DOI QR코드

DOI QR Code

갱년기 여성 안면홍조의 주관적 측정과 객관적 측정의 상관성

Correlation between Subjective and Objective Measurement of Climacteric Women's Hot Flashes

  • 투고 : 2010.07.22
  • 심사 : 2010.12.28
  • 발행 : 2010.12.31

초록

Purpose: The purposes of this study were to explain the phenomena of hot flashes in climacteric women by using Mexameter, Skin Thermometer, Corneometer, and Laser Doppler Perfusion Imager (LDPI) objectively and to identify the interrelation between the subjective and objective measurements of hot flashes by comparing the two as reported in retrospective questionnaires. Methods: The participants were one hundred women (45-60 yr) who were not currently on hormone therapy, and had reached hot flash scores of 10 or higher. Hot flashes were measured in a temperature and humidity controlled room for 7 hr from 10 am to 5 pm. Hot flashes were measured subjectively and recorded via the Hot Flash Diary Report. When participants felt the hot flashes, they were measured objectively by Mexameter, Skin Thermometer, Corneometer, and LDPI. Results: The frequency of hot flashes in participants ranged from 1 to 7 times. When hot flashes occurred in participants, the erythema, skin temperature, skin hydration, and blood perfusion showed statistically significant changes in all measurements. But, the subjective and objective measurements of hot flashes showed only weak correlations. Conclusion: Results indicate a need for future research with subjective and objective measuring instruments chosen depending variations identified for the study.

