• Title/Summary/Keyword: 페경

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Diagnosis and Treatment of Menopause-Related Depression (폐경기 관련 우울증의 평가와 치료)

  • Yang, Su-Jin;Kim, Jae-Min
    • Korean Journal of Biological Psychiatry
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    • v.16 no.4
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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.

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Menopausal Symptoms according to Sasang Constitution and Menopausal Status among Perimenopause Women (폐경 전후 여성의 사상체질과 폐경상태에 따른 폐경증상)

  • Kim, Myoung-Hee
    • Women's Health Nursing
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    • v.18 no.1
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    • pp.28-37
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    • 2012
  • Purpose: The purpose of this study was to address the difference menopausal symptoms according to sasang constitution and menopausal status among perimenopausal women. Methods: Data for this cross-sectional study was collected by administering questionnaires that elicited general information. The menopause rating scale (MRS) and Questionnaire for the Sasang Constitution Classification II (QSCC II) was given to 284 perimenopausal women who met the eligibility criteria and agreed to participate in the study. Results: The study subjects were composed of 27.5% so-yangin, 24.6% so-eumin, 18.7% tae-eumin, and 29.6% undefined category. The total MRS and all subscales were significantly higher for postmenopausal women in comparison to premenopausal women. Especially, so-eumin and tae-eumin displayed significantly higher scores in urogenital symptoms. The MRS score in postmenopausal women who belonged to the group of tae-eumin and so-eumin was significantly higher than those for premenopausal women. However, so-yangin displayed higher scores in psychological and urogenital symptoms than tae-eumin for premenopausal women. So-eumin presented significantly higher scores in urogenital symptoms in comparison to the undefined category for postmenopausal women. Conclusion: These findings suggest that sasang constitution could be an important factor in understanding the woman's menopausal symptoms and identify the best treatment.

A Study on Hardiness, Knowledge of Menopause, Menopausal Management among Middle Aged Women (중년여성의 강인성, 폐경지식과 폐경관리에 관한 연구)

  • Shin, Hye-Sook;Kown, Sook-Hee
    • Women's Health Nursing
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    • v.5 no.2
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    • pp.247-261
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    • 1999
  • The purpose of this study was to figure out related factors to the self-reported climacteric symptoms and the relationship among the health promoting behaviors, climacteric symptoms and degree of Sanhujori, the Korean traditional postpartal care. A cross-sectional survey design was employed in this study. The subjects were 108 middle-aged women who were non-hystrectomized and ranged in age from 40 to 60 years. They were selected in seoul and Kyoung-ki province, Korea, Data were collected from Oct.25 Nov. 10, 1997 by a structured questionnaire. The instruments used for this study were the revised health Promotion Lifestyle(HPLP) developed by Walker, Sechrist & Pender, and revised Climacteric Symptoms Scale developed by Chi, Sung Ai. the data were analyzed by the SPSS/$PC^+$ program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows ; 1. The mean score of health promoting behaviors was low($2.42{\pm}0.35$). There were statistically significant differences in the score of health promoting behaviors according to the educational background, family income, marital satisfaction, whether or not taking a restorative food and degree of Sanhujori, especially the period (t=-2.07, F=2.60~7.57, p<0.05). 2. The mean score of score self-reported climacteric symptoms was 1.69%;99% of middle-aged women had symptoms. There were statically significant differences in the score of middle -aged women's self-reported climacteric symptoms according to the age, number of children, educational background, occupation, family income, marital satisfaction, whether or not receiving hormon replacement therapy (HRT) or consultation by a professional, perceived health status and self evaluation of Sanhujori(t=-2.04~3.69, F=2.87~11.63, p<0.05). 3. women's degree of Sanhujori was a positive correlation with health promoting behaviors(r=0.34, p=0.00) and negative correlation with the degree of self-reported climacteric symptoms(r=-0.19,p=0.03). 4. The influencing factors to the climacteric symptoms were self actualization, interpersonal support, and perceived health status among the health promoting behaviors with 57% of variance($R^2$=0.57). 5. The middle-aged women's type of coping pattern for the climacteric symptoms was classified as active behavioral coping, spiritual & psychological coping, and negative coping. In conclusion, to intervene the middle aged women's climacteric symptoms and develop nursing strategies for their health, health promoting behavior, especially ; self actualization, interpersonal support, and perceived health status should be considered. And, as the primary prevention strategy for women's health during the period of childbearing and also middle age, especially for the climacteric symptoms, Sanhujori should be reconsidered.

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Effects of Herbal Mixture Extracts Containing Angelica gigas Nakai and Cuscuta chinensis Lam. on Menopausal Symptoms in Ovariectomized Rats (당귀(Angelica gigas N.)와 토사자(Cuscuta chinensis Lam.)를 포함하는 생약 복합 추출물의 폐경 동물모델에서의 갱년기 증상 완화 효과)

  • Kim, Suji;Jang, Byung-Hyun;Chang, Seo-Hyuk;Kang, Hee;Park, Ki-Moon;Ahn, Duk Kyun;Kim, Soohyun;Kim, Sunmi;Seo, Daebang;Shin, Song Seok;Park, Kye Won
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.45 no.8
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    • pp.1083-1089
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    • 2016
  • During menopause, elderly woman experience physical and emotional symptoms, including hot flashes, night sweats, weight gain, vaginal dryness, and mood swings. In this study, we investigated the effects of mixed herbal extracts containing Angelica gigas Nakai and Cuscuta chinensis Lam. on menopause symptoms in ovariectomized (OVX) rats. Daily oral treatments of 500 mg/kg and 1,000 mg/kg in OVX rats for 8 weeks significantly reduced weight gain, inhibited hepatic lipid accumulation, and lowered serum lipid levels comparable to the effects induced by estradiol treatments. Mixed herbal extracts (named Jaeummidan) also prevented vaginal dryness as measured by increased vaginal weight. Increased vaginal weight was associated with enlarged epithelium thickness. These data show the preventive actions of Jaeummidan against menopause symptoms and further suggest the possibility of developing functional ingredients in elderly human populations experiencing menopause symptoms.

