• Title/Summary/Keyword: Climacteric

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Four Case Studies of Climacteric Disorders with Sasang Constitutional Medicine (갱년기장애의 사상의학적 치험 4례)

  • Yu, Jun-Sang
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.3
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    • pp.271-279
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    • 2017
  • Objectives The purpose of this study is to investigate the efficacy of Sasang constitutional herb medicine for the treatment in postmenopausal women having various complaints. Methods From December 2016 to July 2017, four cases of women having climacteric complaints were extracted. Results Their main symptoms were hot flush, insomnia, sweating, cold sensation, and excitation. Their Sasang constitutional types were 2 Soyangin and 2 Taeeumin. Main symptomology of Soyangin was Chest-heat congested symptomology and that of Taeeumin was Esophagus-cold symptomology or Esophagus-cold Lung-dry Symptomology. Conclusions Their symptomolgies of Soyangin and Taeeumin lied in the Interior disease rather than Exterior disease, in the Advanced disease rather than Mild disease. It could show that Sasang constitutional medicine and management is possible to be indicated in climacteric disorders.

Clinical Effectiveness of Korea Ginseng on Climacteric Bisturbances and Its Possible Mechanism of Action (갱년기 질환에 대한 고려인삼의 임상효능과 작용기전)

  • Ogita, Sacchio
    • Journal of Ginseng Research
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    • v.14 no.2
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    • pp.162-166
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    • 1990
  • The climacterium is that phase in the aging precess during which a woman passes from the reproductive to the non-reporductive stage. The signals, such as hot flashes, vaso-motoric disturbances, perspiration, stiff shoulders, emotinal symptoms, are refered to as climacteric disturbances. Treatment of climacteric symptoms centers around estrogen replacement and transfuilizers, but there are many problems to be solved to use these hormones/drugs as far as dossage, duration and complications are concerned. The care of women during the climacteric years should provide relief of distressing symptoms with as high a degree of safety as possible. From this view point, we used red ginseng powder to those patients with high menopausal index successfully. We studied its mechanism of action and proved that red ginseng improved the micro-circulation system via improvement of erythrocyte reformability which enhanced sex steroidgensis consequently.

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A Study on the Climacteric Symptoms and Dietary Patterns in Middle-Aged Women (중년여성의 갱년기 증상과 식생활 양상에 관한 연구)

  • 장희경;한용봉
    • Journal of the Korean Home Economics Association
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    • v.40 no.1
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    • pp.125-134
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    • 2002
  • The purpose of this study was to investigate relationship between the climacteric symptoms and the dietary patterns. The study was conducted with 285 middle-aged women(150 premenopause and 135 postmenopause) and the informations were obtained by questionnaires. The menophania of the premenopause and of the postmenopause women began to 15.6 and 16.6 years old, respectively. And it seemed that the middle-aged women had neutral attitude about menopause-related altitude. There was a positive correlation between the nutrition knowledge and the food habit, but these knowledge and habits had a little correlation with the climacteric symptoms.

Depression in Posit Menopausal Women

  • Lee, Young-Whee
    • Journal of Korean Academy of Nursing
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    • v.33 no.4
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    • pp.471-477
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    • 2003
  • Purpose. This cross-sectional survey research was undertaken to examine the degree of depression in post-menopausal women and to analyze the factors affecting that depression. Method. 325 people from public health center in Inchon were surveyed as the subject of this study. Data collection was conducted through the use of questionnaires. Results. The above half of these sampled people were in depressed state (64.0%) and the mean score of depression was 12.71. There were significant differences in the depression state according to presence of spouse, economic level, exercise, and smoking. A positive correlation was found between depression and climacteric symptoms. Stepwise multiple regression analysis revealed that the most powerful predictor was climacteric symptom. Climacteric symptom, presence of spouse, smoking, and exercise accounted for 45 % of the variance in postmenopausal women's depression. Conclusion. Nurses are able to use these results to plan and implement nursing interventions for decreasing depression and consequent the improved quality of life in Korean postmenopausal women. Also, the nurses have to be more aware of the following groups; solitary women, low-income group and smokers, that they have higher mean score of depression.

