应对方式在围绝经期女性睡眠状况和生存质量之间的中介效应

Effect of coping strategy on sleep status and quality of life in postmenopausal women

摘要:

目的 探讨应对方式在围绝经期女性睡眠状况与生存质量之间的中介效应。方法 采用便利抽样方法，选取2017年10月—2018年9月辽宁省丹东市40～60岁围绝经期女性600例，采用简易应对方式问卷（SCSQ）、匹兹堡睡眠质量指数量表（PSQI）、绝经生存质量量表（MENQOL）对绝经过渡期女性进行调查。结果 积极应对方式平均（1.615±0.577）分，消极应对方式平均（1.380±0.678）分，睡眠质量平均（6.820±3.575）分，绝经生存质量平均（57.470±38.790）分。睡眠质量得分与积极应对方式得分呈负相关（r?=-0.432，P?=0.000）,与消极应对方式得分呈正相关（r?=0.393，P?=0.000）；绝经生存质量得分与积极应对方式得分呈负相关（r?=-0.516，P?=0.000），与消极应对方式得分呈正相关（r?=0.446，P?=0.000）；睡眠质量得分与绝经生存质量得分呈正相关（r?= 0.593，P?=0.000）；睡眠状况不仅可以直接影响围绝经期女性绝经期生存质量，还可以通过应对方式这一中介作用间接影响其绝经期生存质量，且中介效应占总效应的31.06%（0.250/0.805）。结论 应对方式在围绝经期女性睡眠状况与生存质量间起部分中介效应。

Abstract:

Objective To explore the effect of coping strategy on sleep status and quality of life in postmenopausal women. Methods During October 2017 to September 2018, 600 cases of menopausal transitional women aging from 40 and 60 years old in Dandong City, Liaoning Province were selected. Patients were divided into positive coping strategy group and passive coping strategy group. The Simple Coping Style Questionnaire (SCSQ), the Pittsburgh Sleep Quality Index (PSQI), and the Menopause-Specific Quality of Life (MENQOL) were used. Results Average score of SCSQ in positive and passive group was (1.615?±?0.577) and (1.380?±?0.678), respectively. Average score of PSQI and MENQOL was (6.820?±?3.575) and (57.470?±?38.790), respectively. Sleep quality was negatively correlated with positive coping strategy (r?=?-0.432, P?=?0.000) and positively correlated with positive coping strategy (r?=?0.393, P?=?0.000). The postmenopausal quality of life score was negatively correlated with positive coping strategy (r?=?-0.516, P?=?0.000) and positively correlated with negative coping strategy (r?= 0.446, P?= 0.000). Sleep quality scores were positively correlated with menopausal quality of life scores (r?=?0.593, P?=?0.000). Sleep status could not only directly affect the quality of menopausal life in menopausal transition women, but also indirectly affect the quality of menopausal life through the mediation of coping strategy, and the mediating effect accounted for 31.06% (0.250/0.805) of the total effect. Conclusion Coping strategy partially mediates sleep status and quality of life in postmenopausal women.