T P CH Y D C TH I BÌNH, S hay t p th d c th ng xuy n H n n a s h (58,1%) ch n tr ch n lành m nh T I LI U THAM KH O - TH NG - 2022 th n t i Vi t Nam, Nh ng b t c c a h th ng, T p chí khoa h c i cao tu i, Trung t m ch m sóc qu c gia, 2012, Family caregiving Alliance, tài li u v Ng i ch m sóc b nh tr m c m, San Francisco, CA World Health Organi ation, (2021) Mental health of older adults Fact sheets Truy c p t i https://www.who.int/news-room/fact-sheets /detail / mental-health-of-older-adults Gallegos AM et al, (2013), Emotional Bene ts of Mindfulness-Based Stress Reduction in Older Adults: The Moderating Roles of Age and Depressive Symptom Severity, Aging Ment Health; 17(7): 823 829 Võ Phi Hi u (2015), Tr m c m T p chí Y h c C ng ng ng Tr ng Thành (2015), Ch m sóc s c kh e t m M TS PH N U T L ÊN QUAN N CH T LƯ NG CU C S NG M N K NH M T NGH ÊN C U D A ÀO C NG NG M T ÙNG NÔNG THÔN C A TH BÌNH T ng Th H o1 , T ng Th H i1 T MT T M c ti u: Trong tr nh chuy n i sang th i k m n kinh l ng hormone có nhi u bi n ng n ph n m n kinh d m c r i lo n v tinh th n th ch t, nh h ng n ch t l ng cu c s ng c a h Các nghi n c u v v n li n quan n m n kinh, c bi t ph n n ng th n, c ng thi u V i ngh a ó, nghi n c u c th c hi n nh m xác nh m t s y u t li n quan n ch t l ng cu c s ng c a ph n m n kinh Ph ng pháp: M t nghi n c u c t ngang c th c hi n tr n 296 ph n m n kinh tu i 4560 x T n Phong, T n Hòa, huy n V Th , t nh Thái B nh D li u c thu th p v i b c ng c nghi n c u: Thang o ánh giá m c tri u ch ng m n kinh (MRS) b ng c u h i ch t l ng cu c s ng c a t ch c y t th gi i (WHOQOL-BREF) Xác nh m t s y u t li n quan n CLCS g m: Nh n kh u h c, m c tri u ch ng m n kinh K t qu : Nhóm i t ng có tr nh h c v n d i ti u h c có ch t l ng cu c s ng th p h n 0,3 l n so v i nhóm có tr nh TH-C - H Nhóm ph n làm ru ng có ch t l ng cu c s ng th p h n 0,24 l n so v i nhóm cán b vi n ch c T l Tr ng h c D c há B nh * Ch u trách nhi m chính: T ng Th H o Email: tangthihao2012@gmail.com Ngày nh n bài: 14/01/2022 Ngày ph n bi n: 29/1/2022 Ngày t bài: 26/02/2022 ph n m n kinh cho r ng m c thu nh p kh ng có CLCS th p h n 23,2 l n so v i nhóm ph n m n kinh cho r ng m c thu nh p tr l n Ph n m n kinh kh ng tham gia th d c th thao, kh ng khám s c kh e nh k , kh ng tham gia ho t ng x h i kh ng n c s y t khám b nh có CLCS th p h n 3,2- 13,2 l n so v i nhóm có tham gia th d c th thao, có khám s c kh e nh k , có tham gia ho t ng x h i có n c s y t khám b nh.T l ph n m n kinh có tri u ch ng m n kinh t m c nh cho n v c ng nghi m tr ng có CLCS th p h n 0,2-0,5 l n so v i nhóm kh ng có tri u ch ng m n kinh K t lu n: Nghi n c u ch có m i li n quan gi a tr nh h c v n, ngh nghi p, m c thu nh p, thói quen sinh ho t, m c tri u ch ng m n kinh v i ch t l ng cu c s ng ph n m n kinh T khóa: ch t l ng cu c s ng, ph kinh, y u t li n quan n m n ABSTRACT SOME FACTORS ASSOCIATED WITH QUALITY OF LIFE IN POSTMENOPAUSAL WOMEN: A COMMUNITY-BASED STUDY IN A RURAL AREA OF THAI BINH Objectives: During the transition to menopause, hormone levels uctuate, making menopausal women more susceptible to mental and physical disorders, a ecting their quality of life Research on issues related to menopause, especially in rural women, is also lacking With that in mind, the study T P CH Y D C TH I BÌNH, S was conducted to identify a number of factors related to the quality of life of postmenopausal women Methods: A cross-sectional study was carried out on 296 postmenopausal women aged 45-60 in communes Tan Phong, Tan Hoa, Vu Thu district, Thai Binh province Data were collected with research tools: the Menopause Symptom Severity Scale (MRS) and the World Health Organi ation Quality of Life Questionnaire (WHOQOL-BREF) Identify factors related to quality of life including: Demographics, severity of menopausal symptoms Results: The group of subjects with education level below primary school has a quality of life 0.3 times lower than that of the group with high schoolcollege-university The group of women who work in the elds has a quality of life 0.24 times lower than that of the cadres and civil servants The proportion of postmenopausal women who think that income is not enough has a quality of life is 23.2 times lower than that of menopausal women who think that income is su cient or higher Menopausal women who not