• 여성건강간호학회지
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• 제24권4호
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• pp.336-345
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• 2018

Purpose: To identify factors influencing adaptation to menopause in middle-aged women. Methods: Participants were 157 middle-aged women who visited Y gynecologic clinic in C city. Data were collected through interviews using the Korean CES-D (Center for Epidemiological Studies Depression), climacteric symptoms, life event stress, and menopausal adaptation scale. Data were analyzed by descriptive statistics, t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient, and multiple regression using SPSS. Results: There were significant differences in adaptation to menopause according to monthly income, life satisfaction, and marital satisfaction. Adaptation to menopause had significantly negative correlations with depression, climacteric symptoms, and life event stress. Depression, monthly income, climacteric symptoms, and life event stress were verified as factors affecting adaptation to menopause. These factors accounted for 41.9% of adaptation to menopause. Conclusion: These variables should be considered in nursing interventions to improve adaptation to menopause in middle-aged women. Individuals should have the will to overcome menopause positively and actively.

• 여성건강간호학회지
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• 제16권2호
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• pp.186-193
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• 2010

Purpose: This study was done to extend the understanding and knowledge of menopause by comparing attitudes toward menopause and menopausal symptoms of women religious and married women. Methods: The data were collected by self-report questionnaires from 126 women religious and 131 married women, between 40 and 59 years of age who lived in P city, D city and K province. A structured questionnaire was used which included demographic and health-related information, attitudes toward menopause, and menopausal symptoms. Data were analyzed by using $x^2$ test, t-test, and Pearson correlation coefficients with the SPSS/WIN 14.0 program. Results: The mean score for attitudes toward menopause of women religious and married women was $69.46{\pm}6.15$ and $66.98{\pm}6.12$ respectfully, and the difference was significant (p=.001). The mean score for menopausal symptoms of women religious and married women was $41.33{\pm}23.55$ and $55.99{\pm}30.81$ respectively, and the difference was also significant (p<.001). Attitudes toward menopause were negatively correlated with menopausal symptoms (r=-.27, p<.001).

• 임상간호연구
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• 제23권1호
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• pp.120-129
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• 2017

Purpose: The purpose of this study was to identify the degree of menopause symptoms and associated factors in patients with breast cancer who were receiving hormone therapy. Methods: Data were collected with questionnaires from 150 patients with breast cancer who had been on hormone therapy at a hospital in Seoul. Data were analyzed with the t-test, ANOVA, and Pearson correlation coefficient to compare the degree of menopause symptoms by demographic, clinical and psychological factors. Results: The mean menopause symptoms score was $13.39{\pm}7.97$. Most participants reported having hot flushes and sweating (75.3%), physical and mental exhaustion (82.7%) and sexual problems (64.7%). Menopause symptoms and depression were correlated with each other (p<.01). Somato-vegetative symptoms were different significantly by age, menopausal status at time of operation, occupation and tumor. Psychological symptoms were different significantly by marital status, operation type and chemotherapy. Urogenital symptoms were different significantly by prior history of cancer, occupation, operation type and radiation therapy. Conclusion: These findings can be used to provide tailored nursing interventions by identifying high risk groups for menopausal symptom among breast cancer patients receiving hormone therapy.

• 여성건강간호학회지
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• 제9권4호
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• pp.400-409
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• 2003

Purpose: This study was to identify the correlations among climacteric symptoms, knowledge of menopause and health promoting behavior in middle-aged women. Method: 1.360 women between 40-60 years of age living in Incheon, were asked to complete a questionnaire on their health. The data was collected between October 10th and October 30th, 2002. The data was analyzed using T-test, ANOVA and Pearson's correlation coefficients with SPSS/pc program. Result: The variables significantly affecting climacteric symptoms, knowledge of menopause and health promoting behavior were education, perceived health status and family health - problems. The relationship between knowledge of menopause and health promoting behavior was statistically significant with a positive correlation. Conclusion: The knowledge of menopause by middle aged women was in positively correlated with health promoting behavior. Therefore, based on this study, we plan to develop a health education program to promote knowledge of menopause and health promoting behavior.

