Eunyoung Hong; Young Sil Kang

doi:10.4040/jkan.2015.45.1.64

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Original Article
Structural Equation Modeling on Healthy Menopausal Transition: Eunyoung Hong, Young Sil Kang; Journal of Korean Academy of Nursing 2015;45(1):64-75.
DOI: https://doi.org/10.4040/jkan.2015.45.1.64
Published online: February 27, 2015

¹Department of Nursing, Koje College, Geoje, Korea.

²College of Nursing·Institute of Health Science, Gyeongsang National University, Jinju, Korea.

Address reprint requests to: Kang, Young Sil. College of Nursing, Gyeongsang National University, 816-15 Beon-gil, Jinju-daero, Jinju 660-987, Korea. Tel: +82-55-772-8252, Fax: +82-55-772-8222, kangys@gnu.ac.kr

• Received: June 16, 2014 • Revised: June 18, 2014 • Accepted: December 15, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
This study was designed to construct and test structural equation modeling on healthy menopausal transition in middle-aged women in order to identify variables affecting healthy menopausal transition.
Methods
Participants, 276 women, 45 to 60 years of age, with menopausal symptom score higher than 5 on the Korean version of Menopause Rating Scale, were recruited in three cities and one county of Gyeongnam Province. Research data were collected via questionnaires and analysed using SPSS version 18.0 and AMOS version 20.0.
Results
After confirmatory factor analysis, one of the observed variables was excluded due to relatively low factor loading. The model fit indices for the hypothetical model were suitable for the recommended level: GFI=.93, CFI=.92, RMSEA=.05. Self-efficacy, self-differentiation, and menopausal symptoms explained 67.7% of variance in menopausal transition, and self-differentiation was the most influential factor for menopausal transition. Self efficacy and menopausal symptoms explained 9.6% of variance in menopausal management, although "menopausal symptoms" was not significant.
Conclusion
These results suggest that nursing interventions to improve self-differentiation, self efficacy, menopausal management and decrease menopausal symptoms are critical for healthy menopausal transition in middle-aged women. Continued development of a variety of community-based nursing interventions to facilitate healthy menopausal transition is suggested.
Keywords: Menopause; Quality of life; Self efficacy; Nursing care; Middle aged

This manuscript is a condensed form of the first author's doctoral dissertation from Gyeongsang National University.

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Figure 1

Conceptual framework of this study.

Figure 2

Hypothetical model.

Figure 3

Path diagram for the hypothetical model.

Table 1

General Characteristics of Subjects (N =276)

Table 2

Standardized Estimates, CR, SMC, Standardized Direct, Indirect, and Total Effects for the Hypothetical Model

SE=Standardized estimates; CR=Critical ratio; SMC=Squared multiple correlation.

Figure & Data

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