睡眠质量对围绝经期生活质量的影响：幸福感的中介作用
The Impact of Sleep Quality on Health-Related Quality of Life in Perimenopausal Women: The Mediating Role of Well-Being
DOI: 10.12677/acm.2026.1651936, PDF,   
作者: 姜沈佳, 罗芙瑶：重庆医科大学公共卫生学院，重庆；徐晓阳：重庆医科大学附属第二医院体检中心，重庆；范 尧*：重庆医科大学公共卫生学院，重庆；重庆医科大学附属第三医院妇产中心，重庆
关键词: 睡眠质量；幸福感；健康相关生活质量；围绝经期女性；中介分析；Sleep Quality； Well-Being； Health-Related Quality of Life； Perimenopausal Women； Mediation Analysis
摘要: 目的：探讨幸福感在围绝经期女性睡眠质量与健康相关生活质量(HRQoL)之间的中介作用，为制定围绝经期女性生活质量管理策略提供参考依据。方法：采用便利抽样法，选取2024年10月至2025年5月重庆市某三甲医院体检中心468名45~55岁围绝经期女性为研究对象。使用匹兹堡睡眠质量指数(PSQI)、PERMA幸福感量表及SF-12生活质量量表进行调查。通过Spearman相关分析及结构方程模型分析变量间关系，并采用Bootstrap法检验中介效应。结果：围绝经期女性整体睡眠质量处于中等偏差水平。相关分析显示，睡眠质量与健康相关生活质量(r = −0.518)及幸福感(r = −0.537)均呈显著负相关，幸福感与健康相关生活质量呈显著正相关(r = 0.665, P < 0.05)。结构方程模型结果表明，睡眠质量不仅直接影响健康相关生活质量(效应值为−0.158)，还可通过幸福感产生显著间接影响(效应值为−0.362)，中介效应占总效应的69.62%。结论：围绝经期女性普遍存在睡眠问题，睡眠质量、幸福感与健康相关生活质量密切相关。幸福感在睡眠质量与健康相关生活质量之间发挥重要中介作用。改善睡眠质量并提升幸福感，有助于综合提高围绝经期女性的生活质量。
Abstract: Objective: This paper aims to explore the mediating role of well-being in the relationship between sleep quality and health-related quality of life (HRQoL) among perimenopausal women, and to provide a reference for developing management strategies to improve their quality of life. Methods: A convenience sampling method was used to recruit 468 perimenopausal women aged 45~55 years who attended a health examination center of a tertiary hospital in Chongqing from October 2024 to May 2025. Data were collected using the Pittsburgh Sleep Quality Index (PSQI), the PERMA-Profiler Scale, and the 12-Item Short Form Health Survey (SF-12). Spearman correlation analysis and structural equation modeling were conducted to examine the relationships among variables, and the Bootstrap method was applied to test the mediating effect. Results: The overall sleep quality of perimenopausal women was at a moderate-to-poor level. Correlation analysis showed that sleep quality was significantly negatively correlated with HRQoL (r = −0.518) and well-being (r = −0.537), while well-being was significantly positively correlated with HRQoL (r = 0.665, P < 0.05). Structural equation modeling indicated that sleep quality not only had a direct effect on HRQoL (−0.158), but also exerted a significant indirect effect through well-being (−0.362), with the mediating effect accounting for 69.62% of the total effect. Conclusion: Sleep problems are common among perimenopausal women, and sleep quality, well-being, and HRQoL are closely related. Well-being plays a significant mediating role between sleep quality and HRQoL. Improving sleep quality and enhancing well-being may help to comprehensively improve the quality of life of perimenopausal women.
文章引用：姜沈佳, 罗芙瑶, 徐晓阳, 范尧. 睡眠质量对围绝经期生活质量的影响：幸福感的中介作用[J]. 临床医学进展, 2026, 16(5): 1348-1358. https://doi.org/10.12677/acm.2026.1651936

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