• Women's Health Nursing
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• v.7 no.4
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• pp.642-656
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• 2001

The purpose of this study is to find the difference of the climacteric symptoms and quality of life according to hormone replacement therapy (HRT) in climacteric women. The research design was a descriptive survey with questionaries. A convenience sample of 181 climacteric women aged 45-65 who had climacteric symptoms were selected in Kwangju city, Korea. Sixty-six climacteric women among those subjects were receiving HRT at K university hospital in Kwangju city. Data were collected by the interview with questionaries from Feb 3. 1999 to March 25, 1999. Climacteric symptoms were measured using scores developed by Neugarten(1965) and modified by Park(1989), and the quality of life scale related to climacteric symptoms developed by Hildtich(1996) and modified Kim(1998). Data were analyzed by $x^2$-test, t-test, ANOVA and Pearson's correlation procedures, using SAS/win PC+. The results were as follows ; 1. No statistically significant differences were found between the receiving HRT group and not receiving HRT group in demographic, obstetrical and health related characteristics. 2. There were no significant difference on the climacteric symptoms between the group of women receiving HRT (score 2.4) and the group of women who were not (score 2.6) except psychological area (t= 2.407, p= 0.017). 3. The quality of life of the group of women receiving HRT was significantly higher than that the group of women who were not (t=2.151, p=.032). 4. The quality of life of the group of women receiving HRT were high scores There were significantly high of the quality of life in the vaso-motor change area (t=2.634, p= 0.009), psycho-social change area (t=3.239, p=0.001), and physical change area (t=2.031, p=0,043) in the group of receiving HRT compared to not receiving HRT group. 5. The variables showed significantly differences on the degree of climacteric symptoms of the group of women not receiving HRT were the subjective health state (t=15.81, p=0.000), age (t=7.50, p=0.007), feeling of menopause (t=30.88, p=0,000) and climacteric periods (t=8.66, p=0.003), and receiving HRT were number of para (t=3.95, p=0.050) and feeling of menopause (t=3.94, p=0.050). 6. The variables showed significantly difference on the quality of life of the group of women not receiving HRT were the subjective health state (t=4.14, p=0.044) and feeling of menopause (t=10.86, p=0.001). 7. There were significantly positive correlations between the climacteric symptoms and the quality of life in climacteric women (r=0.512, p=0.000).

• Journal of Korean Public Health Nursing
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• v.17 no.2
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• pp.224-237
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• 2003

Purpose : This study was designed to describe the relationship on climacteric symptom and health behavior according to hormone replacement therapy (HRT) in climacteric women. Method : Data were collected through self-reported questionaries which were constructed to include a climacteric symptom and health behaviors of climacteric women. The subjects for this study were 135 climacteric women between 45-65 years of age living in Kuri city. Among them. 65 were in the experimental group and the other 70 were in the control group. The data were analyzed by descriptive statistics, t-test, $x^2-test$, ANOVA, and Pearson Correlation Coefficient. Results : The results were as follows 1) There was no significant difference on the climacteric symptom between the group of women receiving HRT and those who did not (t=1.973, p=0.162). 2) The mean health behavior score for the group of women receiving HRT was significantly higher than those who did not(t=2.557, p=0.042). 3) The climacteric symptom and health behavior were positively correlated (r=.289, p=0.015) in women receiving HRT, while these were negatively correlated (r=-.242, p=0.043) in women without HRT. 4) Women in the HRT group showed higher climacteric symptom than the those In the control group in most items. 5) The mean score for health behavior was 2.76 in the hormone replacement therapy group and 2.35 for the control group. 6) For women in the experimental group, climacteric symptom was significantly different by the level of education (F=7.371, p=.001). 7) For women in the control group, climacteric symptom was significantly different by the number of children (F=2.873, p=.044), the level of education (F=5.616, p=.006), the number of abortion (F=3.231, p=.015), and the status of menstruation (F=4.129, p=.020). 8) For women in the experimental group, health behavior was significantly different by the level of education (F=7.351, p=.001), frequency of exercise (F=8.106, p=.000), and the status of menstruation (F=3.446, p=.032), 9) For women in the control group, health behavior was significantly different by frequency of the exercise (F=7.381, p=.001). Conclusion : This study results indicated that there was no association between the HRT and climacteric symptoms, while there was positive correlations between the HRT and health behavior. Therefore. it is assumed that HRT increases the positive health behavior of women.

