• 대한한방부인과학회지
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• 제30권4호
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• pp.135-148
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• 2017

Objectives: This study was aimed to develop a Korean medicine clinical practice guidelines (CPG) of Climacteric and Postmenopausal Syndrome Methods: We conducted a questionnaire survey targeting Korean medicine doctors belonging to the Association of Korean Obstetrics and gynecology by e-mail and analyzed the answers. On October 18, 2016, we sent questionnaires to 583 people, and on October 31, 2016, we sent questionnaires to 581 people again. A survey ended on November 15, 2016. A total of 56 responded. Results: 1. 91.07% of respondents knew the concepts and contents of CPG, and all respondents agreed about the necessity of CPG. 2. Most common symptom of climacteric and postmenopausal syndrome that 65.75% of the respondents answered was the hot flush 3. To diagnosis a climacteric and postmenopausal syndrome, 69.64% of the respondents used pattern identification diagnosis mainly. 4. 36.84% of the respondents answered that herbal medicine and acupuncture are the most effective treatments for climacteric and postmenopausal syndrome. The most commonly used herb medicine was Kamisoyo-san. Conclusions: We figured out Korean Medicine doctors' recognition of Korean medicine clinical practice guideline, clinical diagnosis, treatment on climacteric and postmenopausal syndrome to make the contents of the CPG reflecting the clinical situation. Further research will be needed in the future.

• Journal of Nutrition and Health
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• 제39권2호
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• pp.121-132
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• 2006

Minerals are extremely important in human metabolism, growth, and tissue repair. The risks of disturbances in mineral nutrition and metabolism are high following menopause. The aim of the study was to investigate the mineal nutrition status in middle-aged women (Pre & Postmenopausal) and the relation to climacteric symptoms. In the present study, we conducted the anthropometric measurement, climacteric symptoms survey and the dietary intakes including macronutrients, vitamins and minerals to assess the nutrient intakes. Also plasma mineral levels (Ca, P, Mg, Na, K, Fe, Cu, Zn) was measured. The participants were 105 middle-aged women (pre=51, Postmenopausal=54). The anthropometric measurement showed that 74% of subjects was overweight and obesity. The energy intakes were 83% of Korean EER. The macromineral intake (Ca, P, Mg, Na, K), Ca, P and Mg were 65%, > 116% and > 107% of Korean RI. Na and K intakes were > 243% and 53% of Korean AI. For the trace mineral intake (Fe, Cu, Zn), Fe, Cu and Zn intakes were 82%, > 146%, and 94% of Korean RI. The serum mineral concentration measurement, in case of Ca, Fe and Zn, > 10% of subjects showed lower level than normal clinical range. The most frequently appeared climacteric symptoms were dry eye, forgetfulness, difficult concentration, shoulder pain, fatique, depression & lonesomeness, backache, snore, dry skin, ankle & knee pain. In relation to mineral nutrition with climacteric symptoms, significant correlations have been founded between Ca intake and difficult concentration, Mg intake and snore, Fe & Zn intake and forgetfulness & dry skin, serum Ca concentration and forgetfulness, serum Na concentration and dry eyes & snore, serum K concentration and shoulder pain. From these results, it has been indicated that some mineral nutrition status may effect the prevention and reduction of climacteric symptoms in pre and postmenopause women.

• 대한한방부인과학회지
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• 제21권4호
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• pp.159-168
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• 2008

Purpose: The purpose of this study is to investigate the characters of Yangdorak in climacteric women. Methods: We analyzed the measurement value of Yangdorak on 37 climacteric women, aged 45-60 years. The patient's symptoms were assessed by modified Kupperman's index. Statistical analysis was performed using SPSS 13.0 for windows program. one-sample t-test. pearson correlation coefficient. Results: The results were as follows. 1. The average value of Yangdorak in 37 patients with climacteric women was 29.02$\pm$16.85. 2. According to the comparison of mean value with the each meridian value of Yangdorak. H1, H5 is high, F2, F3, F5 is low significantly. 3. The number of Pyesaek is more than Gyeokcha. 4. The Yangdorak value(F2) had significant correlation with modified Kupperman's index. Conclusion: The result suggests that Yangdorak values in H1, H5, F2, F3, F5 are related to climacteric. Further study on the yangdorak and climacteric syndrome measured by Kupperman's index is recommended.

