• 근관절건강학회지
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• 제18권2호
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• pp.158-168
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• 2011

Purpose: The purpose of this study was to compare musculoskeletal pain, menopausal symptoms and depression by women's menopausal stage. Method: With a survey design, a convenience sample of 203 women between age of 40 to 64 was recruited through a community. Data were collected via a structured study questionnaire from May to July, 2008. Measures included with symptom severity list for menopausal symptoms, Aches and Pains scale, and Beck's Depression Inventory. Results: Thirty-seven percent of women belong to early peri-menopausal stage, 31% to late peri-menopausal stage, and 32% to postmenopausal stage. By group comparison, late peri-menopausal and post menopausal women reported higher scores of depression than early peri-menopausal women. Postmenopausal women had greater scores in two pain subscales (bodily pain and pain that interferes with normal work) and two menopausal symptoms subscales (sleep pattern and sexual behaviors) than early peri-menopausal women. There were moderate levels of positive relationships among study variables at each menopausal stage. Conclusion: Postmenopausal women seem to have greater musculoskeletal pain and menopausal symptoms, and have depression more than did early peri-menopausal women. Tailored nursing strategies are required to reduce these kinds of common symptoms for women with menopausal transition to improve their physical and psychological wellbeing.

• 대한간호학회지
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• 제31권4호
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• pp.692-702
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• 2001

Purpose: To extend the understanding on climacteric symptoms, and to improve women's health and the quality of life by providing the basic data relating to the climacteric symptoms of natural menopausal women and artificial menopausal women. Method: The subjects of this study were 149 women selected conviniently (89 natural menopausal women and 60 total hystrectomy women) who have visited the climacteric clinic of G. hospital in Inchon, the MENSI questionnaire which was developed by Sarrel (1995)was modified considering Korean culture for the measuring tool of this study with 20 items of question(Cronbach's$\alpha$ =.76), duration of data collection with the questionnaire was 5 months from Sept. 1, 2000 to Jan. 30, 2001. Result: Artificial meanopausal women showed statistically significant higher menopausal symptoms than the natural menopausal women in the most of the items, and psychiatric and urogenital symtoms of artificial menopausal women were significantly higher than those of the natural menopausal women. Conclusion: Nursing intervention for psychological support upon artificial menopausal women and their spouses is recommended more than natural menpause women.

• 여성건강간호학회지
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• 제26권4호
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• pp.336-345
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• 2020

Purpose: This study aimed to identify factors influencing quality of life in post-menopausal women. Methods: The participants were 194 post-menopausal women who visited a women's clinic in Changwon, Korea from July 1 to August 31, 2018, and completed questionnaires containing items on menopausal symptoms, marital intimacy, current menopausal hormone therapy (MHT), and quality of life. Collected data were analyzed by descriptive statistics, the independent t-test, Pearson correlation coefficients, and multiple regression using SPSS for Windows version 23.0. Results: Quality of life had a significant negative correlation with menopausal symptoms (r=-.40, p<.001), and a significant positive correlation with marital intimacy (r=.54, p<.001). The factors influencing the quality of life of post-menopausal women were current MHT (t=6.32, p<.001), marital intimacy (t=4.94, p<.001), monthly family income (t=4.78, p<.001), menopausal symptoms (t=-4.37, p<.001), and education level (t=3.66, p<.001). These variables had an explanatory power of 59.2% for quality of life in post-menopausal women. Conclusion: In order to improve the quality of life of post-menopausal women, nursing interventions are needed to help menopausal women choose appropriate MHT, alleviate menopausal symptoms, and increase marital intimacy. Interventions should also be prioritized for women of a low educational level and with a low income in consideration of their health problems.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제44권5호
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• pp.232-236
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• 2018

Objectives: Hormonal changes during menopause alter a woman's susceptibility to some disorders. Information regarding the prevalence of temporomandibular disorder (TMD) in menopausal women is limited in the literature. In this study, the prevalence and severity of TMDs were compared between menopausal and non-menopausal women. Materials and Methods: The study included 140 women (69 premenopausal and 71 postmenopausal) 45 to 55 years of age that were examined in Shiraz Dental School, Shiraz in Iran. The Helkimo clinical dysfunction index (Di) was used to evaluate temporomandibular joint (TMJ) dysfunction. The data were analyzed using chi-square and Fisher's exact tests. Results: Occurrence of TMD was significantly higher in menopausal than non-menopausal women (P<0.001). All the TMD criteria based on Helkimo Di except range of mandibular movement were significantly more common in menopausal women. The range of mandibular movement was not significantly different between menopausal and non-menopausal women (P=0.178). Conclusion: The results from this study show that TMD can be considered more common and severe in menopausal than non-menopausal women. This finding indicates that, similar to other conditions in menopausal women such as arthritis and osteoporosis, TMD should be taken into consideration by dental and medical professionals.

