• 한국학교ㆍ지역보건교육학회지
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• 제25권2호
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• pp.45-57
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• 2024

목적: 본 연구의 목적은 인공폐경이 갑상선암, 유방암, 자궁경부암 진단에 미치는 영향을 규명하여, 여성의 암 예방과 조기진단을 위한 기초자료를 제공하는 것이다. 방법: 2011년-2020년 국민건강영양조사 원시자료를 이용하여 분석하였다. 2011년-2020년 국민건강영양조사 조사대상자 79,262명 중 남성, 18세 이하, 80세 이상, 건강설문 미참여자, 결측치, 폐경 상태가 아닌 자를 제외하고 10,207명을 최종 연구대상자로 선정하였다. 이 중 갑상선암 진단자 248명(2.7%), 유방암 진단자 225명(2.2%), 자궁경부암 진단자 143명(1.5%)으로 나타났다. 결과: 첫째, 갑상선암 진단군과 비진단군 간에 교육수준, 출산경험, 폐경유형에 따라 차이가 있는 것으로 나타났다. 둘째, 유방암 진단군과 비진단군 간에 교육수준, 폐경 연령, 임신경험, 출산경험, 주관적 건강상태, 폐경유형에 따라 차이가 있는 것으로 나타났다. 셋째, 자궁경부암 진단군과 비진단군 간에 폐경 연령, 주관적 건강상태, 폐경유형에 따라 차이가 있는 것으로 나타났다. 넷째, 자연폐경에 비해서 인공폐경의 경우 여성의 진단 확률은 갑상선암이 2.010배, 유방암이 3.872배, 자궁경부암이 14.902배 증가하는 것으로 나타났다. 결론: 갑상선암, 유방암, 자궁경부암 모두에서 자연폐경에 비해서 인공폐경의 경우에 암 진단 확률이 증가하므로 암의 예방을 위하여 인공폐경을 경험하지 않도록 하는 것이 중요할 것으로 생각된다.

• 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.

• 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.

• 한국보건간호학회지
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• 제4권2호
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• pp.15-23
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• 1990

This study was carried out to explore the illness-related activities of the menopaused women. To achieve such a purpose, sixty-six cases of the middle aged women were sampled the naturally and the artificially menopaused group respectively from 1st, Aug. to 31th, Aug. in 1988. For the collection of data, 1, 140 women aged between 45-54 were selected through stratified sampling techniques in urban and rural area. Among them the final subjects for analysis were restricted to only those who had experienced menopause naturally or artificially. And then, after control for age and education analysis was performed. The data was analysed by use of frequency, percentage, $X^2-test,$ t-test, Pearson correlation coefficiency and stop-wise multiple regression. The obtained results were as follows. I. As for the se1f-perception on menopausal symptoms, it was revealed than Korean women, neithe in naturally and artificially, accepted the change of menstruation itself as serious. This shows us that middle-aged women had positively receptive attitudes that the change of menstruation is follwed by amenorrhea. 2. The artificially menopaused group scored more than the naturally one: (I) on the self-control activities such as self-assessment, lay-consultation, fever check, pulse check and observation of vagina discharge, (2) on the self-decision activities such as hospital and pharmacy utilization, (3) on the self maintenance activities such as walking, aerobic, weight check, skin care, skin protect, calori control diet control, milk intake, vegetable intake, cold water drinking before meal, parasol use and BP check The above results lead us that the self care practices of the menopaused women revealed' coping wit I menopausal symptoms at the first level in community and must be developed by the adequate nursin intervention.