• Journal of Ginseng Research
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• 제37권1호
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• pp.30-36
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• 2013

The aim of this review was to assess the effectiveness of ginseng as a treatment option for managing menopause symptoms. We searched the literature using ll databases from their inception to 26 September 2012 and included all randomised clinical trials (RCTs) that compared any type of ginseng to a placebo controls in postmenopausal women. The methodological quality of all studies was assessed using a Cochrane risk of bias tool. Four RCTs met our inclusion criteria. Most RCTs had high risk of bias. One RCT showed that Korean red ginseng (KRG) significantly improved sexual arousal and global health compared with placebo. Another RCT reported the superiority of KRG over placebo for treating menopause symptoms on Kupperman's index and menopausal rating score. The third RCT failed to show a significant effect of KRG on hot flash frequency compared to placebo. The fourth RCT found beneficial effects of ginseng compared to placebo on depression and well-being. In conclusion, the evidence on ginseng as an effective treatment for managing menopause symptoms is limited. Most of the RCTs are burdened with a high risk of bias. Thus firm conclusions cannot be drawn. Rigorous studies seem warranted.

• 생물정신의학
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• 제16권4호
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• pp.229-237
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• 2009

Recent Korean statistics show that a Korean woman can now expect to live until her mid-80s, which implies living at least one-third of her life after menopause. The menopausal transition is typically marked by intense hormonal fluctuations, accompanied by sleep disturbance, vasomotor symptoms(e.g., hot flashes, night sweats), increased risk for osteoporosis, cardiovascular disease, and developing depression as well as mood disturbances. These symptoms can affect a woman's quality of life negatively. Therefore, a comprehensive understanding of the accurate detection and appropriate treatment of various menopause-related symptoms including depression in the menopausal transitions and postmenopause is mandatory. This review primarily focused on the current knowledge about the treatment of menopause-related depression.

• 정신신체의학
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• 제18권2호
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• pp.82-93
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• 2010

연구목적 본 연구의 목적은 정신과 중년여성 외래환자를 폐경기 상태에 따라 폐경전기, 폐경주위기, 폐경후기의 3집단으로 세분화하여 폐경기 증상을 비교하고, 폐경에 대한 태도 및 인식과 폐경기 증상 간의 연관성을 조사하며, 우울증상 및 특성불안의 심각도에 따른 폐경기 증상의 심각도를 평가하고자 하였다. 방 법 2009년 8월 17일부터 2009년 11월 28일까지 고려대학교 구로병원 신경정신과 외래를 방문하여 우울장애와 불안장애로 진단받은 40~64세의 여성 환자 152명을 대상으로 연구를 하였다. 폐경기 증상의 심각도를 평가하기 위해 폐경평가척도(Menopause Rating Scale, MRS)를 이용하였고, 폐경기에 대한 태도를 평가하기 위하여 11항목으로 구성된 자기보고식 설문지를 사용하였다. 또한 대상자의 우울, 불안증상을 평가하기 위해 Beck 우울 척도(Beck Depression Inventory, BDI), 상태특성 불안 척도(State-Trait Anxiety Inventory, STAI)가 사용되었다. 폐경기 상태에 따른 각 그룹에서의 폐경기 증상의 차이가 있는지 비교하였고, 폐경에 대한 태도 및 인식과 폐경기 증상 간의 연관성을 조사하였다. 우울증상, 특성불안의 심각도와 폐경기 증상의 관계를 살펴보았다. 결 과 폐경기 상태에 따른 폐경기 증상은 유의한 차이를 보이지 않았다. 그러나 '폐경기는 노화의 증후; 배우자들은 폐경기 여성을 매력이 없다고 느낌'의 항목에 동의할수록, '임신을 하지 않아 홀가분함'의 항목에 동의하지 않을수록 일부 폐경기 증상을 심하게 호소하여, 부정적인 폐경에 대한 태도와 폐경기 증상의 심각도 간에 유의한 연관성을 보여주었다. 그리고 우울증상과 특성불안의 수준이 높은 경우 폐경기 증상이 심한 것으로 나타났다. 결 론 본 연구에서 폐경에 대한 부정적 태도 및 우울증상, 불안은 폐경기 증상의 심각도 간에 상호연관성을 보여주었다. 따라서 임상에서 폐경기 증상에 대해 평가하고 교육을 통하여 환자들로 하여금 폐경에 관한 긍정적 태도를 갖고 폐경기 증상에 적절히 대처하도록 하는 것이 필요하다. 향후 임상에서 많은 중년여성 정신과 환자를 대상으로 하여, 정신과 치료를 지속하면서 우울증상, 불안의 호전 정도에 따라 폐경기 증상의 변화를 살펴보는 전향적인 연구가 필요할 것으로 사료된다.

