• Journal of Korean Academy of Nursing
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• v.28 no.2
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• pp.414-430
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• 1998

The main purpose of this study was to provide understanding of the meaning of post menopausal womens' lived body changing experience. The methodological approach was guided by Van Manen's hermeneutic phenomenological methodology : inquiring and investigating experience as it was lived rather than as conceptualized : reflecting and analyzing the essential themes which characterize the phenomenon : and describing the phenomenon through the art of writing and rewriting. Multiple strategies for data collecting were used ; in depth face-to-face interview ; analysis of womens' writings : artistic work : and analysis of examples of phenomenon in art, literature, and drama. Although the experience was different for all of the women interviewed, essential themes of experience emerged ; Drifting through the years (solitude, in the twilight of life, loneliness, change of taste, forgetfulness, the sense of missing something), A walking weather forecast, Standing on the threshold of losing ki energy, Lately taking care of my body, Seized with fear all of a sudden, Keenly feeling the preciousness of life, Preferring comfortableness to prettiness, Wanting to recall my past years, A strong impulse to rechallenge life, Becoming more fond of friends. Findings from the artistic and creative inquiry further validated the interview findings and the meaning discovered. The study illuminated meaning and simultaneously validated the phenomenological research process. Essential themes for understanding women's experience, implications for education, research, and practice, direction and need for continuing inquiry were identified.

• Journal of Korean Academy of Nursing
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• v.33 no.5
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• pp.601-608
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• 2003

Purpose: The purpose of this study is to investigate the differences Quality of Life(QOL) according to menopausal symptoms in middle aged women. Method: The subjects consisted of 578 women( 45-60 years old) residing in urban area by convenience sampling from March 15 to May 30, 2002. The data were collected by structured questionnaire that included general characteristics, menopausal symptoms and QOL scale. the collected data were analyzed by the SPSS 11.0 program that included descriptive statistics, t-test and ANOV A. Result: The averaged age of menopause of subjects was 48.29:1:4.66 years and 74.8% in the subjects complained menopausal symptoms. As for the orders of complained menopausal symptom, it was fatigue, hot flashes, benumbed hands and feet, and irritability. The mean score of the QOL scale was showing above average level of quality of life. Religion was significantly different to the score for activity of QOL, monthly income was different to the score for activity and physical well-being of QOL. Menopausal status was significantly different to the QOL. Conclusion: This study suggests that a replicate study is needed. The results are also useful in developing various programs for health promotion of middle aged women.

• Korean Journal of Adult Nursing
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• v.19 no.3
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• pp.353-364
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• 2007

Purpose: The purpose of this study was to investigate the effects of health promotion program on physiological stress, perceived stress and menopausal symptoms in menopausal women. Methods: This study followed a nonequivalent control group pretest-post test design. The subjects consisted of 57 middle-aged women(30 in the experimental group and 27 in the control group) who were recruited from the community health center in J city. The subjects in the experimental group participated in a health promotion program for 8 weeks, which was composed of yoga and teaching for 1 session per week. Results: The health promotion program showed a statistical difference in blood pressure, pulse rate and perceived stress. However, there was not a statistical difference in serum cortisol, or menopausal symptoms. Conclusion: This health promotion program was partially effective for reducing stress and it was not effective for reducing menopausal symptoms in menopausal women. It is necessary to conduct a future study using a different time period, measurement time, and target population.

• Journal of Korean Academy of Nursing
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• v.45 no.1
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• pp.64-75
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• 2015

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.

• Journal of Korean Biological Nursing Science
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• v.12 no.1
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• pp.58-62
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• 2010

Purpose: The purpose of this study was to assess the difference of metabolic syndrome (MS) risk factors according to the MS diagnosis in the age of fifties women. Methods: Forty-two subjects (non metabolic syndrome 30, metabolic syndrome 12) were recruited from the health promotion center of a tertiary care hospital in an urban city. MS was defined by third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) (ATP III), and abdominal obesity was determined by Asia-Pacific criteria in waist circumference. Results: The prevalence of MS by definition of NCEP-ATP III and Asia-Pacific criteria in waist circumference was 28.6% in the age of fifties women. The educational level and the median HDL-cholesterol were significantly lower in the MS patient group than in the Non-MS group. The median of weight, triglyceride, and fasting glucose were significantly higher in the MS patient group than in the Non-MS group. Conclusion: These results indicate that the nursing care should be focused on weight, triglyceride, HDL-cholesterol, and fasting glucose of the MS patients in the fifties women.

• Research in Community and Public Health Nursing
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• v.21 no.4
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• pp.429-438
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• 2010

Purpose: This study was descriptive survey research to examine the factors affecting menopause, depression and menopausal symptoms, and the relations among these factors in South Korean midlife women. Methods: The subjects were 319 midlife women in Daegu City. Measures were Zung's Self-Report Depression Scale (1979) to check depression, and the Midlife Women's Symptom Index developed by Im (2006) to check menopausal symptoms. Data were collected from June 1 to July 31, 2010. Collected data were analyzed by mean, standard deviation, and Pearson's correlation coefficient through SPSS/WIN 18.0. Results: There was a statistically significant correlation between depression and menopausal symptoms (r=.692, p<.001). The factors affecting depression were age (r=.194, p<.001), income (r=-.307, p<.001), exercise (r=-.602, p<.001), and menopausal status (r=.224, p<.001). The factors affecting menopausal symptoms were exercise (r=-.158, p<.037), menstrual pain (r=-.171, p = .004) and menopausal status (r=.222, p<.001). Conclusion: Intervention programs for decreasing menopausal symptoms in midlife women should be focused on relieving menopausal pain and encouraging excise from youth. Further studies will be needed to examine the relations among other factors including living style, area and menopausal symptoms.