participate in sports, not have regular health checks, not participate in social activities and not go to medical facilities for medical examination and treatment have 3.213.2 times lower quality of life compared with the group that participated in physical training and sports, had periodic health checks, participated in social activities, and visited medical facilities for medical examination Proportion of menopausal women with menopausal symptoms from di erent degrees mild to extremely severe had a 0.2-0.5 times lower quality of life compared with the group without menopausal symptoms Conclusions: Research shows that there is a relationship between education level, occupation, income level, living habits, menopausal symptom level and quality of life in postmenopausal women Keywords: Quality of life, menopausal women, related factors I TV N M n kinh t nh tr ng kh ng hành kinh ng i ph n bu ng tr ng suy ki t, kh ng nh y c m tr c s kích thích c a hormon h ng sinh d c, n n kh ng ch ti t hormon sinh d c K t m n kinh, ng i ph n kh ng cịn kh n ng có thai n a M n kinh t nh tr ng th i hành kinh v nh vi n, m t v kinh th phát suy gi m t nhi n ho t ng c a bu ng tr ng - TH NG - 2022 kh ng h i ph c Tu i m n kinh trung b nh 45-50 tu i M n kinh m t hi n t ng t t y u c a tr nh l o hóa, có th x y m t cách m m hay g p nhi u r i lo n v i s thay i chu k kinh nguy t, tim m ch, t nh d c, d u hi u v ti t ni u, t m l , nh n th c, v l u dài ch ng lo ng x ng, b nh l tim m ch, b nh Al heimer làm gi m ch t l ng cu c s ng (CLCS), hi u qu lao ng c ng nh h nh phúc gia nh c a ph n m n kinh Ngày nay, i u ki n s ng vi c ch m sóc s c kh e c c i thi n n n tu i th trung b nh c a ng i d n t ng ánh giá ch t l ng cu c s ng th i k m n kinh c quan t m c bi t v tu i th ph n t ng l n, ph n s ng kho ng 1/3 cu c i v i t nh tr ng thi u hormone Do ó kh ng th tránh kh i nh ng r i lo n ti n m n kinh, m n kinh, nh h ng tr c ti p n CLCS kh n ng làm vi c c a h C ng v i ó, ng i ph n tham gia ho t ng x h i ngày nhi u gi v trí quan tr ng x h i hi n i, CLCS l i m t nh ng th c o k t qu c a vi c ch m sóc s c kh e Do v y, vi c kh o sát CLCS t m hi u y u t nh h ng n CLCS m t ph n quan tr ng ch m sóc s c kh e ph n giai o n V i ngh a ó, nghi n c u c th c hi n nh m m c ti u: Xác nh m t s y u t li n quan n ch t l ng cu c s ng ph n m n kinh II I T NGHIÊN C U 2.1 it NG V PH NG PH P ng nghi n c u Ph n m n kinh ang sinh s ng, làm vi c t i x T n Phong T n Hòa, huy n V Th , t nh Thái B nh 2.2 a i m th i gian nghi n c u a i m nghi n c u: 02 x T n Phong T n Hòa, huy n V Th , t nh Thái B nh Nghi n c u 02/2021 c ti n hành t tháng 8/2020 n 2.3 Thi t k nghi n c u Nghi n c u m t c t ngang 2.4 C m u: 296 ph n m n kinh tu i 4560 x T n Phong T n Hòa, huy n V Th , t nh Thái B nh 2.5 Ph ng pháp o l ng, ánh giá S d ng b c u h i ph ng v n, c u trúc g m ph n: T P CH Y D + Ph n 1: Th ng tin chung v it C TH I BÌNH, S tr ng M i y u t nh h ng t i CLCS s nh n c m t c u tr l i có m c l a ch n c tính i m t r t t (= 1) n r t t t (= 5) ng nghi n c u + Ph n 2: M c tri u ch ng m n kinh c ánh giá b ng thang o m c tri u ch ng m n kinh (MRS) g m 11 c u h i chia làm l nh v c: Tri u ch ng v th ch t (4 c u); Tri u ch ng v t m th n (4 c u); Tri u ch ng ti t ni u- sinh d c (3 c u) Các y u t li n quan n CLCS: Nh n kh u h c, m c tri u ch ng m n kinh 2.6 X NGHIÊN C U B ng 3.1 L n quan g Tr nh l s li u S li u sau ki m tra c nh p x l b ng ph n m m SPSS 20.0 S d ng test Chi-square ho c test Fisher’s Exact, tính t su t ch nh OR, 95% CI xác nh m i li n quan + Ph n 3: B thang o CLCS c a TCYTTG (WHOQOL-BREF) g m 26 c u h i chia làm l nh v c: th ch t, t m th n, m i quan h x h i m i III K T QU - TH NG - 2022 h cv n a tr nh h c v n CLCS (n 296 Ch t l ng cu c s ng Ch a t t T t S l ng (%) S l OR (95 ng (%) CI) p Ti u h c 46(75,4) 15(24,6) 0,3 (0,1-0,8) 0,05 THPT 14(40,0) 21(60,0) 1,2 (0,4-3,8) >0,05 Trung c p/C / H 8(44,4) 10(55,6) 1,0 1,0 Nhóm i t ng có tr nh h c v n d i ti u h c có ch t l ng cu c s ng th p h n 0,3 l n so v i nhóm có tr nh TH-C - H ( OR= 0,3; kho ng tin c y 0,1- 0,8; p < 0,05) B ng 3.2 L n quan g a ngh ngh p CLCS (n 296 Ngh nghi p Ch t l ng cu c s ng Ch a t t T t S l ng (%) S l OR ng (%) 95%CI p Cán b vi n ch c 5(26,3) 14(73,7) 1,0 1,0 C ng nh n 7(38,9) 11(61,1) 0,56 (0,14-2,36) >0,05 Làm ru ng 112(59,9) 75(40,1) 0,24 (0,10-0,69)