• 근관절건강학회지
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• 제30권3호
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• pp.179-188
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• 2023

Purpose: This study was conducted to investigate the prevalence and related factors of metabolic syndrome in postmenopausal adult women in South Korea. Methods: Data of 678 postmenopausal adult women aged 19 to 64 were collected from the Eighth Korea National Health and Nutrition Examination Survey in 2021 and analyzed by a complex sampling design using SPSS 20.1. Results: The prevalence of metabolic syndrome in postmenopausal adult women was 25.8%. The prevalence was 1.93 times (confidence interval [CI]=1.15~3.25, p=.014) higher for high school graduates, 2.55 times (CI=1.33~4.91, p=.005) higher for middle school graduates, and 2.90 times (CI=1.36~6.15, p=.006) higher for elementary school graduates, compared to college graduates. It was found that artificial menopausal women had 2.74 times (CI=1.18~6.38, p=.020) higher prevalence than natural menopausal women. In addition, women who perceived their health as bad were 1.90 times (CI=1.14~3.16, p=.014) higher than women who perceived their health as good, and women who did not muscle exercise more than twice a week had 1.87 times (CI=1.05~3.34, p=.034) higher prevalence than women who did muscle exercise. Conclusion: Therefore, in order to effectively prevent and manage metabolic syndrome in postmenopausal adult women, a focus must be placed on vulnerable groups to manage these factors.

• Asian Pacific Journal of Cancer Prevention
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• 제15권6호
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• pp.2675-2680
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• 2014

Background: To investigate differentiated thyroid cancer risk factors in natives of French Polynesia is of interest because of the very high incidence of this cancer in the archipelago. Materials and Methods: To assess the role of various potential risk factors of thyroid cancer in the natives of French Polynesia we performed a case-control study. The study included almost all the French Polynesians diagnosed with differentiated thyroid carcinoma between 1981 and 2003 (n=229) and 373 French Polynesian control individuals from the general population without cancer. Results: Thyroid radiation dose received from nuclear fallout before the age of 15, a personal history of neck or/and head medical irradiation, obesity, tallness, large number of children, an artificial menopause, a familial history of thyroid cancer, a low dietary iodine intake, and having a spring as the main source of drinking water were found to be significant risk factors. No roles of smoking habits, alcohol consumption, iodine containing drugs, and exposure to pesticides were evidenced. Conclusions: Except for smoking, differentiated thyroid carcinoma risk factors in natives of French Polynesia are similar to those in other populations. Our finding on the role of having a spring as a drinking water origin is coherent with some other studies and could be due to geological factors.

• 여성건강간호학회지
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• 제7권4호
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• pp.536-546
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• 2001

The purposes of this descriptive study were to identify the prevalence rate of urinary incontinence(UI) and the differences in frequency of incontinent and normal women by general characteristics, obstetrical history, and the conditional events for urinary incontinence of the elderly women in a community. By the results of this study, it is intended to provide nursing practice guidelines for incontinent women. The research design of this study was a preliminary descriptive study. The 173 subjects were 55 years old and over, and resided in a small city area. Data were collected from June 20 to July 20, 2001, by an interview or a self-report with questionaire. The questionaire was composed of items of general characteristics, obstetrical characteristics, and conditions of UI by the modified Henderickon's Stress Incontinence Scale(1981). The results were summariezed as follows: 1. The UI prevalence rate of the sample was 64.2%. Of the incontinent women, 31.5% had experienced UI for a period of three to five years, and 84.7% had never treated or managed their UI. Frequency of UI was once or twice times per month(46.8%). 2. The total mean of UI on the scale in the incontinent women was 25.50 of 85, ranging from 18 to 41. 3. The most frequent condition of UI was coughing, followed by laughing, sneezing, heavy exercise, and preparation of urination in descending order. 4. There were significant differences in age, education, social activity, and urinary difficulty between the incontinent women and the normal women. 5. There were significant differences in frequency of spontaneous abortion, age of menopause between the incontinent women and the normal women. 6. There were no significant differences in number of delivery, frequency of artificial abortion, age of the last delivery, and postal health management between the incontinent women and the normal women. In conclusion, the incidence of UI in this study was high, but there were no effective treatments or management. It is suggested to provide the adult women with knowledge about UI, and to educate preventive behavior and control skill of urinary incontinence. Also episodes of urinary incontinence were high in the situation of sudden increase of abdominal pressure. This data can be used for the prevention strategy of urinary incontinence, In future research it is recommended to identify comprehensive factors related to urinary incontinence including psychosocial factors, and effective strategies of urinary incontinence.