• 대한간호학회지
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• 제30권4호
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• pp.956-966
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• 2000

The purpose of this study was to examine the comparative between depression and stress related to life events among women in the menopausal stage. Menopausal stages were divided into two groups: Pre and post-menopausal stages. The degree of depression and stress related to life events between pre and post menopausal women were compared to each other. Women, aged between 41 and 59 years, answered self-reported questionnaires which included Zung's depression scale and life events scale modified by Lee (1984). Findings were as follows; 1) The mean score of premenopausal women who experienced depression was 39.66, and for post-menopausal women the score was 41.45. There was no significant differences in depression levels between pre and post menopausal group.s (t=-1.55, p=.122). 2) Menopausal women experienced low levels of stress related to life events. There were no significant differences between pre and post menopausal groups(t=.527, p>.05). Both pre and post menopausal groups were highly concerned about education issues of their children and disharmony between couples. 3) There was a significant relationship between depression and stress related to life events among post-menopausal groups (r=.22, p<.01). Based on the findings of this study, the menopausal depression was associated with stress related to life events, especially among post-menopausal women. Feelings of lost fertility and feminine attributies result in menopausal depression, which is significantly correlated with women's negative perception of their life events. Therefore, nursing intervention needs to develop to help reduce the levels of depression and overcome their negative perception of the menopausal experience. Nurses should develop nursing strategies to help menopausal women to have positive perceptions and enhance quality of life by assisting their adaptability to physiological and psychological changes related to menopause.

• Asian Pacific Journal of Cancer Prevention
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• 제16권6호
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• pp.2327-2331
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• 2015

Purpose: To determine the accuracy of visual inspection with acetic acid (VIA) in detecting high-grade cervical intraepithelial neoplasia (CIN) in pre- and post-menopausal women with atypical squamous cells of undetermined significance (ASC-US) and low grade squamous intraepithelial lesion (LSIL) Papanicolaou (Pap) smears. Materials and Methods: Two hundred women (150 pre-menopausal and 50 post-menopausal) with ASC-US and LSIL cytology who attended the colposcopy clinic, Thammasat University Hospital, between March 2013 and August 2014 were included. All women underwent VIA testing and colposcopy by gynecologic oncologists. Diagnostic values of VIA testing including sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) for detecting high-grade CIN were determined using the histopathology obtained from colposcopic-directed biopsy as a gold standard. Results: VIA testing was positive in 54/150 (36%) pre-menopausal women and 5/50 (10%) post-menopausal women. Out of 54 pre-menopausal women with positive VIA testing, 15 (27.8%) had high-grade CIN and 39 (72.2%) had either CIN 1 or insignificant pathology. Ten (10.4%), 43 (44.8%) and 43 (44.8%) out of the remaining 96 pre-menopausal women with negative VIA testing had high-grade CIN, CIN 1 and insignificant pathology, respectively. Out of 5 post-menopausal women with positive VIA testing, there were 4 (80%) women with high-grade CIN, and 1 (20%) women with insignificant pathology. Out of 45 VIA-negative post-menopausal women, 42 (93.3%) women had CIN 1 and insignificant pathology, and 3 (6.7%) had high-grade CIN. Sensitivity, specificity, PPV and NPV of the VIA testing were 59.4%, 76.2%, 32.2% and 90.8%, respectively (60%, 68.8%, 27.8% and 89.6% in pre-menopausal women and 57.1%, 97.7%, 80% and 93.3% in post-menopausal women). Conclusions: VIA testing may be used as a screening tool for detecting high-grade CIN in women with minor cervical cytological abnormalities in a low-resource setting in order to lower the rate of colposcopy referral.

• 여성건강간호학회지
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• 제3권2호
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• pp.268-281
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• 1997

This study was done for the purpose of analysing the relationship between menopausal syndrome and depression in the pre and post menopausal women's group. Data were collected by a questionnaire from November, 1995 to December, 1996. The subject were 244 midlife women(94 subjects were in pre-menopausal period, 150 subject were in post-menopausal period). The instruments used for this study were the menopausal syndrome scale by Neugarton and depression scale by Zung. Data were analyzed with the SPSS/PC using frequency, t-test, and Pearson correlation coefficients. The results of this study were as follows ; 1. The most serious menopausal symptom in the midlife women was 'back pain and joint pain'. 2. The item of 'Hot flush'(t=-2.78, p<0.01), 'sweating'(t=-2.31, p<0.05) and 'nervousness'(t=-2.13, p<0.05) as menopausal syndromes were statistically significant in the two groups ; Post menopausal group were higher then premenopausal group. 3. Postmenopausal group were a little higher then premenopausal group as depression level. It was none statistically significant in the two groups. 4. The relationship between menopausal syndromes and the level of depression was statistically significant in the group of post-menopausal group(r=0.2083, p<0.01).

