目的了解上海市浦东新区产后半年内妇女的生命质量状况。方法于2011年1月1日至6月30日应用健康调查量表(SF~36量表)对435例在浦东新区妇幼保健院、高桥社区卫生服务中心和陆家嘴社区卫生服务中心随访的产后半年内妇女进行生命质量评价,与浦东新区社区26~35岁女性(对照组)生命质量进行比较。并将产后半年内妇女按照分娩后时间分为产后8~42、43~119和120~180d共3组,比较3组生命质量状况。采用t检验、方差分析进行统计学分析。结果(1)浦东新区产后半年内妇女生命质量8个维度得分中,生理功能(79.0±19.0)分、生理角色限制(47.5±12.2)分、躯体疼痛(74.0±18.7)分、总体健康(73.9±13.1)分、活力(69.8士16.2)分、社会功能(78.3±20.1)分、情感角色限制(63.4±21.7)分、总评分(74.2±11.7)分,均低于对照组(分别为94.6、85.7、78.4、71.0、75.0、86.9、83.5和80.5分),差异均有统计学意义(t分别为~17.105、-18.914、-4.893、3.688、-6.642、-8.881、-10.076和-11.225,P均〈0.05);仅心理健康(78.3±15.0)分与对照组(77.8分)比较差异无统计学意义(t-0.629,P〉0.05)。(2)产后8~42、43~119和120~180d的3组妇女8个维度得分中,生理功能[(73.1±19.1)分、(86.3±17.1)分和(89.1±12.9)分]、生理角色限制[(32.4±18.6)分、(57.7±19.1)分和(79.9±12.0)分]、躯体疼痛[(70.7±18.O)分、(75.6±19.O)分和(81.6±17.3)分]、社会功能[(76.3±19.6)分、(78.2±21.7)分和(83.9±19.3)分]、情感角色限制[(58.5±12.9)分、(71.4±18.3)分和(70.1±19.5)分]、总评分[(72.2±11.1)分、(76.1±12.8)分和(78.0±11.1)分]比较,差异均有统计学意义(F分别为37.
Objective To evaluate the quality of life(QOL)of postpartum women within six months after delivery in Pudong New Area in Shanghai. Methods From January 1st to June 30th in 2011, 435 postpartum women, discharged from Children and Women's Health Care Hospital in Pudong New Area, Gaoqiao Community Health Service Center and Lujiazui Community Health Service Center in Pudong New Area, were investigated by SF±36 questionaire including eight items [physical functioning (PF), role limitations due to physical problems (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role limitations due to emotional problems (RE) and mental health (MH)] and divided into three subgroups according to the duration after delivery (8-42, 43-119 and 120-180 d). The SF 36 scores were compared with the control (base± line data of 25 to 36-year-old young women in Pudong New Area) or within the three groups. Statistical methods, such as t-test and analysis of variance, were applied. Results (1) The total score and the scores of the seven items in SF-36 were lower than those of control (total score: 74.2±11.7 vs 80.5, PF: 79.0±19.0 vs 94.6, RP: 47.5±12.2 vs 85.7, BP: 74.0±18.7 vs 78.4, GH: 73.9±73.1 vs 71.0, VT: 69.8±16.2 vs 75.0, SF: 78.3±20.1 vs 86.9, RE: 63.4±21.7 vs 83.5, t=-11. 22-17. 105,-18. 914, -4. 893, 3. 688, -6. 642,-8. 881 and -10. 076,all P〈0.05) and no significant difference was found in MH score between the postpartum women and the control (78.3±15.0 vs 77.8, t=0.629,P〉0.05). Compared the SF±36 scores in three subgroups (8-42, 43±119 and 120±180 d postpartum), the differences on PF score( 73.0± 19.1, 86.3±17.1, 89.1 ± 12.9), RP score(32.4±18.6, 57.7±19.1, 79.9±12.0), BP score(70.7±18.0, 75.6±19.0, 81.6±17.3), SF score(76.3±19.6, 78.2±21.7, 83.9±19.3), RE score(58.5±12.9, 71.4±18.3, 70.1± 19.5) and SF-36 total score (72.2± 11.1, 76.1± 12.8, 78.0± 11.1) were all si