이행이론을 기반으로 한 폐경이행모형
A menopausal transition model based on transition theory
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to construct a hypothetical model based on Meleis and colleagues’ Transition Theory and a literature review to explain women’s menopausal transition, constructing a modified model considering previous studies and model fit and testing the effects between variables.Methods: With a correlational survey design, middle-aged Korean women aged 40 to 64 years who had experienced menopausal symptoms were recruited and filled out a self-administered study questionnaire. Measures included menopausal symptoms, resilience, social support, menopause management, menopause adaptation, and quality of life. The data were analyzed using SPSS 24.0 and AMOS 24.0.Results: The model fit indices were considered acceptable: χ2/degree of freedom=2.93, standardized root mean residual=.07, comparative fit index=.90, and parsimonious normed fit index=.73. All eight direct-effect paths—from menopausal symptoms to support and adaptation, from support to adaptation and resilience, from resilience to adaptation and management, from management to quality of life, and from adaptation to quality of life—were significant. The explanatory power of the menopause transition model was 63.6%.Conclusion: Women who experience menopausal symptoms may be able to maintain and improve their quality of life if menopause management and menopause adaptation are successful through resilience and social support. Future research is needed to confirm whether strengthening facilitation as a nursing intervention strategy may promote healthy response patterns.
Abstract
Purpose: The purpose of this study was to construct a hypothetical model based on Meleis and colleagues’ Transition Theory and a literature review to explain women’s menopausal transition, constructing a modified model considering previous studies and model fit and testing the effects between variables.Methods: With a correlational survey design, middle-aged Korean women aged 40 to 64 years who had experienced menopausal symptoms were recruited and filled out a self-administered study questionnaire. Measures included menopausal symptoms, resilience, social support, menopause management, menopause adaptation, and quality of life. The data were analyzed using SPSS 24.0 and AMOS 24.0.Results: The model fit indices were considered acceptable: χ2/degree of freedom=2.93, standardized root mean residual=.07, comparative fit index=.90, and parsimonious normed fit index=.73. All eight direct-effect paths—from menopausal symptoms to support and adaptation, from support to adaptation and resilience, from resilience to adaptation and management, from management to quality of life, and from adaptation to quality of life—were significant. The explanatory power of the menopause transition model was 63.6%.Conclusion: Women who experience menopausal symptoms may be able to maintain and improve their quality of life if menopause management and menopause adaptation are successful through resilience and social support. Future research is needed to confirm whether strengthening facilitation as a nursing intervention strategy may promote healthy response patterns.
참고문헌 (37)
- 홍은영, "건강한 폐경이행 구조모형", Journal of Korean Academy of Nursing, 45(1), pp.64~75 (2015), 한국간호과학회
- 이은주, "중년여성의 완경기 적응에 영향을 미치는 요인", 여성건강간호학회지, 24(4), pp.336~345 (2018), 한국여성건강간호학회[DOI]
- 김장흡, "폐경이행기 여성에서 Inhibin A와 Inhibin B의 혈중농도와 난소에서의 발현변화", Obstetrics & Gynecology Science, 46(12), pp.8~8 (2003), 대한산부인과학회
- 이정화, "중년여성의 갱년기 증상과 삶의 질의 관계에 대한 인지기능의 매개효과", 한국산학기술학회논문지, 15(7), pp.4439~4448 (2014), 한국산학기술학회[DOI]
- 양경미, "중년여성의 우울, 생활스트레스 및 회복탄력성이 삶의 질에 미치는 영향", 가정간호학회지, 22(2), pp.300~309 (2015), 한국가정간호학회
- 김경희, "중년여성의 삶의 질에 영향을 미치는 요인", Journal of The Korean Data Analysis Society, 18(1), pp.497~508 (2016), 한국자료분석학회
