Are there differences in symptoms experienced by midlife climacteric women with and without metabolic syndrome? A scoping review.
Are there differences in symptoms experienced by midlife climacteric women with and without metabolic syndrome? A scoping review.
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DOI：
10.1177/17455057221083817
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发表时间：
2022-01
期刊：
影响因子：
--
通讯作者：
Rushton S
中科院分区：
文献类型：
--
作者：
Min SH;Yang Q;Min SW;Ledbetter L;Docherty SL;Im EO;Rushton S
患有代谢综合征的中年更年期妇女有很高的风险经历一系列复杂的症状。本范围审查的目的是确定中年更年期妇女代谢综合征的患病率，类型和症状的聚类，并将其与中年更年期妇女无代谢综合征的症状进行比较。根据Joanna Briggs研究所的方法，使用了三步搜索方法。参与者的资格标准，概念，背景和证据类型的选择与审查问题一致。使用无语言或日期限制的检索词检索了7个数据库（PubMed、Embase、Web of Science、CINAHL、PsycINFO、ProQuest Dissertation & Theses、OpenGrey）。标题和摘要筛选、全文审查、数据制图和数据综合由两名独立研究人员根据合格标准进行。在删除重复文献后，检索得到3813项研究，其中48篇全文文献经合格性评估。共对8项研究进行了回顾和分析，这些研究报告了单独或基于每个身体系统分组的症状的患病率和类型。中年更年期代谢综合征妇女普遍存在泌尿生殖、血管、心理、睡眠和躯体症状。个体症状中以精神衰竭的患病率最高（84.4%），组症状中以泌尿生殖系统症状的患病率最高（81.3%）。有代谢综合征和无代谢综合征的中年更年期妇女之间的症状有混合的结果。没有研究关注症状群。我们的研究结果将作为了解中年更年期妇女代谢综合征的症状的知识基础。这些新知识可以帮助临床医生在临床环境中有效地评估和管理他们的症状，并为未来有针对性的症状管理干预措施的发展提供信息。
Midlife climacteric women with metabolic syndrome are at high risk for experiencing a complex array of symptoms. The aim of this scoping review was to identify the prevalence, types, and clustering of symptoms in midlife climacteric women with metabolic syndrome and to compare them to symptoms of midlife climacteric women without metabolic syndrome. A three-step search method was used according to Joanna Briggs Institute methodology. Eligibility criteria of participants, concept, context, and types of evidence were selected in alignment with the review questions. Seven databases (PubMed, Embase, Web of Science, CINAHL, PsycINFO, ProQuest Dissertation & Theses, OpenGrey) were searched using search terms with no language or date restrictions. Title and abstract screening, full-text review, data charting, and data synthesis were conducted by two independent researchers based on the eligibility criteria. The search yielded 3813 studies after removing duplicates with 48 full-text papers assessed for eligibility. A total of eight studies were reviewed and analyzed which reported the prevalence and types of symptoms individually or grouped based on each body system. Midlife climacteric women with metabolic syndrome experience a wide prevalence of individual and grouped urogenital, vasomotor, psychological, sleep, and somatic symptoms. Mental exhaustion had the highest prevalence (84.4%) among the individual symptoms, and urogenital symptoms had the highest prevalence (81.3%) among the grouped symptoms. There were mixed findings on symptoms between midlife climacteric women with metabolic syndrome and without metabolic syndrome. No studies focused on symptom clusters. Our findings will serve as a knowledge basis for understanding symptoms experienced by midlife climacteric women with metabolic syndrome. This new knowledge can assist clinicians in effectively assessing and managing their symptoms in clinical settings and inform future development of targeted symptom management interventions.
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作者：
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