• 대한한방부인과학회지
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• 제29권4호
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• pp.1-12
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• 2016

Objectives: The purpose of this study is to analyze the correlation between the pulse energy and hot flush in women who complain of climacteric syndrome. Methods: We analyzed the values of pulse energy on 78 of perimenopausal and postmenopausal women. The symptoms of patients were assessed by Kupperman’s index (KI) and Menopause Rating Scale (MRS). Statistical analysis was performed by Spearman correlation coefficient and student T-test, using SPSS 18.0 for window program. Results: The results were as follows. 1. There were no statistically significant relation between pulse energy of left Cheok subtracted from left Chon and KI, MRS hot flush score. 2. When divided depending on MRS hot flush score, There were no statistically significant differences on pulse energy. Conclusions: The results suggest that there is no correlation between hot flush score and pulse energy.

• 대한한방부인과학회지
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• 제28권1호
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• pp.73-84
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• 2015

Purpose: The purpose of this study is to analyze the characteristics of the pulse energy in women who complain of climacteric and menopausal symptoms. Methods: We analyzed the values of pulse energy on 45 climacteric and menopausal women. The patients' symptoms were assessed by Kupperman's index and Menopause Rating Scale (MRS). Statistical analysis was performed using SPSS 18.0 for window program, one way ANOVA, pearson correlation coefficient. Results: The results were as follows. 1. The pulse energy of the Left Chon was significantly largest and Left Cheok was comparatively smallest. 2. There was no statistically significant correlation in the pulse energy of Left Chon minus Left Cheok, Kupperman's index, MRS total sum score. Conclusions: The results suggest that the pulse energy of the Left Chon tends to be increased and Left Cheok decreased in climacteric and menopausal women.

• 대한한방내과학회지
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• 제45권1호
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• pp.119-130
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• 2024

This case study reports on the effectiveness of Korean medicine treatment for menopausal hot flashes in stroke patients. During hospitalization, a female patient with medial medullary infarction was diagnosed with menopausal hot flashes and received treatment with traditional Korean medicine and acupuncture. The assessment was performed by monitoring daily habits to relieve hot flashes. The hot flash index, menopause rating scale (MRS), menopause-specific quality of life (MENQoL) questionnaire, and Kupperman index (KI) were also used. After 28 days of treatment, the hot flash index improved from 27 to 2, MRS improved from 11 to 2, MENQoL improved from 40 to 21, and KI improved from 22 to 6. Thus, this case suggests that Korean medicine treatment may be effective for menopausal hot flashes in stroke patients.

• 여성건강간호학회지
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• 제22권4호
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• pp.287-296
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• 2016

Purpose: This study identified the level of marital intimacy, menopausal symptom and sexual function, and examined factors affecting sexual function in postmenopausal married women. Methods: With cross-sectional survey, a sample of 245 subjects aged 45 to 60 years was recruited from January to March, 2014. Data were collected using self-reported questionnaires which included marital intimacy questionnaire (MIQ), menopause rating scale (MRS), and female sexual function index (FSFI). Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. Results: Marital intimacy, menopausal symptom and sexual function scores of subjects were $3.46{\pm}1.14$, $13.71{\pm}6.61$, and $12.55{\pm}8.33$, respectively. Marital intimacy and menopausal symptom were related to sexual function. Variables including marital intimacy, psychosocial and urogenital menopausal symptom, period since menopause and body mass index therapy explained 51.5% in sexual function of participants. Conclusion: When nurses plan sexual counseling and education for sexual function of postmenopausal married women, it is necessary to consider marital intimacy, menopausal symptoms, and menopause-related factors.

• 성인간호학회지
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• 제29권2호
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• pp.200-210
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• 2017

Purpose: The purpose of this study was to assess the relationship between menopausal symptoms and decline in cognitive functioning of menopausal women with mediating effects of health promoting behavior. Methods: Using a convenience sampling, 140 menopausal women were recruited for the cross-sectional survey. Data were collected by using the Menopause Rating Scale, Health Promoting Lifestyle Profile, Everyday Cognition, and Korean Mini-Mental State Examination. Results: The mean scores for menopausal symptoms, health promotion behavior, and subjective cognitive decline were 14.40, 153.79, and 67.40 respectively. Health promotion behavior was directly affected by menopausal symptom ($R^2=8%$). Cognitive decline was directly affected by menopausal symptom ($R^2=11%$). Menopausal symptom (${\beta}=.33$, p<.001) and health promotion behavior (${\beta}=.21$, p=.014) were found to be predictive factors in subjective cognitive decline and explained 14%. Health promotion behavior had a partial mediating effect in the relationship between menopausal symptom and perceived cognitive decline (Sobel test: Z=2.05, p=.040). Conclusion: Based on the findings of this study, developing nursing intervention programs focusing on decreasing menopausal symptoms and encouraging health promotion behavior are recommended to improve cognitive decline in menopausal 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.

