ارزیابی کیفیت زندگی مرتبط با سلامتی در زنان مبتلا به سندرم تخمدان پلی‌کیستیک

زمینه و هدف: سندرم تخمدان پلی‌کیستیک با درجه شیوع 13.1%5 شایعترین اختلال اندوکرینی در سن باروری زنان است. کیفیت زندگی مرتبط با سلامتی در این زنان کاهش معناداری دارد. چرا که این کاهش می‌تواند به‌دلیل بسیاری از اختلالات از جمله: اختلالات قاعدگی، اختلالات خواب، هیرسوتیسم، مشکل زناشویی، ناباروری و مشکلات عاطفی/روانی باشد. مطالعه حاضر بیشتر با هدف بررسی نقش دو سویه بین خواب و دیگر عوامل محیطی موثر در کیفیت زندگی بیماران انجام شده است.روش بررسی: این مطالعه موردیشاهدی که در فروردین تا اسفند سال 1395 در درمانگاه نازایی ولی‌عصر (عج) بیمارستان امام‌خمینی تهران انجام شد. تعداد 180 زن با محدوده سنی 4020 سال و شاخص توده بدنی کمتر از 28 شرکت داشتند. پرسشنامه های: کیفیّت زندگی یا سلامت عمومی (general health questionnaire, ghq)، دموگرافیک، کیفیّت خواب پیترزبورگ (pittsburgh sleep quality index, psqi) و روان‌سنجی (depression anxiety stress scalesdass42) به‌همراه فرم رضایت‌نامه در اختیار همه قرار گرفت. یافته‌ها: میانگین وزن و شاخص توده بدنی (0.002=p)، موی زاید و سیکل نامنظم در گروه مطالعه بیشتر (0.001

Assessment the health-related quality of life in women with polycystic ovary syndrome

Background: Polycystic ovary syndrome is the most common disorder in the endocrine system. Hyperandrogenism, hyperinsulinemia, chronic ovulation, and infertility are important Complications of PCOS. Healthrelated qualityoflife (HRQoL) has a significant reduction in women with polycystic ovary syndrome (PCOS). This reduction can be due to many disorders including: menstrual and sleep disorders, hirsutism, marital issues, infertility, and emotional/psychosocial problems. The purpose of current study was to investigate the role of sleeping and other environmental factors affecting the quality of life in patients with polycystic ovary syndrome. Methods: This case/control study was conducted in 2017 in two groups: control and study (PCOS). The inclusion criteria were women aged 2040 with a body mass index (BMI)<28. Exclusion criteria included no disease and no medication for all women. The participants were 180 women who were referred to the infertility center of Imam Khomeini Hospital in Tehran. Four questionnaires including Demographics (40 questions), sleep quality (PSQI) (19 items 03), quality of life (GHQ) (28 items) and psychometric (DASS42) with their consent form were filled out. Student rsquo;s ttest and Chisquare were used to compare the variables between two groups and the Pearson correlation coefficient to examine the relationship between lifestyle dimensions.Results: The mean weight and BMI (P=0.002), hirsutism and irregular menstruation cycle in the study group were greater than the control (P<0.001). In the study group the mean score of the sleep questionnaire in three dimensions: sleep problems (P=0.024), drug use (P=0.048), and the sufficiency of sleep (P=0.049) were higher than control.Regression analysis showed that there is a significant relationship between quality of life and menstruation cycle (P=0.046), as well as the three dimensions of negative affecting situations with family income (respectively, 0.015, 0.016 and P=0.035).Conclusion: The environmental factors can easily affect the quality of life in PCO women. Sleep patterns were not favorable, and the effect of menstruation on mood and low family income caused negative emotions in women with PCOS.