Factors of risk of decline of parameters of quality of life of women of peri­ and postmenopausal periods

Abstract

DOI: 10.52705/2788-6190-2025-01.2-07
УДК 618.173-031.64-002:303.022:314.47

The objective: to estimate the factors of risk of decline of parameters of quality of life of womenof peri- and postmenopausal periods.

Materials and methods. By us 100 women of peri- and postmenopausal periods were inspectedby clinical, laboratory and instrumental methods. For the estimation of quality of life of patientsused a general questionnaire RAND SF-36 (36-Item of Shot-Form Health-Survey), which consistsof 36 questions, incorporated in 8 scales: physical functioning, role physical functioning, pain,psychical (psychological) health, role emotional functioning, social functioning, viability, generalhealth. The first three scales measure the physical component of health, followings three – psychical(psychological) component, and the last correlate with both components. Answers for a questionare expressed in points from 0 to 100, where 0 – too bad state of health, and 100 – most good.The questionnaire WHQ (Women,s Health Questionnaire) is the special instrument for the study ofquality of life of women in perimenopause, contains 37 questions, incorporated in 9 scales: depresseddisorders, somatic symptoms, memory/attention, vasculomotor symptoms, anxiety/fear, sexualviolations, problems with sleep, menstrual symptoms, attractiveness. Every scale has a dimension afrom 0 to 1 points, than more near value to 0, so much the better quality of life of respondent.

Results. The set influence of professional activity of women is on the physical functioning, pain,social functioning and psychical (psychological) health. The greatest indexes of the physicalfunctioning were characteristic for the women of the mixed (combination of mental and physical types of activity) and mental labour 77,5±7,9 and 75,8±7,5 point respectively, more low at manuallabour - pensionaries had 67,8±8,5 point and lowest values – 62,4±6,1 and house-owners –62,5±5,6 point. Level of scale pain made for the women of the mixed labour – 65,3±6,1 point andmental work – 66,9±5,0 point, house-owners – 61,4±6,0 point had intermediate values, and thelowest are women of manual labour – 58,4±6,0 and pensionaries are 55,7±5,6 point.

Conclusions. The basic factors of risk, which reduce quality of life of women in perimenopause,is low social employment, increase of calendar age values of the modified index of menopause,deficit of hormone of epiphysis of melatonin, gynaecological and somatic anamnesis is burdened.Considerable decline of quality of life as compared to the norm of population set for womenin postmenopause with the mionectic mineral closeness of bone tissue, climacteric and by thegenitourinary syndrome of menopause.