PURPOSE: To extend the understanding on climacteric symptoms, and to improve
women's health and the quality of life by providing the basic data relating to the
climacteric symptoms of natural menopausal women and artificial menopausal women.
METHOD
The subjects of this study were 149 women selected conviniently (89 natural
menopausal women and 60 total hystrectomy women) who have visited the climacteric
clinic of G. hospital in Inchon, the MENSI questionnaire which was developed by Sarrel
(1995)was modified considering Korean culture for the measuring tool of this study
with 20 items of question(Cronbach'salpa =.76), duration of data collection with the
questionnaire was 5 months from Sept. 1, 2000 to Jan. 30, 2001.
Result
Artificial meanopausal women showed statistically significant higher menopausal
symptoms than the natural menopausal women in the most of the items, and psychiatric
and urogenital symtoms of artificial menopausal women were significantly higher than
those of the natural menopausal women.
CONCLUSION
Nursing intervention for psychological support upon artificial menopausal
women and their spouses is recommended more than natural menpause women.
Citations
To determine whether personal history of lactation in premenopausal women influence bone mineral density, a cross-sectional study was conducted. One hundred eighty-four premenopausal women were selected from women who had been checked for bone mineral density by dual energy x-ray absortiometry in lumbar spine, femoral neck, Ward's triangle, and trochanteric site at general hospitals in Seoul and Pusan. They completed a questionnaire including life style factors and reproductive history. In the data analysis, Pearson correlation coefficients were used to test any association between individual variables and bone mineral density and a statistical comparisons between long term lactation(>24 months) and short term lactation(<24 months) were made by one way analysis of covariance. The results were summarized as follows: 1) There was no significant difference in the bone mineral density of the lumbar vertebrae in premenopausal women between the long term lactation group(>24months) and the short term lactation group(<24months). 2) There was no significant difference in the bone mineral density of the femur neck, Ward's triangle, and trochanteric site in premenopausal women between the long term lactation group (>24months) and the short term lactation group (<24months). Considering these results, we suggest prospective studies that measure bone mineral density before and after, in addition to those during lactation. We also suggest the further study with premenopausal women less than 35 who have achieved peak adult bone mass.
Citations
This study was to investigate the factors influencing quality of life and difference of quality of life in a postmenopausal group compared to premenopausal women.
The subjects consisted of 213 women from 40 to 64 years old. The data were collected from June 1, 2003 to June 31, 2004 using structured questionnaires which included questions relating to demographic and obstetric background and 4 scales(climacteric symptoms scale, marital satisfaction scale, sex-role attitude scale, quality of life scale).
Comparing pre- and postmenopausal women, significant statistical differences were demonstrated in climacteric symptoms and sex-role attitude. However, quality of life was not different between pre- and postmenopausal women. In premenopausal women, marital satisfaction(32.7%) and educational level(8.0%) were significant predictors to explain quality of life. Marital satisfaction(12.9%) was significant predictor to explain quality of life in postmenopausal women.
No difference of quality in life between pre- and postmenopausal women provides information for changing traditional approaches of menopause according to physiological changes as illness. In addition the study showed that it is necessary to use marital satisfaction information when developing nursing interventions to promote the quality of life.
Citations
This cross-sectional survey research was undertaken to examine the degree of depression in postmenopausal women and to analyze the factors affecting that depression.
325 people from public health center in Inchon were surveyed as the subject of this study. Data collection was conducted through the use of questionnaires.
The above half of these sampled people were in depressed state (64.0%) and the mean score of depression was 12.71. There were significant differences in the depression state according to presence of spouse, economic level, exercise, and smoking. A positive correlation was found between depression and climacteric symptoms. Stepwise multiple regression analysis revealed that the most powerful predictor was climacteric symptom. Climacteric symptom, presence of spouse, smoking, and exercise accounted for 45% of the variance in postmenopausal women's depression.
Nurses are able to use these results to plan and implement nursing interventions for decreasing depression and consequent the improved quality of life in Korean postmenopausal women. Also, the nurses have to be more aware of the following groups; solitary women, low-income group and smokers, that they have higher mean score of depression.
Citations