Developing an Instrument to Measure Climacteric Symptoms among Korean and Japanese Women

  • Song Ae-Ri;Oishi Kazuyo;Suh Euy-Hoon;Miyahara Harumi;Nakajima Hisayoshi;Nakao Yuko;Araki Miyuki;Yamasaki Makiko
    • Journal of Korean Academy of Nursing
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    • v.36 no.4
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    • pp.637-644
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    • 2006
  • Purpose. The purpose of this study was to construct a measurement instrument for climacteric symptoms among Korean and Japanese women. Methods. From Dec. $1^{st}$ of 2003 to March $30^{th}$ of 2004, in-depth interviews were made with 26 women (15 in Jinju, Korea and 11 in Nagasaki, Japan) aged from 45 to 59 years who had not taken hormone replacement therapy to relieve the climacteric symptoms. A draft questionnaire with 45 items was constructed on the basis of the interview data and literature review. Three obstetricians, three PhDs in nursing science, and a chief nurse who was exclusively in charge of the climacteric management, examined the draft questionnaire to evaluate content validity. After deletions 39 items remained for a preliminary questionnaire. A survey was conducted by using a convenient sampling method in Jinju of Korea and Nagasaki of Japan during the period from April $1^{st}$, 2004 to July $10^{th}$, 2005. Results. Factor analysis identified 4 factors, which were 'mental and psychological symptoms', 'physical symptoms', 'loss of autonomic nervous system symptoms', 'sexual symptoms'. These four factors explained 46.9% of total variance. Conclusions. The results demonstrated that climacteric symptom scale was multidimensional, and the reliability and validity of the scale was supported.

Experiences in Overcoming Cognitive Decline in Climacteric Women : A qualitative Study (갱년기 여성의 인지감퇴 극복과정에 대한 경험)

  • Kim, JiHyun;Kim, YunSu
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.181-192
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    • 2020
  • The present study comprehensively explored the experiences of cognitive decline and of overcoming such decline in climacteric women to gain a deeper understanding of these women's cognitive health issues. Fourteen climacteric women were recruited, and data were collected through in-depth qualitative interviews. The collected data were analyzed using phenomenological methods suggested by Colliazzi. The quality of the present study was further improved according to the evaluative criteria for rigor suggested by Lincoln and Guba. The interviews resulted in 210 statements, 43 significant statements, 17 themes, and 5 theme clusters. The theme clusters were "loss of memory and distraction in everyday life," "struggle to overcome," "greeting an inevitable guest," "conforming to life changes," and "dreams of the past and future plans." As they experienced menopause, the participating women experienced decline in memory and concentration, as well as problems communicating. Climacteric women experienced cognitive decline during menopause and made significant efforts to overcome it; therefore, effective programs that promote cognitive function and adaptation should be provided for climacteric women.

Comparative Study on Climacteric Symptoms, Knowledge of Menopause and Menopausal Management of Middle Aged Women between Urban and Rural Areas (도시와 농촌 중년여성의 갱년기 증상, 폐경지식 및 폐경관리 비교 연구)

  • Ju, Hyeon-Ok;Seo, Ji-Min;Hwang, Jin-Hee;Park, Hyoung-Sook;Lee, En-Nam;Hwang, Sun-Kyung
    • Women's Health Nursing
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    • v.11 no.1
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    • pp.27-37
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    • 2005
  • Purpose: This study compared climacteric symptoms, knowledge of menopause and menopausal management of middle aged women living in urban and rural areas. Method: The study subjects included 287 women aged 40-64 years in P city and G town. The instruments used in this study were a climacteric symptoms scale and knowledge of menopause and a menopausal management scale. Data was analyzed with SPSS Win 10.0. Result: The mean age of middle-aged women living in urban areas was 47.9 years and that of women in rural areas was 48.0 years. The mean score of the climacteric symptoms of middle-aged women living in urban and rural areas was 48.8 and 50.4 respectively, and was not significantly different. The mean score of the knowledge of menopause of middle-aged women living in urban areas was higher than that of women in rural areas (p=.017). In addition, the mean score of the menopausal management of middle-aged women living in rural areas was higher than that of women in urban areas. Conclusion: This study suggests that not only general characteristics but also living areas should be considered in developing nursing interventions to manage the climacteric symptoms of middle aged women.

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Comparisons of Body Image, Depression, and Climacteric Symptoms among Middle-Aged Women with and without Thyroidectomy (갑상선절제술을 받은 중년여성과 받지 않은 중년여성의 신체상, 우울, 갱년기 증상 비교)

