由于子宫内膜异位症的症状种类繁多、程度不一,因此对该疾病的诊断通常持续时间长且模糊不清。本研究旨在确定影响患有子宫内膜异位症妇女生活质量的因素:采用诊断调查法进行了一项横断面研究,使用了作者的问卷和 WHOQOL-BREF 问卷。研究对象包括 650 人(患有子宫内膜异位症的妇女组为 361 人,未患有子宫内膜异位症的妇女组为 289 人):结果:患有子宫内膜异位症的妇女平均年龄明显更高(31.87 岁对 24.99 岁)。子宫内膜异位症组受孕困难的比例(51.67%)明显高于非子宫内膜异位症组(5.52%)。在各方面,患有子宫内膜异位症的妇女的生活质量都明显较低(P = 0.000)。病史超过 3 年的妇女更常抱怨性生活障碍(p = 0.048)、膀胱疼痛(p = 0.01)和下背部疼痛(p = 0.029):结论:子宫内膜异位症大大降低了妇女的生活质量。患有子宫内膜异位症的妇女生活质量下降的因素包括剧烈疼痛、不孕、排便困难以及生活各方面(躯体、精神、社交)的满意度降低。为了提高子宫内膜异位症妇女的生活质量,有必要开展更多的研究。
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The impact of endometriosis on the quality of women's life.

Objectives: Endometriosis is a disease that involves the ectopic growth of the endometrial tissue outside the uterine cavity. Its average occurrence is about 10% of women of reproductive age. Making a diagnosis of the disease is commonly long-lasting and ambiguous due to the wide variety and intensity of symptoms. The aim of the study is to determine factors affecting the quality of life of women struggling with endometriosis.

Material and methods: A cross-sectional study was conducted using a diagnostic survey method with the use of the author's questionnaire and the WHOQOL-BREF questionnaire. The study population included 650 people (group with endometriosis - 361 women and group without endometriosis - 289 women).

Results: In the group of women with endometriosis, the mean age was significantly higher (31.87 vs 24.99). Difficulties with conception were significantly more common (51.67%) in the endometriosis group compared to 5.52% in the non-endometriosis group. In each area, the quality of life of women with endometriosis was significantly lower (p = 0.000). Women with the history of the disease of over 3 years significantly more often complained of dyspareunia (p = 0.048), bladder pain (p = 0.01) and lower back pain (p = 0.029).

Conclusions: Endometriosis significantly reduces women's quality of life. Factors that deteriorate the quality of life of women with endometriosis include severe pain, infertility, dyspareunia and reduced satisfaction in various spheres of life (somatic, mental, social). More research is necessary to improve the quality of life of women with endometriosis.

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