Armaghane Danesh
ارمغان دانش
armaghanj
Medical Sciences
http://armaghanj.yums.ac.ir
1
admin
1728-6506
1728-6514
10.61882/armaghanj
en
jalali
1403
7
1
gregorian
2024
10
1
29
5
online
1
fulltext
fa
بررسی فراوانی نسبی علایم اندومتریوز و عوامل مرتبط در زنان مراجعه کننده به مراکز بهداشتی و درمانی شهر یاسوج سال 1402
Investigation of the Relative Frequency of Endometriosis Symptoms and Related Factors in Women Referring to Yasuj Health and Treatment Centers in 2023
بالینی-زنان و زایمان
Gynaecology
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">زمینه و هدف : </span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">اندومتریوز تقریباً </span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">۱۰</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> درصد از زنان و دختران سنین باروری را</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">تحت تأثیر قرار میدهد. این مطالعه با هدف تعیین و بررسی فراوانی نسبی علایم اندومتریوز و عوامل مرتبط در زنان مراجعه کننده به مراکز بهداشتی و درمانی شهر یاسوج سال 1402 بود.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"></span></span></span></b></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">روش بررسی:</span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> این یک مطالعه توصیفی ـ تحلیلی میباشد که در سال 1402 انجام شد. جمعیت مورد مطالعه زنان سنین باروری 15 تا 50 سال غیر باردار مراجعه کننده به مراکز بهداشتی درمانی شهر یاسوج بودند که با روش نمونهگیری آسان 865 نفر از آنان انتخاب شدند. مخاطبان با </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">پرسشنامه خود ارزیابی مندرج در </span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">کتابچه آموزشی وزارت بهداشت، درمان و آموزش پزشکی شامل 12 مورد از علایم اندومتریوز جهت شناسایی موارد مشکوک به بیماری، در صورت داشتن پنج علامت یا بیشتر، مورد مصاحبه قرار گرفتند. دادههای جمعآوری شده با استفاده از آزمون مجذور کای مورد تجزیه و تحلیل قرار گرفت.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">یافتهها:</span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> نتایج نشان داد بیشترین فراوانی علایم اندومتریوز مربوط به دورههای قاعدگی نامنظم طی 6 ماه گذشته 413 نفر(7/47 درصد) و کمترین آن ناباروری 91 نفر(5/10 درصد) است. 209 نفر(2/24 درصد) شک ابتلا به بیماری مطرح و 94 نفر(9/10 درصد) سابقه ابتلا به اندومتریوز را بیان کردند. فراوانی نسبی علایم اندومتریوز در زنان گروه سنی 21 تا 30 سال، متأهل، خانه دار، دارای سابقه خانوادگی اندومتریوز، سابقه استفاده از دخانیات در 6 ماه گذشته و قرار گرفتن در معرض دود دخانیات و استفاده روزانه از مواد کافئین دار به صورت معنیداری بیشتر بود(001/0</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">p<</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">). </span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> <b>نتیجهگیری:</b> در این پژوهش حدود یک چهارم زنان سنین باروری از نظر احتمال ابتلا به این بیماری نیاز به ارجاع به پزشک متخصص و پیگیری داشتند که نشانگر اهمیت غربالگری زنان سنین باروری و تشخیص به موقع این بیماری جهت پیشگیری از عوارض و پیامدهای آن از جمله ناباروری است.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""> </span></span></span></span></span></span></span><br>
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<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"></span></span></span></span></span></span></span></span></span>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">Background & aim: </span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">Endometriosis affects approximately 10% of women and girls of reproductive age. The present study was designed and implemented with the aim of determining the relative frequency of endometriosis symptoms and related factors in women referring to health and treatment centers in Yasuj, Iran, in 2023.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:6.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">Methods:</span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"> In the present descriptive-analytical study conducted in 2023, the studied population were non-pregnant women of reproductive age of 15-50 years who were referred to health centers of Yasuj, Iran, and 865 of them were selected by </span></span></span><span style="font-size:10.0pt"><span style="background:white"><span style="font-family:"Arial","sans-serif""><span style="color:black">convenient sampling</span></span></span></span><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"> method. The participants were interviewed with the self-assessment questionnaire included in the educational booklet of the Ministry of Health, Treatment and Medical Education, including 12 symptoms of endometriosis, in order to identify suspected cases of the disease, if they have five or more symptoms. The data was analyzed with SPSS version 27 statistical software and using descriptive statistics indicators such as mean, standard deviation, frequency distribution tables and inferential statistics of Chi square test.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:6.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">Results: </span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">The findings indicated that the highest frequency of endometriosis symptoms related to irregular menstrual periods in the last 6 months was 413 (47.7%) and the lowest was infertility in 91 (10.5%). In 209 (24.2%) they were suspected to have the disease and 94 (10.9%) had a history of endometriosis. The frequency of endometriosis symptoms in women aged 21-30, married, housewives, with a family history of endometriosis, history of using tobacco in the last 6 months, exposure to tobacco smoke, daily use of caffeinated substances were significantly higher(p<0.001).</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:7.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">Conclusion:</span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"> In the present study, approximately a quarter of women of reproductive age needed to be referred to a specialist physician and follow-up due to the possibility of contracting this disease, which indicated the importance of screening women of reproductive age and timely diagnosis of this disease in order to prevent its complications and consequences, including infertility. </span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:6.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"></span></span></span></b></span></span></span><br>
اندومتریوز, علایم, عوامل مرتبط
Endometriosis, Symptom, Related factors
707
721
http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-2972-1&slc_lang=fa&sid=1
M
Safari
میترا
صفری
mitrasafari39@gmail.com
2294289781
100319475328460030817
No
Department of Midwifery, Yasuj University of Medical Sciences, Yasuj, Iran
گروه مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی یاسوج، یاسوج، ایران
N
Safaei
نرگس
صفائی
safaei.nrgs@gmail.com
2400264414
100319475328460030818
Yes
Student Research Committee, Yasuj University of Medical Sciences, Yasuj, Iran
کمیته تحقیقات دانشجویی ، دانشگاه علوم پزشکی یاسوج، یاسوج، ایران
A
Rastegar
عاطفه
رستگار
atfhrstgar44@gmail.com
2540137989
100319475328460030819
No
Student Research Committee, Yasuj University of Medical Sciences, Yasuj, Iran
کمیته تحقیقات دانشجویی ، دانشگاه علوم پزشکی یاسوج، یاسوج، ایران
P
Ghaffari
پروین
غفاری
pari.ghaffari@gmail.com
4230095414
100319475328460030820
No
Department of Obstetrics and Gynecology, Yasuj University of Medical Sciences, Yasuj, Iran
گروه زنان، دانشگاه علوم پزشکی یاسوج، یاسوج، ایران