  • Yun, Byeong Sook;Back, Ji Eun;Lee, June Sang;Park, Mi Jeong;Lim, Young Mi
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.3
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    • pp.5-14
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    • 2008
  • Purpose: The purpose of this study was to compare body image, depression, and climacteric symptoms among middle-aged women with and without thyroidectomy. Method: The research design was a comparative descriptive study using a self-report questionnaire. A total of 102 women aged 40~59 years were recruited using a convenient sampling method. A total of 52 women out of 102 were within a year after thyroidectomy due to benign disease. The rest of the subjects were healthy women without any previous diseases in thyroid. The instruments included Body Image Concern Inventory, Climacteric symptoms, and Center for Epidemiological Studies Depression Scale. The data were analyzed by descriptive statistics, t-test, $x^2$-test, one-way ANOVA, and correlation analysis. Results: There were no significantly differences in age, education, menstruation states between women with and without thyroidectomy. The demographic characteristics of two groups were homogeneous. There were significantly statistical differences in body image (t= 8.456, p=.000), and depression (t=3.142, p=.002) between the groups. There was, however, no significantly differences of climacteric symptoms. In addition, in women with thyroidectomy, no significant associations were found among body image, depression, and climacteric symptoms. Conclusion: The findings demonstrated the need to develop an effective nursing intervention to increase body image and to reduce depression in middle-aged women after thyroidectomy.

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Nutritional Status, Quality of Diet and Quality of Life in Postmenopausal Women with Mild Climacteric Symptoms Based on Food Group Intake Patterns (중등도 갱년기 증상을 가진 폐경 후 여성에서 식품군별 섭취패턴에 따른 영양소 섭취상태, 식사의 질 및 삶의 질에 관한 연구)

  • Lee, Ok-Hwa;Kim, Jin-Kyung;Lee, Han-Song-Yi;Choue, Ryo-Won
    • Korean Journal of Community Nutrition
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    • v.17 no.1
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    • pp.69-80
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    • 2012
  • This study was conducted to examine the nutritional status, quality of diet and quality of life in postmenopausal women with mild climacteric symptoms based on their food group intake patterns. The data for nutritional status were obtained using 3-day records. Quality of diet was assessed by INQ, NAR, MAR, DDS, DVS, DQI-I. Climacteric symptoms were analyzed by the questionnaire of Kupperman's index and MENoL. The subjects were classified into the five groups, GMVDF, GMVdF, GMVDf, GMVdf, GmVDF according to their food group intake patterns. Analysis of nutrient intakes showed that the GMVDF group took significantly higher levels of kcal, carbohydrate, protein, fat, vitamin A, thiamin, riboflavin, folate, vitamin C, vitamin E, calcium, phosphorous, sodium, iron, zinc and fiber than GMVdf group did (p < 0.05). INQ of Ca and Fe appeared to be higher in GMVDF than in GMVdf groups (p < 0.05). Analysis of NARs showed that missing milk groups took lower riboflavin, Ca and P than other groups did as the same result with MAR (p < 0.05). Analysis of DDS and DQI showed that GMVdf group had the lowest quality of diet (p < 0.05); however, no difference was found on DVS. The GMVdf group showed the worst climacteric symptoms compared with those of the other groups (p < 0.05). However, we couldn't observe any differences in menopause-specific quality of life among the groups. In conclusion, it would be beneficial to meet all five food groups to increase the quality of diet and to reduce the climacteric symptoms in postmenopausal women.

A Systemic Review of Recent Randomized Controlled Trials of Insomnia in Climacteric Syndrome Treated with Acupuncture (갱년기 증후군으로 인한 불면의 침 치료 무작위 대조군 최신 연구의 체계적 문헌 고찰과 메타 분석)

  • Na, Jee-Young;Park, Jang-Kyung;Yoon, Young-Jin
    • The Journal of Korean Obstetrics and Gynecology
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    • v.35 no.3
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    • pp.56-73
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    • 2022
  • Objectives: This study was aimed to review the effect of acupuncture for insomnia in climacteric syndrome. Methods: Researchers searched data through 5 online databases up to December 2021. The data was limited to randomized controlled trial studies on patients diagnosed with insomnia in climacteric syndrome. Results: 8 Randomized controlled trials were included in this study. 6 of studies were published in Chinese, in China. 2 were published in English. Intervention of treatment group were composed of simple acupuncture. Intervention of control group were made up with Estazolam, Alprazolam, Lorazepam and sham-acupuncture. Outcome measurements were Total effective rate, Pittsburgh Sleep Quality Index (PSQI), Kupperman index, Menopause Quality of Life scales (Men-QoL), the level of hormones (E2, FSH, LH) etc. In all outcome measurements, treatment group were more effective than control group and it was statistically significant. Conclusions: Acupunture therapy is effective for treating insomnia in climacteric syndrome. Pittsburgh Sleep Quality Index (PSQI) is most frequently used for sleep assessment indicator. 神門 (HT7) is the most frequently used acupoint for treatment group. However because insomnia in climacteric syndrome is easy to recur, additional long-term research is needed.