• Women's Health Nursing
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• v.6 no.4
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• pp.465-476
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• 2000

The purpose of this study was to investigate the relationship between climacteric symptoms and depression of middle-aged women. Data were collected from Jul. 1 to Jul. 31, 2000 by a structured questionnaire. The Subjects were 102 middle-aged women who non-hysterectomized and ranged in age from 40 to 59. The instruments were the climacteric symptoms scale developed by Neugarten and depression scale developed by Zung. The Data were analyzed by the SPSS/PC+ program using t-test, ANOVA and Pearson Correlation Coefficient. The results of the study were as follows ; 1. Mean score of climacteric symptoms was 0.72. 2. There were statistically significant differences in the score of middle-abed women's self reported climacteric symptoms according to the age(F=3.13, P<0.05), and times of pregnancy(F=3.24, P<0.05). 3. Mean score of depression scale was 49.2. About 39% of the women displayed a variety depression symptoms. 4. Women's degree of climacteric symptoms showed a positive correlation with the degree of depression(r= 0.5393, P<0.001). This study shows possible implication for nursing intervention of middle-aged women's health to prevent and relieve climacteric symptoms.

• Journal of East-West Nursing Research
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• v.17 no.1
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• pp.40-47
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• 2011

Purpose: The purpose of this study was to investigate the effects of an integrated management program on climacteric symptoms and depression in middle-aged women. Methods: A nonequivalent control-group design was used. The subjects consisted of 65 middle-aged women with climacteric symptoms. The experimental group (n=33) participated in the program for six 60-min sessions. To measure the climacteric symptoms and depression level of the subjects, two self-reporting questionnaires were used. Data were analyzed using SPSS Statistics 17.0 program. Results: The women in the experimental group reported the average score of 13.80 in climacteric symptoms, 14.38 in depression. The hypothesis that the climacteric symptoms of experimental group would be reduced more than that of the control group was supported (t=3.92, p<.001): physical symptoms (t=4.04, p<.001); psychological symptoms (t=1.80, p=.077); sexual symptoms (t=2.85, p=.006). The second hypothesis that the degree of depression of the experimental group who used the integrated climacteric symptoms management program would be reduced more than that of the control group was also supported (t=2.30, p=.02). Conclusion: The integrated management program for middle-aged women with climacteric symptoms was effective in reducing their climacteric symptoms and depression level.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.10 no.3
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• pp.283-291
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• 2003

Purpose: This study was conducted to identify the relationship between climacteric symptoms and sexual satisfaction in middle-aged women. Method: Self-selection was used to recruit, for the study, 272 middle-aged women between 40 and 59 years of age from 2 metropolitan areas and 2 provinces in Korea. The questionnaire included information on demographic characteristics, climacteric symptoms and sexual satisfaction. Result: The results are as follows: 1. The mean/item climacteric symptom score was 1.91 and the mean sexual satisfaction score was 38.19.2. Climacteric symptoms were significantly influenced by age, education, economic status, frequency of abortions and menopausal status. Sexual satisfaction was influenced significantly by age, education, economic status and menopausal status. 3. There was a significant negative correlation between climacteric symptoms and sexual satisfaction (r=-.24, p =.0002). Conclusion: Sexuality should be considered when developing nursing strategies for middle-aged women, especially when dealing with climacteric symptoms.

• Women's Health Nursing
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• v.21 no.3
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• pp.197-206
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• 2015

Purpose: The purpose of this study was to examine the effects of light therapy on sleep disturbance and depression in climacteric women with menopausal symptoms. Methods: The research design was a nonequivalent control group pre test-post test design. Data were collected from September 29, 2013 to November 11, 2013. Participants included 17 climacteric women in an artificial light therapy group, 17 climacteric women in a sun light therapy group and 16 climacteric women in a control group. Measures consisted of the sleep disturbance, depression, melatonin, and serotonin. Results: There was a statistically significant difference of Korean Sleep Scale A (F=53.87, p<.001), and melatonin (F=31.19, p<.001) among three groups. There was a statistically significant difference of Self-Rating Depression Scale (F=121.86, p<.001), and serotonin (F=102.37, p<.001) among three groups. Conclusion: Artificial and sun light therapy can be applied as a supportive nursing intervention to subjects with sleep disturbance and depression in climacteric women with menopausal symptoms. Artificial and sun light therapy is expected to be a complementary alternative intervention for health management of the subjects with sleep disturbance and depression in climacteric women with menopausal symptoms.

