• 지역사회간호학회지
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• 제21권4호
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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.

• 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.

• 여성건강간호학회지
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• 제4권3호
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• pp.348-364
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• 1998

The two objectives of this study were 1) to develop an efficacy expectation promoting program for the management of menopause based on the self-efficacy theory of Bandura(1977), and 2) to investigate the effects of the efficacy expectation promoting program for the management of menopause. The first phase was to development an efficacy expectation promoting program through video tape. A telephone coaching program served as a follow-up to the efficacy expectation promoting program which provided encouragement and support to the subjects. The second phase was the experimental stage. This experimentation was conducted to determine whether an efficacy expectation promoting program based on theory of Bandura would increase the self-efficacy and the management of menopause. Results : The video which we developed consisted of 2 parts. Part one discussed the symptoms and the management of menopause. Part two reflected the vicarious step-by-step success of middle-aged women's menopause management. The telephone coaching program served as a follow up to the efficacy expectation promoting program and provided encouragement and support to the subjects. The total length of the video is 50 minutes. The hypotheses stated in phase two were supported by following results : In the two experimental groups consisting of the natural and artificial menopause groups both demonstrated significant increase in their general and concrete self-efficacy scores. In the experimental groups, both the objective and subjective menopause management scores increased n the natural and artificial menopause experimental groups. In conclusion, it was found that an efficacy expectation promoting program was an effective nursing intervention for increasing self-efficacy and management of menopause.

• 대한가정학회지
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• 제40권1호
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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.

• 대한의생명과학회지
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• 제16권1호
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• pp.53-64
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• 2010

A randomized, double blind, placebo-controlled human intervention study involving 58 menopause women was performed to investigate the effect of pomegranate extracts on menopausal symptoms. The volunteers were randomly distributed into two groups, one taking pomegranate extracts (1.5 g/day) and the other being a placebo by taking oral administration for 8 weeks. The results from this study showed that duration of hot flush and sweating were significantly decreased by taking pomegranate extracts. In addition, menopausal rating scales and the Kuppermann index were significantly decreased in pomegranate extract taking group. This result suggests a possibility that pomegranate extracts can be helpful for menopause women.

• 기본간호학회지
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• 제14권4호
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• pp.474-482
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• 2007

Purpose: This study was done to provide fundamental data for nursing interventions to prevent and reduce fatigue and to identify fatigue and kidney disease symptoms in female patients on hemodialysis and evaluate factors associated with this fatigue. Method: A cross-sectional study design was used with self-administered questionnaires which included general characteristics and the fatigue scale developed by Brown, Dittner, Findly, & Wessely(2005)(Cronbach's $\alpha=0.98$ and for present study $\alpha=0.96$) and a review of laboratory data. From eight dialysis units, 84 women were enrolled. Data were analyzed using the SAS program. Results: Mean score for fatigue was 49.4(range $16{\sim}78$) and fatigue by research variables was significantly different by age(0.046), employment status(0.041), menopause(0.009), hypoalbuminemia(0.022), length of time on dialysis(0.48) and kidney disease symptoms(0.000). Correlations between fatigue and lack of strength, dizziness, and cramps after dialysis were significantly higher. Factors affecting fatigue were kidney disease symptoms and length of time on dialysis, explaining 49.2% of fatigue. Conclusion: A comprehensive approach considering kidney disease symptoms, length of time on hemodialysis, age, menopause, and hypoalbuminemia are required for interventions to reduce fatigue in female patients on hemodialysis.

• 지역사회간호학회지
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• 제19권4호
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• pp.600-610
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• 2008

