폐경전후 여성의 삶의 질에 미치는 영향요인

Influencing Factors on Quality of Life in Pre- and Postmenopausal Women

  • 여정희 (제주대학교 의과대학 간호학과)
  • Yeo Jung-Hee (Department of Nursing, College of Medicine, Cheju National University)
  • 발행 : 2004.12.01

초록

Purpose: 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. Method: 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). Result: 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. Conclusion: 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.

키워드

참고문헌

  1. Avis, N. E., & McKinlay, S. M. (1991). A longitudinal analysis of women's attitudes toward the menopause : Results from the Massachusetts Women's Health Study. Maturitas, 13. 65-79
  2. Avis, N. E., Assmann, S. F., Kravitz, H. M., Ganz, P. A., & Ory, M. (2004). Quality of life in diverse groups of midlife women: Assessing the influence of menopause, health status and psychosocial and demographic factors. Quality of Life Research, 13, 933-946 https://doi.org/10.1023/B:QURE.0000025582.91310.9f
  3. Choi, K. R.(1993). A study on marital satisfaction and depression of dual-earner couples. J of Kor Home Eco Acad Society, 31(1), 61-84
  4. Deeks, A. A., & McCabe, M. P. (2004). Well-being and menopause An investigation of purpose in life, self-acceptance and social role In premenopausal, perimenopausal and postmenopausal women. Quality ofLife Research. 13. 389-398
  5. Dennerstein, L. (1988). The menopause. New York: Blackwell Scientific Publications Oxford
  6. Fuh, J. L., Wang, S. J., Lee, S. J., Lu, S. R., & Juang, K. D. (2003). Quality of life and menopausal transition for middle-aged women on Kinmen island. Quality of Life Research, 12, 53-61 https://doi.org/10.1023/A:1022074602928
  7. Goh, J. J.(1998). The influence of dual-earner couples's job related variables on marital satisfaction and quality of life. J of Kor Home Eco Acad Society, 36(4), 163-178
  8. Han, K. S. (2000). A study of stress reaction, symptoms of stress, health promoting behavior, and quality of life in Korean immigrant middle aged women. J Korean Acad Nurs, 30(3), 606-618
  9. Jokinen, K., Rautava, P., Makinen, J., Objanlatva, A., Sundell, J., & Helenius, H. (2003). Experience of climacteric symptoms among 42-46 and 52-56-year-old women. Maturitas, 46, 199-205
  10. Jun, C. A. (1994). The effect of couple's differentiation self and family-of-origin emotional health on marital stability. Master's thesis, Ewha Women's University, Seoul, Korea
  11. Kim, Y. H., Ha, E. H., & Shin, S. J. (2003). A study on the menopausal symptoms and quality of life in middle aged women. J Korean Acad Nurs, 33(5), 601-608
  12. Ledesert, B., Ringa, V., & Breast, G. (1994). Menopause and perceived health status among the women of French GAZEL cohort. Maturitas, 20, 113-120 https://doi.org/10.1016/0378-5122(94)90006-X
  13. Lee, K. H., & Chang, C. J. (1992). Korea urban women's experience of menopause: Newlife. Korean Parent-Child Health J, 2(1), 70-86
  14. Lee, S. S. (1998). A study on sex-role attitude and marital adjustment among elderly women. J of Kor Home Eco Acad Society, 1(2), 48-60
  15. Lee, S. S., & Lee, K. J.(1999). A study of marital satisfaction according to sex-role attitude for the elderly man. J of Korean Gerontological Society, 19(2), 1-13
  16. Mansfield, P. K., & Voda, A. M.(1993). From Edith Bunker to the 6:00 News : How and what midlife women learn about menopause. Women Ther, 14(1-2), 89-104
  17. McDowell, I., & Newell, C. (l996). Measuring health. A guide to rating scales and questionnaire. New York : Oxford University Press
  18. McMaster, J., Pitts, M., & Poyah, G. (1997). The menopausal experiences of women in a developing country : 'There is a time for everything : To be a teenager, a mother and a granny'. Women Health, 26(4), 1-13
  19. Moon, Y. P. (1989). A study of sex-role attitude, role-expectations and role-performance among urban married couples. Master's thesis, Ewha Women's University, Seoul, Korea
  20. Noh, Y. J. (1988). An analytical study on middle-aged adults' quality of lift in seoul areas. Unpublished Doctoral Dissertation, Yonsei University, Seoul, Korea
  21. Oldenhave, A., Jaszmann, L., Haspels, A., & Everaerd, W. (1993). Impact of climacteric on well-being. Am J obstet Gynecol, 168, 772-780
  22. Osmond, M. W., & Martin, P. Y. (1975). Sex and sexism: A comparison of male and female sex-role attitude. J of Marrige and the Family, 37, 744-758 https://doi.org/10.2307/350825
  23. Sea, I. S., & Oh, H. E. (2000). The relationship between couple's sex-role attitudes and depression of post hysterectomy patients. J Kor Society of Maternal and Child Health, 4(1), 103-115
  24. Shin, H. Y., & Cho, B. E. (1999). The conjugal characteristics and their effects on marital satisfaction among the couples with retired husbands, J. Kor Gerontological Society, 19(1), 31-44
  25. Song, A. R. (2000). A study of relationship with quality of life and health promotion behavior in the climacteric women. J Kor Acad Society of Nursing Education, 6(2), 262-274
  26. Song, A. R. (2001). An analysis of the relationship between climacteric symptoms and management of menopause in middle-aged women. J Kor Acad Society of Nursing Education, 7(2), 308-322
  27. Song, A. R., & Chung, E. S. (1998). A study on the development of a menopause symptom scale. Kor Society of Menopause, 4(1), 72-85
  28. Wilbur, J., Miller, A., & Montgomery, A. (1998). The influence of demographic characteristics, menopausal status, and symptoms on women's attitudes toward menopause. Women and Health, 23, 19
  29. Woods, N. F., & Mitchel, E. S. (1997). Pathways to depressed mood for midlife women: observations from the Seattle Midlife Women's Health Study. Research in Nursing and Health, 20(2), 119-129
  30. Yun, K. J. (1997). The impact of gender role attitudes on marital satisfaction of husbands and wives. J of Home Management, 15(4), 221-235