• 대한간호학회지
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• 제29권2호
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• pp.225-237
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• 1999

The purpose of this study was to analyze the relationship among the health promoting behaviors, self-reported climacteric symptoms and depression on a cross-sectional survey desist The subjects were 108 middle-aged women who were nonhystrectomized and ranged in age from 40 to 60. They were selected in Seoul and Kyoung-ki province. Korea. Data were collected from Oct. 25 to Nov. 10, 1997 by a structured Questionnaire. The instrument used for this study was the revised Health Promotion Lifestyle Profile(HPLP) developed by Walker, Sechrist and Pender, revised Climacteric Symptoms Scale developed by Chi, Sung Ai, and the Beck's Depression Inventory(BID). The data were analyzed by the SPSS /PC$^{＋}$ program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows ; 1. The mean score of health promoting behaviors was low(2.42$\pm$0.35). There were statistically significant difference in the score of health promoting behaviors according to the educational background. family income, marital satisfaction, and whether or not taking a restoraitve food(t ＝－2.07, F＝2.60~7.57, p＜0.05). 2. The mean score of self-reported climacteric symptoms was 1.69 ; 99% of middle-aged women had symptoms. There were statistically significant difference in the score of middle-aged women's self-reported climacteric symptoms according to the age, number of children, educational background, occupation, family income, marital satisfaction, whether or not receiving hormone replacement therapy(HRT) or consultation experience with a professional, and perceived health status(t＝－2.04~3.69. F＝2.87~11.63, p＜0.05). 3. The mean score of depression was 10.84. There were statistically significant differences in the score of the depression according to the age, number of children, educational background, occupation, marital satisfaction, whether or not receiving menopausal treatment or consultation by a professional, and perceived health status(t ＝－2.25~3.00, F＝3.50~9.24, p＜0.05). 4. Women's degree of health promoting behaviors was a negative correlation with the degree of climacteric symptoms(r＝－0.19, p＝0.03) and the degree of depression(r＝－0.23, p＝0.01). The degree of climacteric stmptoms was a positive correlation with the degree of depression(r＝0.64 p＝0.01). In conclusion. health promoting behavior should be considered when developing nursing strategies for middle-aged women. especially when dealing with climacteric symptoms and depression.

• Applied Biological Chemistry
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• 제14권1호
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• pp.35-41
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• 1971

신미종(辛味種)고추의 추숙(追熟)에 따른 지질(脂質)의 변화(變化)를 중성지질(中性脂質)과 극성지질(極性脂質)로 분획(分劃)하여 실험(實驗)한 결과(結果)는 다음과 같다. 1. 중성지질(中性脂質)의 함량(含量)은 cli. stage에서 최저치(最低値)가되고 극성지질(極性脂質)의 함량(含量)은 post-cli. stage에서 격감(激減)하고있다. 2. 중성지질(中性脂質)의 지방산(脂肪酸)으로서 주(主)가 되는 것은 linoleic acid이고 이것은 추숙(追熟)에 따라 점감(漸減)하고 있다. 3. 중성지질(中性脂質) fatty acid의 saturates/unsaturates치(値)가 cli. stage에서 최저(最低)가 되는데, 이것을 중성지질함량(中性脂質含量)도 cli.stage에서 최저(最低)를 가리키는 것과 아울러 생각할때 climacteric rise가중성지질(中性脂質)의 대사(代謝)와 관계(關係)가 있는것 같다. 4. 극성지질(極性脂質)의 지방산(脂肪酸) 조성(組成)은 추숙(追熟)에 따라 linoleic acid가 줄곧 감소(減少)하고 linoleic acid가 증가(增加)하여 cli. stage에서 역전(逆轉)하고 있는데, 이것은 고추의 climacteric rise에 따라 일어나는 막성분(膜成分)의 변화(變化)를 가리키는 한 지표(指標)가 될 수 있을 것 같다.

• 한국노년학
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• 제32권2호
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• pp.631-647
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• 2012

본 연구는 갱년기 여성들의 발달현상에 대한 태도와 폐경증상이 삶의 의미에 미치는 영향을 살펴봄으로써 갱년기 여성의 삶의 질 향상에 필요한 기초자료를 제공하고자 하였다. 이러한 연구목적을 달성하기 위해 D광역시와 C시, 그리고 기타 지역에 거주하는 40-60세의 갱년기 여성 313명을 대상으로 하였다. 설문조사 대상은 비확률 표집방법 중 편의표집 방법을 이용하여 표집 하였으며, 수집된 자료는 SPSS 프로그램을 이용하여 분석하였다. 본 연구의 주요 연구결과는 다음과 같다. 첫째, 갱년기 여성들은 발달현상에 대해 그다지 긍정적인 태도를 보이지 않았으며, 폐경증상은 가끔 심하였고, 삶의 의미 수준은 그다지 높지 않았다. 둘째, 갱년기 여성들은 발달현상에 대한 태도가 긍정적일수록 삶의 의미 수준이 높았고, 폐경증상이 심할수록 삶의 의미 수준이 낮았다. 셋째, 갱년기 여성의 삶의 의미에는 발달 현상에 대한 태도와 폐경증상이 영향을 미쳤으며, 특히 폐경에 대한 태도와 정신적 증상이 큰 영향을 미쳤다. 이러한 연구결과를 볼 때, 갱년기 여성들의 삶의 의미를 높여주기 위해서는 폐경증상과 관련한 신체적 건강과 발달현상에 대한 태도와 관련된 심리적 건강 향상을 위한 사회복지적 개입이 이루어져야 할 것이다. 또한 정책적 차원에서 갱년기 여성들이 건강한 삶을 유지할 수 있도록 지역 내 복지시설의 개방하고, 갱년기 준비를 위한 교육이 실시될 필요가 있으며, 다양한 차원에서 사회복지 상담 서비스의 실천이 요구된다.

