Qualidade de vida em mulheres climatéricas assistidas pela Estratégia Saúde da Família

Abstract

This study evaluated the quality of life of climacteric women and associated factors, through a quantitative, transversal and analytical approach by probabilistic sampling. Variables were investigated by structured / pre-tested questionnaire and MENQOL (Menopause-Specific Quality of Life Questionnaire) in 849 women. Descriptive statistics were used with absolute, relative, mean and standard deviation frequencies. Mean scores of the MENQOL(Vasomotor, Psychosocial, Physical and Sexual) domains were compared by the MannWhitney and Kruskal-Wallis tests, according to sociodemographic and clinical characteristics of the sample. Variables associated up to the level of 20% (p <0.20) in the bivariate analysis followed for multiple linear regression (p <0.05). Women with intense climacteric symptoms (p <0.001), high BMI (p = 0.006) sleep disturbances (p = 0.022) and in postmenopausal stage (p <0.001) were found to be predictors of severe intensities in the vasomotor domain. In the psychosocial domain, intense climacteric symptoms (p <0.001) and sleep disturbances (p <0.001). In the physical domain, intense climacteric symptoms (p <0.001), high BMI (p <0.001) and sleep disturbances (p <0.001). For the sexual subdomain, intense climacteric symptoms (p <0.001), sleep disturbances (p <0.001) and postmenopausal stage (p <0.001). Intense climacteric symptomatology, poor sleep quality, high BMI and postmenopause stage were the factors most associated with quality of life impairment. With the increase in life expectancy, a greater exposure of women to the consequences of the climacteric is expected. Informing and educating about this issue is essential for their health and for improving quality of life indicators.