• 여성건강간호학회지
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• 제4권3호
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• pp.332-347
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• 1998

This study was performed for the purpose of analyzing the relationship of menopausal symptoms of midlife women between urban area and rural area. A total of 129 midlife women who have lived in seoul, Kyeung ki and Kangwon were selected conveniently and data were collected by structured questionnaire from May to June, 1998. The instruments were the menopausal symptoms scale developed by Neugarten, Ci Sung-Ai & Kim Hy-Eun. Data analysis was done by Chi-square test, ANOVA, t-test. The results of this study were summarized as follows ; 1. The mean score for the menopausal symptoms of midlife women was 2.12. Serious menopausal symptoms which could be found in this study were "joint pain and numbness of arm and leg"(2.63), "fatigue and powerlessness"(2.58), "nervousness"(2.44). Over 97.8% of women complained menopausal symptoms. 2. In the relationship between social demographic variables and menopausal symptoms of midlife women were significant difference in urban area and rural area(t=-4.569, P=.000), marriage status(F=4.809, P=.010), education(F=7.359, P=.000), married son and daughter(F=7.359, P=.000), mensturational status(F=5.993, P=.003), and satisfaction to husband(F=9.093, P=.000). 3. In the relationship of menopausal symptoms of midlife women between two groups were statistically significant differences(t=-4.569, P=.000). The mean score of menopausal symptoms of rural women(2.34) were higher than those of urban women(1.85). This study shows the possible implication for nursing intervention of midlife women's health to prevent and relieve menopausal symptoms.

• Asian Pacific Journal of Cancer Prevention
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• 제15권16호
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• pp.6639-6641
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• 2014

Background: To evaluate the clinical significance of atypical squamous cells of undetermined significance (ASCUS) in PAP test in post-menopausal women and compare with reproductive age women. Materials and Methods: A total of 367 patients who referred to our gynecologic oncology clinic were included to the study between September 2012 and August 2013. Data for 164 post-menopausal (group 1) and 203 pre-menopausal (group 2) women with ASCUS cytology were evaluated retrospectively. Immediate colposcopy and endocervical curettage was performed for both groups and conization for all women with a result suggestive of CIN2-3. Histopathological results and demographic features of patients were compared between the two groups. Results: Mean age of the patients was $54.6{\pm}6.5$ years in group 1 and $38{\pm}6.6$ years in group 2. Some 14 (8.5%) of post-menopausal women and 36 (17.7%) of pre-menopausal women were current smokers (p=011). Totals of 38 (23.2%) post-menopausal and 64 (31.5%) pre-menopausal women were assessed for HPV-DNA. High risk HPV was detected in 7 (4.3%) and 21 (10.3%), respectively (p=0.029). Final histopathological results recorded were normal cervix, low grade cervical intra-epithelial neoplasia (CIN 1), and high grade cervical intra-epithelial neoplasia (CIN2-3). In group 1 results were 84.8%, 12.2% and 1.8%, respectively, and in group 2 were 71.9%, 23.2% and 4.9%. There were no cases of micro invasive or invasive cervical carcinoma in either group. Two cases were detected as endometrial carcinoma in the menopausal group (1.2%). Conclusions: In current study we found that preinvasive lesions were statistically significantly higher in pre-menopausal women than post-menopausal women with ASCUS. Cervicitis was more common in menopausal women. Therefore, we think that in case of ASCUS in a post-menopausal woman there is no need for radical management.

• 여성건강간호학회지
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• 제5권2호
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• pp.230-246
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• 1999

The purpose of this study was to identify the degree of hardiness, knowledge of menopause, menopausal management of the middle aged women to identify the variables that show differences in the hardiness, knowledge of menopause and menopausal management of middle aged women and to investigate the relation ship among hardiness, menopausal knowledge and menopausal management of the middle aged women. The subjects were 132 middle-aged women and belonged to the age between 40 and 60. They were selected in Pusan, Korea. Data were collected from Oct. to Nov., 1998 by means of a structured questionnaire. The instruments used for this were the hardiness scale developed by Song In Sook and Song Ae Ri and the menopausal management scale developed by Song Ae Ri. The results were as follows 1. The mean score of hardiness was 2.83, in minimum score 1.24 tomaximun score 5.04. The mean score of knowledge of menopausal was 0.68, in minimum score 0.21 to maximum score 0.71. the mean score of menopausal management was 2.26, in minimum score 1.35 to maximum score 3.18. 2. In the relation between social demographic and hardiness there were significant differences in the health condition, income, supportive person. In relation between social demographic and menopausal knowledge there were significant differences in the health condition, family members. In the menopausal management there was significant differences in the marital state. 3. There was significant correlation between the hardiness and menopausal management of middle aged women (r=-0.208, p=0.017). 4. There was not significant correlation between the knowledge of menopause and menopausal management (r=0.001, p=0.992). These findings suggest the need to develop nursing strategy to improve the power of hardiness in middle aged women. hardiness is important to improve the menopausal management of middle aged women.