Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
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Effects of Sanhujori and Menopausal Adaptation on Health-related QOL in Middle-aged Women

산후조리와 폐경기 적응이 중년여성의 삶의 질에 미치는 영향

  • Received : 2014.01.24
  • Accepted : 2014.03.18
  • Published : 2014.03.31
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Abstract

Purpose: This study investigated the effects of menopausal adaptation and Sanhujori (Korean traditional postnatal care) on the Health-related quality of life in middle-aged women. Methods: Women aged from 45 to 60 completed questionnaires consisting of SF-36 ver. 2 and menopausal adaptation scale between July to Aug, 2013. Two hundred and eighteen participants' data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple regression. Results: Physical health ($69.5{\pm}15.1$) was better than mental health ($68.8{\pm}17.1$), and bodily pain and social functioning were the same results as 2009 general U.S. population, with the sub-variables of quality of life being lower. Menopausal adaptation was at moderate level, and correlation of its sub-variables with quality of life were significant: fatigue (r=.60, p<.001), accomplishing feeling (r=.55, p<.001), confidence (r=.54, p<.001), dryness (r=.51, p<.001), flush (r=.38, p<.001), dominance (r=-.36, p<.001), stability (r=.26, p<.001). Fatigue, confidence, stability, period of sanhujori, and dryness revealed as influencing quality of life, while the total variation explained by these components was at 52%. Conclusion: To improve quality of life of middle aged women, health care providers need to provide nursing intervention to relieve fatigue and dryness; and address psychosocial concerns with developing nursing strategies to improve stability and confidence. For post-partum women, enough periods of sanhujori needs to be recommended.

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References

  1. Park HS. Effects of soybean foods intake on menopausal symptoms, serum hormones, serum lipids, and bone metabolism in middle-aged women [dissertation]. Seoul: Ewha Womans University; 2003.
  2. Bae KE. Instrument development for adaptation of women in the menopause period [dissertation]. Seoul: Ewha Womans University; 2006.
  3. The Korean Society of Menopause. Management of menopausal women. Seoul: Koonja; 2007.
  4. Leboeuf FJ, Carter SG. Discomfort of the perimenopause. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 1996;25(2):173-180. https://doi.org/10.1111/j.1552-6909.1996.tb02422.x
  5. Ha JY. A study on the menopausal symptoms and quality of life in middle aged women [master's thesis]. Seoul: Ewha Womans University; 2002.
  6. Lu SY, Tseng HF, Lin LL, Luh WM, Shu BC. Factors related to depression during menopause; A study in southern Taiwan. The Journal of Nursing Research. 2009;17(2):128-135. https://doi.org/10.1097/JNR.0b013e3181a53f82
  7. Park HS, Kim JA. Adaptation to menopause and use of yangsaeng in middle-aged Korean women. Korean Journal of Women Health Nursing. 2010;16(1):1-9. https://doi.org/10.4069/kjwhn.2010.16.1.1
  8. Chun HR, Kang MA, Jung-Choi KH, Cho SI. A qualitative study on health perception in older women. Korean Women's institute. 2010;27(2):3-41.
  9. Kim TK, Yoo EK. A correlational study on the level of importance & performance of postpatal care and its relationship with women's health status. Korean Journal of Women Health Nursing. 1998;4(2):145-161.
  10. Yoo EK. A study on the relationship between women's health status and the experience of Sanhujori, the Korean traditional non-professional postpartal care. Journal of Korean Academy of Nursing. 1998;36(5):74-90.
  11. Yoo EK, Kim MH. Middle aged women's related factors to climacteric symptoms and coping pattern: The relationship with Sanhujori. Korean Journal of Women Health Nursing. 1999; 5(2):230-246.
  12. Chun CJ, Yoo EK. An ethnographic research on the phenomenon of women's utilization of the Zzimzilbang, a type of sauna in Korea. Journal of Korean Academy of Nursing. 1997;27 (4):961-974.
  13. Makai P, Brouwer WB, Koopmanschap MA, Stolk EA, Nieboer AP. Quality of life instruments for economic evaluations in health and social care for older people: A systematic review. Social Science & Medicine. 2014;102:83-93. https://doi.org/10.1016/j.socscimed.2013.11.050
  14. Han SH. A study on the menopausal symptoms, menopausal management and quality of life in middle aged women [master's thesis]. Seoul: Ewha Womans University; 2003.
  15. Kim YH, Ha EH, Shin SJ. A study on the menopausal symptoms and quality of life in middle aged women. Journal of Korean Academy of Nursing. 2003;33(5):601-608. https://doi.org/10.4040/jkan.2003.33.5.601
  16. Yeo JH. Correlational study on management of menopause, marital satisfaction, and quality of life in middle-aged women. Journal of Korean Academy of Nursing. 2004;34(2):261-269. https://doi.org/10.4040/jkan.2004.34.2.261
  17. Ware JE, Kosinski M, Dewey JE. How to score version 2 of the SF-36 health survey. Providence: Quality Metric Incorporated; 2001.
  18. Chung MS. Resilience, coping methods, and quality of life in middle-aged women. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2011;20(4):345-354. https://doi.org/10.12934/jkpmhn.2011.20.4.345
  19. Stoker MJ, Dunbar GC, Beaumont G. The SmithKline Beecham 'quality of life' scale: A validation and reliability study in patients with affective disorder. Quality of Life Research. 1992; 1(6):385-395. https://doi.org/10.1007/BF00704433
  20. Noh YJ. An analytical study of the quality of life of the middle- aged in Seoul [dissertation]. Seoul: Yonsei University; 1988.
  21. Park HS, Kim AJ, Bae KE. Life stress, life satisfaction, and adaptation of middle-aged women in the menopause period. Korean Parent-Child Health Journal. 2010;13(2):55-62.
  22. Brashers VL. Clinical applications of pathophysiology. St. Louis: Mosby; 2002.
  23. Fuh JL, Wang SJ, Lee SJ, Lu SR, Juang KD. Quality of life and menopausal transition for middle-aged women on Kinmen island. Quality of life Research. 2003;12(1):53-61. https://doi.org/10.1023/A:1022074602928
  24. Cloninger CR, Svrakic DM. Integrative psychobiological approach to psychiatric assessment and treatment. Psychiatry. 1997;60(2):120-141. https://doi.org/10.1080/00332747.1997.11024793
  25. Garcia D, Nima AA, Archer T. International note: Temperament and character's relationship to subjective well-being in Salvadorian adolescents and young adults. Journal of Adolescence. 2013;36(6):1115-1119. https://doi.org/10.1016/j.adolescence.2013.08.018
  26. An JS, Chae KM. A study regarding the relationships among stress, personality characteristics, and depression: Focusing on the moderating effect of self directedness. The Korean Journal of Health Psychology. 2007;12(4):813-832. https://doi.org/10.17315/kjhp.2007.12.4.009
  27. Koo BJ. The influence of resilience, hope, marital intimacy, and family support on quality of life for middle-aged women. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2008;17(4):421-430.

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