• 한국생활과학회지
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• 제21권6호
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• pp.1043-1058
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• 2012

The purpose of this study was to identify how attitudes toward menopause and family-related variables (living with a first child, satisfaction with children, and marital satisfaction) were associated with the perceived menopausal symptoms of middle-aged Korean females. Data for the study were based on a community sample of 628 women whose ages ranged from 45 to 60, who were currently married and had at least one child. The respondents reported lower levels of menopausal symptoms, medium levels of marital satisfaction and slightly higher levels of satisfaction with children. Feelings of tiredness, irritability, and nervousness without apparent reason, and aches in the lumbago and joints were common menopausal symptoms reported in this study. Regression analysis was conducted to investigate the effects of monthly income, educational level, employment status, attitudes toward menopause, living with a first child, satisfaction with children, and marital satisfaction on perceived menopausal symptoms. Attitudes toward menopause, living with a first child, satisfaction with children and marital satisfaction were significantly associated with perceived menopausal symptoms. In particular, marital satisfaction had the strongest effect on perceived menopausal symptoms. The results showed that in the face of the developmental challenges experienced during the menopausal transition, family-related variables served as positive reinforcement for married middle-aged women. This finding suggests that in order to improve the menopausal transition, family education programs need to be developed and offered to middle aged females who suffer from severe menopausal symptoms.

• 한국콘텐츠학회논문지
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• 제20권12호
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• pp.198-205
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• 2020

본 연구는 중년여성이 경험하게 되는 폐경에 따른 스트레스와 삶의 질의 관계를 모색하고 중년여성의 삶의 질 향상과 건강증진을 위한 기초자료를 제공하고자 실시하였다. 자료수집 기간은 2019년 09월 02일부터 11월 29일까지였으며, 총 400부의 설문지를 배포하였고 불성실한 응답을 제외한 362부를 사용하였다. 연구 결과 폐경증상이 심할수록 신체적 스트레스와 심리적 스트레스가 높은 것으로 나타났다(p<.001). 또한, 삶의 질 만족도에 있어 폐경증상이 심할수록 신체적 건강과 심리적 건강에 만족도가 높은 것으로 나타났으나 사회적 관계와 환경적 관계의 만족도에 유의적인 영향을 미치지 못하는 것으로 볼 수 있다. 향후 폐경의 증상을 완화하고 관련된 정보를 제공 받을 수 있도록 교육 및 중재 프로그램이 활성화 되어야할 것이며, 적극적인 폐경관리를 통하여 증상을 완화시키고 그로 인해 폐경 후 중년여성의 삶의 질이 좋아지길 제안한다.

• 대한간호학회지
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• 제44권1호
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• pp.108-117
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• 2014

Purpose: The purpose of the study was to identify degrees of pain, menopause symptoms, and quality of life, and to identify factors influencing quality of life of patients with breast cancer who were on hormone therapy. Methods: A cross-sectional survey design was utilized. Data were collected using questionnaires from 110 patients with breast cancer who had been on hormone therapy for 3 months or more and were being treated at a university hospital in Seoul. Data were analyzed using ${\chi}^2$-test, t-test, ANOVA, Pearson correlation coefficient and multiple linear regression. Results: Mean age of the participants was 53.56 (SD=6.67) and 54 (51.4%) had stage 0 or I at the time of diagnosis. Most of the participants reported having pain and menopause symptoms (88.2% and 95.5% respectively). The mean score for quality of life was $87.84{\pm}21.17$. Pain, menopause symptoms and quality of life had strong correlations with each other (p<.005). Quality of life was explained by menopause symptoms (${\beta}$= -.71), economic status (${\beta}$=.20) and occupation (${\beta}$=.16). Conclusion: The results of the study suggest that menopause symptoms should be incorporated into oncologic nursing care to improve quality of life of patients with breast cancer on hormone therapy.