Purpose: The purpose of this study is to find the effects of an exercise program on body composition, serum lipids, and menopausal symptoms in Korean menopausal women. Methods: This research used none qui valent control group pretest-posttest design. The participants were 30 middle-aged women who were divided into two groups, an experimental group (n = 16) who participated in the exercise program and a control group (n = 14). The exercise program was composed of gymnastic-ball exercises with RPE $12{\sim}13$ intensity, 50 minutes' duration and three times a week for 12 weeks from April 1 to June 30, 2008. The dependent variables (body composition, serum lipids, menopause symptoms, self-efficacy, and life satisfaction) were measured before and after exercise program. Results: There were statistically significant difference in weight (F=2.92, p=.049), percent body fat (F=4.22, p=.040), total cholesterol (F=2.63, p= .017) and high density lipoprotein (F=6.74, p= .015) between the two groups. Psychological menopausal symptoms also decreased significantly (F=7.01. p=.014) after the exercise in the experimental group. Conclusions: Regular gymnastic-ball exercises are helpful for menopausal women. They have positive effects not only on body composition and serum lipids but also on the decrease of menopausal symptoms. The results of this study suggest that gymnastic-ball exercise programs are effective in health promotion of Korean middle-aged women, and thus it is necessary to develop exercise programs for women.

• 대한한방내과학회지
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• 제40권1호
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• pp.154-163
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• 2019

Objective: We report on the administration progression and adverse event of Er-Xian decoction for menopausal hot flushes. A hot flush is a rapid and intense heat-dissipation reaction that involves considerable sweating, enlargement of the peripheral blood vessels, and internal body heat. Er-Xian decoction is a prescription for treating menopausal hot flush symptoms in postmenopausal women. We report administration progression and adverse event of Er-Xian decoction for menopausal hot flush. Methods: We used the Menopause Rating Scale and Menopause-Specific Quality of Life questionnaire to evaluate the progression of hot flushes, and we conducted a literature review to determine the effective dosage of Er-Xian decoction. Result: In all cases, Facial hot flushes and evaluation variables were improved by the administration of EXD. However, in Case 1, a rise of liver function indexes which may be related to EXD administration was observed. Conclusion: Considering that menopausal flushing usually lasts for several years, The resluts are meaningful that the short-term administration of EXD led to improvement of symptoms. In order to further use EXD in the future, it will be necessary to conduct follow-up studies on the subject of safety verification, such as repeated dose toxicity studies.

• 대한한방부인과학회지
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• 제24권1호
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• pp.87-98
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• 2011

Objectives: To evaluate the clinical use of Kupperman's Index, Menopausespecific quality of life questionnaire(MENQOL), Menopause Rating Scale(MRS) by comparison with the Subjective measures of hot flush. Methods: The participants were 107 women (45-60 yr) who were not currently on hormone therapy, and had reached hot flash scores of 10 or higher. The evaluating indexes of this trial are hot flush score, hot flush VAS, Hot flush consistence time, sweating VAS, Kupperman`s Index, Menopause-specific quality of life questionnaire (MENQOL), Menopause Rating Scale(MRS). Results: 1. The hot flush score, hot flush VAS, sweating VAS were significantly correlated with each other, but the Hot flush consistence time with no special relationship was found on Subjective measures of hot flush 2. The Kupperman's Index, Menopause-specific quality of life questionnaire (MENQOL) and Menopause Rating Scale(MRS) were significantly correlated with each other. 3. There was significant correlation between Subjective measures of hot flush and Menopause-specific quality of life questionnaire(MENQOL), Thus Menopausespecific quality of life questionnaire(MENQOL) is considered the most suitable on hot flush related research. Conclusions: There was significant correlation between Subjective measures of hot flush and Menopausal scale, thus the use of various indicators are needed for the assessment of climacteric symptoms.

• 대한한방부인과학회지
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• 제26권4호
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• pp.213-222
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• 2013

Purpose: The purpose of this study is to evaluate the effects of Gyejigabuja-tang on a menopausal female patient complained of excessive sweating after bilateral salpingo-oophorectomy (BSO). Methods: We studied one menopausal female patient complained of excessive sweating who visited OO University Hospital from 10th July 2013 to 23th July 2013. We only treated her with Gyejigabuja-tang. The climacteric symptoms of the patient had been estimated with Numeric Rating Scale (NRS) and Menopause Rating Scale (MRS). Results: After treatment, climacteric symptoms were improved and the score of MRS was reduced from 20 to 10 during 12days. NRS score of sweating was reduced from 10 to 2. NRS scores of fatigue, hot flush, thirst, anorexia, dyspepsia, back pain and cramp of calves also reduced after treatment. Conclusions: This study suggests that Gyejigabuja-tang significantly reduced the climacteric symptoms of patient.