The Relationship between Menopausal Symptoms, Perceived Awareness of Menopausal Symptom, Menopausal Attitude and Menopausal Management in Middle Age Women (중년여성의 폐경 증상, 폐경증상에 대한 주관적 인식, 폐경태도 및 폐경관리와의 관계)

  • Kim, Sung Ju;Kim, Young Ran;Lee, Ok Suk;Choi, So Young
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.347-356
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    • 2021
  • The purpose of this study was to investigate the correlation between menopausal symptoms, perceived awareness of menopausal symptom, menopausal attitude and of menopausal management in middle aged women and to identify factors affecting menopausal symptoms. The subjects of study were 242 middle aged women who are living in G, J, K city and understood the research items and agreed to participate in the research. Data were collected from April 10 to May 30, 2019. Data were analyzed using t-test, ANOVA, Pearson's Correlation Coefficient and Stepwise Multiple Regression with SPSS/WIN 25.0. In this study, it was founded that perceived awareness of menopausal symptom(β=. 51, p<.001), menstruation status(β=. 23, p<.001), perceived health status(β=. 19, p=. 002), satisfaction of life(β=. 14, p=. 019) and religion(β=. 10, p=. 045) were found to be influential factors affecting menopausal symptoms in middle aged women. The most influential factor was perceived awareness of menopausal symptom. A nursing intervention program is needed to change positively the awareness of menopausal symptom.

Factors associated with health-related quality of life in Postmenopause over 10 Years Women Using National Health and Nutrition Examination Survey (국민건강영양조사를 활용한 폐경 여성의 삶의 질에 영향을 미치는 요인 ; 폐경 10년 이후 여성을 중심으로)

  • Jung, Sun-Kyung;Park, Keum-Ok;Lee, Yoon-Hee
    • Journal of the Korea Convergence Society
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    • v.13 no.4
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    • pp.553-560
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    • 2022
  • This study was conducted to identify the factors affecting the quality of life of women over 10 years after menopause using data from 2014 to 2019 of the National Health and Nutrition Examination Survey. The subjects were 6,330. The data were analyzed by frequency analysis, t-test and multiple regression analysis using SPSS 25. As a result of the study, the factors affecting the health-related quality of life of women 10 years after menopause were age(F=30.625, p<.001), educational level(F=20.106, p<.001), perceived health status(F=187.925, p<.001, activity limitation(t=201.051, p<.001), arthritis(t=91.131, p<.001), osteoporosis(t=4.709, p=.030), hand grip strength(t=22.151, p<.001), perceived stress(F=32.775, p<.001), and depression(t=20.117, p<.001). The factors accounted for 35.1%(F=110.393, p<.001). In order to improve the quality of life of postmenopausal women, it is necessary to continuously evaluate and improve the factors affecting the quality of life from the early menopause.

The Effect of Nutrition Education on Visceral Fat Reduction and Diet Quality in Postmenopausal Women (폐경 여성의 내장지방 및 식사의 질에 미치는 영양 교육의 효과)

  • Baek, Young-Ah;Kim, Ki-Nam;Lee, Yo-A;Chang, Nam-Soo
    • Journal of Nutrition and Health
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    • v.41 no.7
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    • pp.634-664
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    • 2008
  • This study investigated the effects of the nutrition education on body weight, visceral fat and diet quality in the postmenopausal women. The subjects (n = 101) were randomly divided into two groups: Nutrition education + Exercise (NEE) group (n = 51) and Exercise only (EO) group (n = 50). Nutrition education was consisted of counseling in portion control, food selection for low carbohydrate, high fiber food items and for the improvement in micronutrient intakes and diet quality. After 6 months, the reduction in the body weight and visceral fat area was significantly greater in the NEE than in the EO group. The NEE subjects were further divided into two groups according to the amount of visceral fat area reduction; high visceral fat area loss (HVL) group with a visceral fat area reduction 2.35% or greater and low visceral fat area loss (LVL) group with a reduction less than 2.35%. In the HVL group, the reduction in body weight, BMI, percent body fat, waist to hip ratio and visceral fat area was significantly greater than that in the LVL group. We observed a significant increase in the serum HDL-cholesterol level and a decrease in systolic blood pressure, fasting blood sucrose, total and LDL-cholesterol levels in the HVL group compared to the LVL group. The energyadjusted protein, fiber, calcium, vitamin $B_6$, vitamin C, vitamin E intakes were significantly increased in the HVL compared to LVL group. The index of nutritional quality (INQ) and mean adequacy ratio (MAR) were also increased in the HVL group compared to the LVL group. These results show that our nutrition education program was an effective intervention measure for the reduction of body weight and visceral fat, blood pressure, glucose and lipid levels in the blood and also for the improvement of nutrient intake and diet quality in postmenopausal women who are overweight.