키워드

참고문헌

  1. Carpenter, J. S., Azzouz, F., Monahan, P. O., Storniolo, A. M., & Ridner, S. H. (2005). Is sternal skin conductance monitoring a valid measure of hot flash intensity or distress? Menopause, 12, 512-519. https://doi.org/10.1097/01.gme.0000170957.31542.1c
  2. Carpenter, J. S., Monahan, P. O., & Azzouz, F. (2004). Accuracy of subjective hot flush reports compared with continuous sternal skin conductance monitoring. Obstetrics and Gynecology, 104, 1322-1326. https://doi.org/10.1097/01.AOG.0000143891.79482.ee
  3. Dormire, S. L. (2003). What we know about managing menopausal hot flashes: Navigating without a compass. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 32, 455-464. https://doi.org/10.1177/0884217503255069
  4. Faure, E. D., Chantre, P., & Mares, P. (2002). Effects of a standardized soy extract on hot flushes: A multicenter, double-blind, randomized, placebo-controlled study. Menopause, 9, 329-334. https://doi.org/10.1097/00042192-200209000-00005
  5. Guthrie, J. R., Dennerstein, L., Taffe, J. R., & Donnelly, V. (2003). Health care-seeking for menopausal problems. Climacteric, 6, 112-117.
  6. Han, K. K., Soares, J. M. Jr., Haidar, M. A., de Lima, G. R., & Baracat, E. C. (2002). Benefits of soy isoflavone therapeutic regimen on menopausal symptoms. Obstetrics and Gynecology, 99, 389-394. https://doi.org/10.1016/S0029-7844(01)01744-6
  7. Kim, K. H., Kang, K. W., Kim, D. I., Kim, H. J., Yoon, H. M., Lee, J. M., et al. (2009). Effects of acupuncture on hot flashes in perimenopausal and postmenopausal women: A multicenter randomized clinical trial. Menopause, 17, 269-280.
  8. Kim, M. J., & Kim, J. H. (2009). How long do menopausal hot flushes really last? The Journal of the Korean Society of Menopause, 15, 73-78.
  9. Lee, J. Y. (2004). Hot flashes. The Journal of the Korean Society of Menopause, 10, 3-9. https://doi.org/10.1258/1362180042721328
  10. Manson, J. E., Hsia, J., Johnson, K. C., Rossouw, J. E., Assaf, A. R., Lasser, N. L., et al. (2003). Estrogen plus progestin and the risk of coronary heart disease. The New England Journal of Medicine, 349, 523-534. https://doi.org/10.1056/NEJMoa030808
  11. Miller, H. G., & Li, R. M. (2004). Measuring hot flashes: Summary of a National Institutes of Health workshop. Mayo Clinic Proceedings, 79, 777-781.
  12. Nachtigall, L. E., Baber, R. J., Barentsen, R., Durand, N., Panay, N., Pitkin, J., et al. (2006). Complementary and hormonal therapy for vasomotor symptom relief: A conservative clinical approach. Journal of Obstetrics and Gynaecology Canada, 28, 279-289.
  13. North American Menopause Society. (2004). Treatment of menopause-associated vasomotor symptoms: Position statement of the North American Menopause Society. Menopause, 11, 11-33. https://doi.org/10.1097/01.GME.0000108177.85442.71
  14. Obermeyer, C. M. (2000). Menopause across cultures: A review of the evidence. Menopause, 7, 184-192. https://doi.org/10.1097/00042192-200007030-00009
  15. Otte, J. L., Flockhart, D., Hayes, D., Storniolo, A. M., Stearns, V., Schneider, B., et al. (2009). Comparison of subjective and objective hot flash measures over time among breast cancer survivors initiating aromatase inhibitor therapy. Menopause, 16, 653-659. https://doi.org/10.1097/gme.0b013e3181a5d0d6
  16. Sievert, L. L., Begum, K., Sharmeen, T., Chowdhury, O., Muttukrishna, S., & Bentley, G. (2008). Patterns of occurrence and concordance between subjective and objective hot flashes among muslim and hindu women in sylhet, bangladesh. American Journal of Human Biology, 20, 598-604. https://doi.org/10.1002/ajhb.20785
  17. Sloan, J. A., Loprinzi, C. L., Novotny, P. J., Barton, D. L., Lavasseur, B. I., & Windschitl, H. (2001). Methodologic lessons learned from hot flash studies. Journal of Clinical Oncology, 19, 4280-4290.
  18. Stearns, V., & Hayes, D. F. (2002). Approach to menopausal symptoms in women with breast cancer. Current Treatment Options in Oncology, 3, 179-190.
  19. Thurston, R. C., Blumenthal, J. A., Babyak, M. A. & Sherwood, A. (2005). Emotional antecedents of hot flashes during daily life. Psychosomatic Medicine, 67, 137-146. https://doi.org/10.1097/01.psy.0000149255.04806.07
  20. Thurston, R. C., Blumenthal, J. A., Babyak, M. A., & Sherwood, A. (2006). Association between hot flashes, sleep complaints, and psychological functioning among healthy menopausal women. International Journal of Behavioral Medicine, 13, 163-172. https://doi.org/10.1207/s15327558ijbm1302_8
  21. Tice, J. A., Ettinger, B., Ensrud, K., Wallace, R., Blackwell, T., & Cummings, S. R. (2003). Phytoestrogen supplements for the treatment of hot flashes: The isoflavone clover extract (ICE) study: A randomized controlled trial. JAMA: Journal of the American Medical Association, 290, 207-214. https://doi.org/10.1001/jama.290.2.207
  22. Utian, W. H. (2005). Psychosocial and socioeconomic burden of vasomotor symptoms in menopause: A comprehensive review. Health and Quality of Life outcomes, 3, 47-57. https://doi.org/10.1186/1477-7525-3-47
  23. Yu, H. K. (1996). Hot flashes and sweating: Pathology, diagnosis, and treatment. Journal of Korean Society of Menopause, 2, 132-146.

피인용 문헌

  1. 마조람 에센셜 향기요법이 수면장애 성인 여자의 뇌파에 미치는 영향 vol.22, pp.8, 2010, https://doi.org/10.5352/jls.2012.22.8.1077
  2. Acupuncture for the Treatment of Hot Flashes in Patients with Breast Cancer Receiving Antiestrogen Therapy: A Pilot Study in Korean Women vol.19, pp.8, 2010, https://doi.org/10.1089/acm.2012.0347
  3. 승마황련탕가미방과 안면자락술로 호전된 안면홍조 환자 3례에 관한 증례보고 vol.29, pp.6, 2010, https://doi.org/10.15188/kjopp.2015.12.29.6.523
  4. 사상방을 이용한 20대 여성 안면홍조 환자 치험 2례 vol.30, pp.2, 2010, https://doi.org/10.15204/jkobgy.2017.30.2.153