• 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.

• 척추신경추나의학회지
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• 제3권2호
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• pp.53-60
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• 2008

Objectives : The aim of this study is to compare the improvement of Low back pain (LBP) depending on female inpatient's Bone mineral density (BMD) after menopause. Method : We evaluated 10 cases of normal and 25 cases of osteopenia and osteoporosis based on Bone mineral density test among the female inpatients with LBP who were after menopause, admitted at Jaseng Hospital of Oriental Medicine from January 2008 to August 2008. Result : Depending on the analysis of pathogenic cause, most were without specific reason and except that, overwork and lifting heavy weight were the most common reason. Using improvement-analysis based on treating period, the normal group showed higher decrease of Numerical Rating Scale (NRS) than osteopenia and osteoporosis group. Conclusion : Statically, among the female inpatients with LBP, who were after menopause, had no significant differences between the normal group and osteopenia and osteoporosis group's improvement rate, depending on treating period.

• 정신신체의학
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• 제17권2호
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• pp.52-61
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• 2009

연구목적 : 본 연구의 목적은 생식 노화 연령 연구(stages of reproductive aging workshop : STRAW)의 분류에 따른 초기와 후기 폐경후기에서의 폐경기 증상의 특징을 살펴보고 폐경기 증상의 심각도에 영향을 미치는 위험 요인들을 살펴보고자 하였다. 연구대상 및 방법 : 서울, 경기지역에 거주하는 비임상 표본인 41~59세의 497명의 자연폐경이 된 폐경후기 여성을 대상으로 초기 폐경후기 군과 후기 폐경후기 군으로 구분하였다. 삶의 질의 평가를 위해 폐경평가척도(menopause rating scale : MRS)가 사용되었다. MRS 점수, 인구사회학적 특징, 흡연, 음주 여부, 폐경 연령과 폐경에 대한 태도, 우울감, 월경 전 불쾌장애 병력 여부 등의 위험 요인을 초기와 후기 폐경후기간에 비교 조사하였다. 각 군에서 각각의 변인들을 독립변수로 하여 MRS에 대한 다중 회귀분석을 시행하였다. 결과 : 초기 폐경후기군에서 후기 폐경후기군에 비해 유의하게 더 심한 폐경기 증상, 폐경에 대한 부정적인 태도, 심한 우울감을 보였다. 안면홍조증상이 중등도 이상인 군은 경도 이하인 군보다 폐경기 증상의 호소와 우울감이 유의하게 높았고 폐경에 대한 태도는 부정적이었다. 폐경에 대한 태도와 우울감이 초기 폐경후기군과 후기 폐경후기군에서 모두 폐경기 증상의 심한 정도에 주요한 기여를 하였다. 초기 폐경후기군에서 연령, 폐경연령, 월경 전 불쾌장애 병력 여부가 폐경기 증상의 심각도에 유의하게 기여한 반면 후기 폐경후기군에서는 결혼상태, 직업여부가 폐경기 증상의 심각도에 기여하였다. 결론 : 폐경후기 여성의 삶의 질은 후기보다 초기에서 유의하게 낮은 것으로 나타났다. 삶의 질에 영향을 미치는 위험요인들 중 폐경에 대한 태도와 우울감은 초기와 후기 폐경후기의 삶의 질에 공통으로 유의한 영향을 미쳤으며 그 밖의 위험 요인들은 초기와 후기에 따라 다르게 나타나는 것으로 보인다. 향후에는 폐경기 증상 호소로 병원을 찾는 폐경후기 여성 환자들의 임상표본(clinical sample)을 대상으로 삶의 질과 위험 요인을 확립할 수 있는 연구가 필요할 것으로 사료된다.

• 동의신경정신과학회지
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• 제20권4호
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• pp.149-159
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• 2009

Objectives : This study was performed to report the effect of Korean traditional treatments for Hwa-Byung with menopausal symptoms. Methods : In this case, a 48 years old female patient has been suffered by Hwa-Byung with menopausal symptoms for 3 years old. We treated the patient with Korean traditional treatments (acupuncture, herb-medication and aroma theraphy), mindfulness and Korean traditional psychotherapy. The effects of treatment were measured by Beck Depression Inventory(BDI), Zung Depression Rating Scale(SDS), Kupperman Index(KI), Menopause Rating Scale(MRS). Results : After treatment, the chief complaints and accompanying symptoms were subsided and improved. And BDI, SDS, KI and MRS score were decreased. Conclusions : According to this study, the Korean traditional treatment such as acupuncture, herb-medication is effective for the cure of Hwa-Byung with menopausal symptoms.