Factors of risk of decline of parameters of quality of life of women of peri and postmenopausal periods

The objective: to estimate the factors of risk of decline of parameters of quality of life of women of peri- and postmenopausal periods. Materials and methods. By us 100 women of peri- and postmenopausal periods were inspected by clinical, laboratory and instrumental methods. For the estimation of quality of life of patients used a general questionnaire RAND SF-36 (36-Item of Shot-Form Health-Survey), which consists of 36 questions, incorporated in 8 scales: physical functioning, role physical functioning, pain, psychical (psychological) health, role emotional functioning, social functioning, viability, general health. The first three scales measure the physical component of health, followings three – psychical (psychological) component, and the last correlate with both components. Answers for a question are expressed in points from 0 to 100, where 0 – too bad state of health, and 100 – most good. The questionnaire WHQ (Women,s Health Questionnaire) is the special instrument for the study of quality of life of women in perimenopause, contains 37 questions, incorporated in 9 scales: depressed disorders, somatic symptoms, memory/attention, vasculomotor symptoms, anxiety/fear, sexual violations, problems with sleep, menstrual symptoms, attractiveness. Every scale has a dimension a from 0 to 1 points, than more near value to 0, so much the better quality of life of respondent. Results. The set influence of professional activity of women is on the physical functioning, pain, social functioning and psychical (psychological) health. The greatest indexes of the physical functioning were characteristic for the women of the mixed (combination of mental and physical types of activity) and mental labour 77,5±7,9 and 75,8±7,5 point respectively, more low at manual labour - pensionaries had 67,8±8,5 point and lowest values – 62,4±6,1 and house-owners – 62,5±5,6 point. Level of scale pain made for the women of the mixed labour – 65,3±6,1 point and mental work – 66,9±5,0 point, house-owners – 61,4±6,0 point had intermediate values, and the lowest are women of manual labour – 58,4±6,0 and pensionaries are 55,7±5,6 point.Conclusions. The basic factors of risk, which reduce quality of life of women in perimenopause, is low social employment, increase of calendar age values of the modified index of menopause, deficit of hormone of epiphysis of melatonin, gynaecological and somatic anamnesis is burdened. Considerable decline of quality of life as compared to the norm of population set for women in postmenopause with the mionectic mineral closeness of bone tissue, climacteric and by the genitourinary syndrome of menopause.Keywords:quality of life, risk factors, peri- and postmenopausal periods.