- 염영란, "요실금 중년여성의 삶의 질 구조모형", 기본간호학회지, 28(1), pp.43~55 (2021), 기본간호학회[DOI]
- 김애경, "중년여성의 양생과 건강관련 삶의 질", 여성건강간호학회지, 16(3), pp.297~306 (2010), 한국여성건강간호학회
- 김문정, "산후조리와 폐경기 적응이 중년여성의 삶의 질에 미치는 영향", 여성건강간호학회지, 20(1), pp.62~71 (2014), 한국여성건강간호학회
- Min SK, "Development of Korean version of WHO quality of life scale abbreviated version(WHOQOL-BREF)", J Korean Neuropsychiatr Assoc, 39(3), pp.571~579 (2000)
- 이용미, "중년여성의 건강증진 생활양식에 영향을 미치는 요인", 한국콘텐츠학회 논문지, 14(10), pp.570~582 (2014), 한국콘텐츠학회[DOI]
- Song AR, "An analysis of the relationship between climacteric symptoms and management of menopause in middle-aged women", J Korean Acad Soc Nurs Educ, 7(2), pp.308~322 (2001)
- 김경원, "중년여성의 갱년기 위기 적응 경험", Crisisonomy, 13(2), pp.45~55 (2017), (사)위기관리이론과실천[DOI]
- 윤정화, "폐경기 중년여성이 경험하는 심리적 현상연구", 상담학연구, 14(4), pp.2195~2212 (2013), 한국상담학회[DOI]
- 김애정, "한국 성인의 삶의 질과 양생과의 관련성", 동서간호학연구지, 14(2), pp.8~15 (2008), 동서간호학연구소
- Karen L. Schumacher, "Transitions: A Central Concept in Nursing", Image: the Journal of Nursing Scholarship, 26(2), pp.119~127 (1994), Wiley[DOI]
- Afaf Ibrahim Meleis, "Experiencing Transitions: An Emerging Middle-Range Theory", Advances in Nursing Science, 23(1), pp.12~28 (2000), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Connor KM, "Development of a new resilience scale : the Connor-Davidson Resilience Scale(CD-RISC)", Depress Anxiety, 18(2), pp.76~82 (2003)[DOI]
- 조현민, "부인암 환자의 우울, 가족지지가 회복탄력성에 미치는 영향", 한국웰니스학회지, 10(4), pp.183~195 (2015), 한국웰니스학회
- 양정하, "항암화학요법을 받는 유방암 환자의 극복력 구조모형", Journal of Korean Academy of Nursing, 46(3), pp.327~337 (2016), 한국간호과학회
- 장경문, "유방암 생존여성의 신체변화스트레스, 우울 및 사회적 적응에 대한 심리적 탄력성의 조절효과", 스트레스 硏究, 19(2), pp.165~174 (2011), 대한스트레스학회
- 김연순, "중년기 기혼 여대생의 가족지지와 자아분화가 대학생활 적응에 미치는 영향", 한국가족복지학, 19(1), pp.55~80 (2014), 한국아동가족복지학회[DOI]
- Eun-Ok Im, "A Situation-Specific Theory of Korean Immigrant Women's Menopausal Transition", Image: the Journal of Nursing Scholarship, 31(4), pp.333~338 (1999), Wiley[DOI]
- The Whoqol Group, "The World Health Organization quality of life assessment (WHOQOL): Development and general psychometric properties", Social Science & Medicine, 46(12), pp.1569~1585 (1998), Elsevier BV[DOI]
- "MRS-the Menopause Rating Scale developed by the Berlin Center for Epidemiology and Health Research" (2008)[URL]
- Yu JP, "The concept and understanding of structural equation modeling", pp.567~ (2012), Hannare Publishing Co
- Klaas Heinemann, "The Menopause Rating Scale (MRS) scale: a methodological review", Health and Quality of Life Outcomes, 2(1), pp.45~ (2004), Springer Science and Business Media LLC[DOI]
- Laura Campbell-Sills, "Psychometric analysis and refinement of the connor–davidson resilience scale (CD-RISC): Validation of a 10-item measure of resilience", Journal of Traumatic Stress, 20(6), pp.1019~1028 (2007), Wiley[DOI]
- 정소연, "코너 - 데이비드슨 탄력성 척도의 타당도 및 요인구조: 한국 노인을 대상으로", 한국노년학, 36(2), pp.315~330 (2016), 한국노년학회
- Park JW, "A study to development a scale of social support", pp.1985
- 김유식, "여가스포츠 참여 퇴직 남성의 사회적지지, 자아존중감, 우울 및 행복의 관계", 박사, 체육학과 체육학전공, pp.2014
- Ae Ri Song, "Development of and Educational Program for the Management of Menopause and It's Effect", Journal of Korean Academy of Nursing, 28(2), pp.280~ (1998), Korean Society of Nursing Science[DOI]
- Choi NY, "A study on the degree of knowledge of menopause and management of menopausal women", Korean J Women Health Nurs, 4(3), pp.402~415 (1998)
- 배경의, "폐경기 적응 측정 도구 개발", 박사, 간호과학, pp.2006
- Park HS, "Life stress, life satisfaction, and adaptation of middle-aged women in the menopause period", Korean Parent-Child Health J, 13(2), pp.55~62 (2010)
- 소인숙, "Pender의 모형을 적용한 유방암 환자의 건강증진행위 예측요인", 한국산학기술학회논문지, 18(3), pp.258~269 (2017), 한국산학기술학회[DOI]
- 김영화, "중년여성의 갱년기 극복력에 대한 융복합 연구", 디지털융복합연구, 16(5), pp.373~383 (2018), 한국디지털정책학회[DOI]