• 대한간호학회지
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• 제39권6호
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• pp.868-877
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• 2009

Purpose: The purpose of this study was to examine the effects of Koryo Hand Therapy (KHT) on menopausal symptoms and hormone levels (Follicle Stimulating Hormone [FSH], Luteinizing Hormone [LH], and estradiol [$E_2$]) in climacteric women. Methods: The research design was a nonequivalent control group pretest-posttest design. Data were collected from November 28, 2005 to February 28, 2006. The 45 participants were assigned to either the experimental group (23) or control group (22). KHT was applied three times a week, for a total of 8 weeks to the women in the experimental group. Results: There was a statistically significant decrease in menopausal symptoms (F=42.49, p=.000), FSH level (F=26.98, p=.000) and LH level (F=5.31, p=.026) between the experimental and control groups. There was an increase of the estradiol level in the experimental group but the difference between the two groups was not statistically significant. Conclusion: KHT can be applied as a supportive nursing intervention to climacteric women. KHT is expected to be a complementary alternative intervention for health management of the climacteric women.

• 기본간호학회지
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• 제6권2호
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• pp.310-319
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• 1999

This study was undertaken to identify the health-promoting behavior and to explore the relationship between health-promoting behavior, self-efficacy, self-esteem and climacteric symptoms among the middle-aged women. The subjects for this study were 101 women and data were obtained using a self-reported questionnaires. The Questionnaire was composed of a health promotion life styles profile, self-efficacy scale, self-esteem scale, and, climacteric symtoms check-list. Data was analyzed by the SAS program using ANOVA, Pearson correlation and stepwise multiple reggression. The results are summarized as follows : 1. The scores on the health-promoting behavior scale ranged from 46 to 114 with a mean score of 77.95(SD=12.99). 2. The scores on the health-promoting behavior of housewives was significantly higher than working women. 3. Stepwise multiple regression analysis showed that : 1) self-esteem was the main predictor and accounted for 21.75% of the total variance in health-promoting behavior 2) Self-esteem, climacteric symptoms and health-promoting behavior were contributors to quality of life. 4. In the relationship between variables, self-esteem was positively corelated with health-promoting behavior and negatively with climacteric symptoms. In conclusion, self-esteem, age and occupation were important variables in health-promoting behavior. The results of this study can be used for the management of health in middle aged women to Increase their quality of life of them.

• 대한한방부인과학회지
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• 제19권3호
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• pp.267-276
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• 2006

Purpose : The purpose of this study was to investigate the clinical application of Traditional Korean Medicine(TKM) treatment to climacteric symptoms after hysterectomy. Methods : The patient was a 51-years-old woman who suffered from hot flush, arthralgia, fatigue et al after hysterectomy. The patient was treated by TKM such as herb medication and acupuncture therapy. And her health status was evaluated by Kupperman's index and Medical Outcome Study Short Form 36( SF-36). Results : Climacteric symptoms after hysterectomy was reduced( Kupperman's index from 40 to 20). It got better that Physical Functioning(PF), General health(GH), Bodily pain(BP), Role limitation-Emotion(RE) and Mental Health(MH). So, it means that her health status was improved. Conclusion : TKM is expected to have positive effects on climacteric symptoms after hysterectomy, and can be improve woman's health status after hysterectomy.

• 한국직업건강간호학회지
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• 제21권3호
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• pp.239-246
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• 2012

Purpose: This study is the narrative investigating research to comprehend the climacteric symptoms, depression and health promoting behavior of the male workers and to develop the nursing intervention. Methods: The research was done from August to September 2011, and the subjects were the middle-aged males between 40 and 64 working in capital cities of Chungcheongnamdo. Among the 220 questionnaires, 189 were retrieved and used for the analysis. The data analysis was done by $x^2$-test, and t-test using the SPSS/WIN 19.0 program. Results: The 70.9% of the subjects showed male climacterium and among them, those in their 40s showed high rate to the change in the body and emotions whereas those in their 50s showed high rate to the sexual function-related symptoms. Also, having the climacteric symptoms showed significant changes in depression and health promoting behavior. Conclusion: To promote health of the middle-aged male workers and the nursing intervention for those who show depression, verifying whether these males have climacteric symptoms is necessary.