Common Scales about Health-related Quality of Life among Menopausal Women and Their Application

doi:10.12114/j.issn.1007-9572.2020.00.287

Abstract

Abstract: The nature of menopause is the decline of ovarian function，which causes insufficient estrogen secretion and leads to the occurrence of vasomotor symptoms such as hot flashes and night sweats，genitourinary tract atrophy and psychological symptoms，as well as increases the risk of chronic diseases such as osteoporosis and metabolic disorders. Health-related quality of life refers to the relationship among individual's physical health，mental health and social functions in different cultures and value systems. Menopausal women have a higher incidence of menopausal symptoms that to some extent impair their quality of life. Therefore，it is of critical significance to evaluate the impact of menopausal symptoms on health-related quality of life among menopausal women. The most commonly used scales for menopausal health-related quality of life are the Greene Climacteric Scale（GCS），the MOS 36 Item Short Form Health Survey（SF-36），Menopause-specific Quality of Life Questionnaire（MENQOL） and Menopause Rating Scale（MRS）. All scales have their own advantages and limitations. This paper reviews relevant research results of scales for menopausal health-related quality of life at home and abroad to summarize and compare their effectiveness，deficiencies and applications，in order to provide a reference for the timely，accurate，and comprehensive assessment of menopausal women clinically，and provide ideas for related research and applications. By comparison，this article finds that MRS and GCS are less widely used in China，and MENQOL can be used alone for the assessment of menopausal symptoms and health-related quality of life among menopausal women. The SF-36 needs to be combined with the Modified Kupperman Index Scale to evaluate both comprehensively.

Key words: Menopause, Menopausal symptoms, Health-related quality of life, Scale, Review

摘要： 绝经的本质是卵巢功能的衰退，导致雌激素分泌不足引起潮热、盗汗等血管舒缩症状、生殖泌尿道萎缩、精神心理症状，同时增加骨质疏松、代谢紊乱等长远期疾病风险。健康相关生活质量是指个体在不同文化和价值体系中生理健康、心理健康、社会职能的关系，而绝经期女性绝经相关症状的发生率较高，并在一定程度上损害女性的生活质量，故评价绝经期女性的健康相关生活质量具有重要意义。现常用于绝经期健康相关生活质量评价的量表主要有标准Greene绝经期量表（GCS）、简明健康调查问卷（SF-36）、绝经期生存质量量表（MENQOL）和绝经期生活质量评分量表（MRS），但其各有不同，也有各自的优势和局限性。本文着重对绝经期健康相关生活质量量表的相关国内外研究成果做一综述，对其有效性、不足及应用情况等方面进行概括分析、对比，旨在为临床工作中对绝经期女性适时、准确、全面评估提供参考，也为相关的研究及应用提供思路。通过比较，本文发现MRS及GCS在国内应用较少，而MENQOL可单独应用于中国绝经女性绝经相关症状及健康相关生活质量的测评，而SF-36需结合改良Kupperman评分量表等才能更完善地对两者进行测评。

关键词: 绝经, 绝经相关症状, 健康相关生活质量, 量表, 综述

LI Bin,HUANG Yizhou,JIA Yingxian, et al. Common Scales about Health-related Quality of Life among Menopausal Women and Their Application　[J]. Chinese General Practice, 2020, 23(34): 4400-4404，4406. DOI: 10.12114/j.issn.1007-9572.2020.00.287.
李斌,黄艺舟,贾瀛娴等. 绝经期健康相关生活质量常用量表及其应用的研究进展[J]. 中国全科医学, 2020, 23(34): 4400-4404，4406. DOI: 10.12114/j.issn.1007-9572.2020.00.287.

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