• KDI Journal of Economic Policy
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• v.11 no.1
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• pp.31-49
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• 1989

본고(本稿)에서는, 최근 금융자율화(金融自律化) 금융혁신(金融革新)의 진전과 때를 같이하여, 불환지폐제도(不換紙幣制度)의 만성적 인플레문제(問題)를 해결하기 위한 방안으로 새로운 지불제도(支拂制度)를 주창하는 "신화폐경제학파(新貨幣經濟學派)"의 이론 및 그 시사점을 검토하였다. 동(同) 학파(學派)는 화폐(貨幣)의 계산단위(計算單位)와 지불수단기능(支拂手段機能)이 분리되고 계산단위(計算單位)는 실물재화(實物財貨)에 의해 측정되며, 지불수단기능(支拂手段機能)은 교환회계제도(交換會計制度)를 통해 투자기금은행계정(投資基金銀行計定)의 자동이체에 의해 수행되는 지불제도(支拂制度)를 제안하고 있는데, 투자계정(投資計定)의, 계산단위(計算單位)인 실물재화(實物財貨)로의 교환성(交換性)은 인정되지 않는다. 물가안정(物價安定)은 계산단위(計算單位)의 가치안정(價値安定)을 통해 도모되고, 지불수단(支拂手段)의 수요공급(需要供給)과 물가(物價)와의 상관관계(相關關係)는 부재한다. 화폐(貨幣)의 두 기능의 분리가능성(分離可能性)이나 동(同) 지불제도(支拂制度)의 자생력(自生力) 측면에서의 많은 비판에도 불구하고, 특히 동(同) 학파(學派)의 투자기금은행제도(投資基金銀行制度)는 사실상 시장가격(市場價格)에 의한 교환제도(交換制度)를 채택하고 있기 대문에 지불제도(支拂制度)의 안전성제고(安全性提高) 측면에서 현재의 은행제도(銀行制度)보다도 유리하다는 점 등 동(同) 학파(學派)의 긍정적 공헌에 대해서도 평가되어야 할 것이다.

• Journal of Korean Academy of Nursing
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• v.37 no.4
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• pp.603-612
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• 2007

Purpose: The purpose of this study was to verify the effect of aromatherapy massage on abdominal fat and body image in post-menopausal women. Method: A Non-equivalent control group pre-post test Quasi-experimental design of random assignment was applied. All subjects received one hour of whole body massage as treatment by the same researcher every week for 6 weeks. Participants also massaged their own abdomen two times everyday for 5 days each week for 6 weeks, The two groups used different kinds of oil. The experimental group used 3% grapefruit oil, cypress and three other kinds of oil. The control group used grapeseed oil. Data was collected before and after the treatment using Siemens Somatom Sensation 4, a tape measure and MBSRQ. Data was analyzed by ANCOVA using the SPSS/PC+Win 12 Version. Result: Abdominal subcutaneous fat and waist circumference in the experimental group significantly decreased after aromathetapy massage compared to the control group. Body image in the experimental group was significantly better after aromathetapy massage than in the control group. Conclusion: These results suggest that Aromatheapy massage could be utilized as an effective intervention to reduce abdominal subcutaneous fat, waist circumference, and to improve body image in post-menopausal women.

• Women's Health Nursing
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• v.22 no.4
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• pp.287-296
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• 2016

Purpose: This study identified the level of marital intimacy, menopausal symptom and sexual function, and examined factors affecting sexual function in postmenopausal married women. Methods: With cross-sectional survey, a sample of 245 subjects aged 45 to 60 years was recruited from January to March, 2014. Data were collected using self-reported questionnaires which included marital intimacy questionnaire (MIQ), menopause rating scale (MRS), and female sexual function index (FSFI). Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. Results: Marital intimacy, menopausal symptom and sexual function scores of subjects were $3.46{\pm}1.14$, $13.71{\pm}6.61$, and $12.55{\pm}8.33$, respectively. Marital intimacy and menopausal symptom were related to sexual function. Variables including marital intimacy, psychosocial and urogenital menopausal symptom, period since menopause and body mass index therapy explained 51.5% in sexual function of participants. Conclusion: When nurses plan sexual counseling and education for sexual function of postmenopausal married women, it is necessary to consider marital intimacy, menopausal symptoms, and menopause-related factors.

• Korean Journal of Adult Nursing
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• v.26 no.5
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• pp.533-542
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• 2014

Purpose: The purpose of this study was to understand the risk of falling associated with postmenopausal women and to identify the relationships between this risk and factors such as lifestyle, metabolic syndrome, and bone mineral density. Methods: The sample was 128 postmenopausal women between 50 and 65 from one menopausal clinic in an urban city. The Risk Assessment for Falls Scale II, developed by Glydenvand and Reinboth (1982) and adapted by Park Young-Hye (2003), was modified and used for this study. Results: The average fall-risk score in postmenopausal women was 7.2 out of 33, the fall-risk score associated with lifestyle was higher in women exposed to stress frequently or who favored spicy or salty foods. The fall-risk score associated with metabolic syndrome was higher in groups with HBP or with a waist circumference of 80cm or greater. The fall-risk score in groups with three or more factors of metabolic syndrome was the highest. Conclusion: The risk of fall in post-menopausal women was higher in groups with only elementary education, unemployed, reported two or more chronic diseases or reported frequent exposure to stress and for women who preferred spicy or salty foods or exhibited three or more factors of metabolic syndrome.