• Journal of agricultural medicine and community health
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• v.33 no.3
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• pp.335-345
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• 2008

= ABSTRACT = Objectives: The purpose of this study were to examine the level of climacteric symptom, coping and depression among middle-aged women and to identify the relationship between climacteric symptom, coping and depression. Methods: A descriptive correlational study was conducted. The participants were 275 middle-aged women visiting obstetrics and gynecology hospital in one metropolitan city. Data were collected using a self-administered questionnaire. Descriptive statistics, ANOVA and Pearson correlation were used for data analysis. Results: The mean climacteric symptom score was .54, the mean depression score was .74 and the mean coping score was .35. The level of climacteric symptom, depression and coping were slightly lower than those of other studies. There were positive relationships between climacteric symptom and depression and between climacteric symptom and coping. Conclusions: To promote physical and emotional health of middle-aged women, more attention is necessary to decrease their climacteric symptom and depression. These results can be used for nursing intervention and care programs for creating better quality of life for middle-aged women.

• Women's Health Nursing
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• v.8 no.2
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• pp.278-288
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• 2002

Purpose : This quasi-experimental study was to examine the effects of aromatherapy massage on depression, self-esteem, and climacteric symptoms in the middle aged women. Method : Sixty-two middle aged women participated. Aromatherapy massage was conducted two times a week for 20 minutes for 6 weeks by the massage therapist. Face to face interviews with depression, climacteric symptoms, and self-esteem assessment were done at the pretest and posttest. Result : 1) Score of depression decreased significantly after the use of aromatherapy massage. 2) Score of self-esteem did not change significantly after the use of aromatherapy massage. 3) Score of climacteric symptoms decreased significantly after the use of aromatherapy massage. Conclusion: Aromatherapy massage was effective to reduce depression and climacteric symptom in middle aged women.

• Journal of the East Asian Society of Dietary Life
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• v.16 no.5
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• pp.533-541
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• 2006

The purpose of this study was to investigate the relation between climacteric symptoms and intakes of various nutrients, phytoestrogens and foods in postmenopausal women. We conducted anthropometric measurements, questionnaire interview and 24hr dietary recall for 3 days in 128 postmenopausal women aged $49{\sim}64$. The subjects were divided into the two groups, NCMS(non climacteric symptoms group) and CMS(climacteric symptoms group), according to the severity of the climacteric symptoms. There were no significant difference in anthropometric measurements, maternal factors(menarche age, menopause age), subjective health status, frequency of exercise, smoking and drinking status between the two groups. The Mg and lignan precusor intakes of the NCMS group were significantly higher than those of the CMS group. Mg, lignan precusor, pulse and seed intakes had negative correlations with the severity of climacteric symptoms. From this study results, Mg, phytoestrogen(especially some lignan) and some food groups like as pulse and seeds may prevent and reduce climacteric symptoms in postmenopausal women.

• Korean Journal of Adult Nursing
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• v.18 no.2
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• pp.251-260
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• 2006

Purpose: This study was undertaken in order to examine the factors related to sexual satisfaction in climacteric women. Method: This was a descripitive correlation study. The subjects were 544 women in climacteric stage. Data were analyzed a using of descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression with a SPSS WIN11.0. Results: The predictors of sexual satisfaction were age, education, marital status, family income, number of delivery, hormone therapy, body image, state anxiety, trait anxiety, spouse support. These factors explained 57.6% of the total variance. Conclusion: These finding suggest the need to develope nursing strategy to improve the sexual satisfaction in climacteric women. To improve the climacteric women's sexual satisfaction, the above major influencing factors should be considered.