广州医药2025，Vol.56Issue(4)：486-493,8.DOI:10.20223/j.cnki.1000-8535.2025.04.007
女性医务人员月经改变的影响因素及与心理状态的相关性研究
Study on the influencing factors of menstrual changes of female medical staff and the correlation with psychological status
摘要
Abstract
Objective To analyze the influencing factors of menstruation changes of female medical staff and the correlation with their psychological status.Methods The female medical staff in three hospitals of Shenzhen were randomly sampled to get 869 questionnaires,with informed and willing to participate in this research.The rate of female menstruation changes and the basic characteristics of menstruation changes in female medical staff were calculated,and the influencing factors of menstruation changes were analyzed by single factor and multi factor analysis.And the psychological status of female medical staff was using the Depression Screening Scale(PHQ-9),and the correlation between menstrual changes and psychological status scores of female medical staff were analyzed.Results Among 869 female medical staff,293 had hemorrhagic menstrual disease,with a change rate of 33.72%.Among them,94 had changes in menstrual cycle,86 had changes in menstrual period days,68 had changes in menstrual volume,and 45 had changes in dysmenorrhea.These 869 female medical staff were divided into normal menstruation group and menstrual change group.Through single factor analysis,there was no statistical difference between the two groups in terms of age,careers,night shift frequency,previous medical history,COVID-19 infection(P＞0.05).The percentage of nurses in the menstrual change group was 58.36%,higher than that of 24.48%in the normal menstruation group.The percentage of frontline medical staff combating COVID-19 in the menstrual change group was 64.51%,higher than that of 27.08%in the normal menstruation group.And the percentage of menstrual change group with a history of combined gynecological diseases was 20.82%(61 cases),higher than that of the normal menstruation group was 11.98%(69 cases).And the difference was statistically significant when comparing the ratio of nurses,the frontline medical staff combating COVID-19,the history of gynecological diseases,and COVID-19 infection in the menstrual change group(P＜0.05).Multivariate analysis showed that the occupation of nurses,frontline medical staffs combating COVID-19,and history of gynecological diseases were the risk factors for menstrual changes.The PHQ-9 score of the menstrual change group was higher than that of the normal menstrual group,and the difference was statistically significant.Conclusions The main risk factors for menstrual changes are nurses,frontline anti-epidemic staff,and women with gynecological disease history.Menstrual changes are closely related to mental status,attention from healthcare organizations.关键词
女性医务人员/月经改变/影响因素/新冠感染/心理状态/相关性研究Key words
female medical staff/menstrual changes/influencing factors/COVID-19 infection/psychological state/correlation research引用本文复制引用
李红,王耀楷,刘燕香,刘丽洲,杨元娟,陈凤..女性医务人员月经改变的影响因素及与心理状态的相关性研究[J].广州医药,2025,56(4):486-493,8.基金项目
广东省医学科研基金项目(B2020100) （B2020100）
深圳市科技计划(JCYJ20210324114600002) （JCYJ20210324114600002）
香港大学深圳医院科研培育计划(HKUSZH201902031) （HKUSZH201902031）
