폐경 여성의 삶의 질 영향요인
Factors influencing quality of life in post-menopausal women
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Purpose: This study aimed to identify factors influencing quality of life in post-menopausal women. Methods: The participants were 194 post-menopausal women who visited a women’s clinic in Changwon, Korea from July 1 to August 31, 2018, and completed questionnaires containing items on menopausal symptoms, marital intimacy, current menopausal hormone therapy (MHT), and quality of life. Collected data were analyzed by descriptive statistics, the independent t-test, Pearson correlation coefficients, and multiple regression using SPSS for Windows version 23.0. Results: Quality of life had a significant negative correlation with menopausal symptoms (r=–.40, p<.001), and a significant positive correlation with marital intimacy (r=.54, p<.001). The factors influencing the quality of life of post-menopausal women were current MHT (t=6.32, p<.001), marital intimacy (t=4.94, p<.001), monthly family income (t=4.78, p<.001), menopausal symptoms (t=–4.37, p<.001), and education level (t=3.66, p<.001). These variables had an explanatory power of 59.2% for quality of life in post-menopausal women. Conclusion: In order to improve the quality of life of post-menopausal women, nursing interventions are needed to help menopausal women choose appropriate MHT, alleviate menopausal symptoms, and increase marital intimacy. Interventions should also be prioritized for women of a low educational level and with a low income in consideration of their health problems.
Abstract
Purpose: This study aimed to identify factors influencing quality of life in post-menopausal women. Methods: The participants were 194 post-menopausal women who visited a women’s clinic in Changwon, Korea from July 1 to August 31, 2018, and completed questionnaires containing items on menopausal symptoms, marital intimacy, current menopausal hormone therapy (MHT), and quality of life. Collected data were analyzed by descriptive statistics, the independent t-test, Pearson correlation coefficients, and multiple regression using SPSS for Windows version 23.0. Results: Quality of life had a significant negative correlation with menopausal symptoms (r=–.40, p<.001), and a significant positive correlation with marital intimacy (r=.54, p<.001). The factors influencing the quality of life of post-menopausal women were current MHT (t=6.32, p<.001), marital intimacy (t=4.94, p<.001), monthly family income (t=4.78, p<.001), menopausal symptoms (t=–4.37, p<.001), and education level (t=3.66, p<.001). These variables had an explanatory power of 59.2% for quality of life in post-menopausal women. Conclusion: In order to improve the quality of life of post-menopausal women, nursing interventions are needed to help menopausal women choose appropriate MHT, alleviate menopausal symptoms, and increase marital intimacy. Interventions should also be prioritized for women of a low educational level and with a low income in consideration of their health problems.
참고문헌 (30)
- "Menopause" (2020)[URL]
- Kim YJ, "Prospective observational study on the risk factors for chronic disease in menopausal transition women", Public Health Wkly Rep, 10(3), pp.814~820 (2017)
- "Prospective population projection: life expectancy/nationwide" (2019)[URL]
- "The World Health Organization quality of life assessment (WHOQOL): Position paper from the World Health Organization", Social Science & Medicine, 41(10), pp.1403~1409 (1995), Elsevier BV[DOI]
- 김영지, "농촌지역 폐경여성의 호르몬요법에 따른 폐경증상과 삶의 질", 재활간호학회지, 16(1), pp.18~26 (2013), 한국재활간호학회[DOI]
- 최희정, "폐경", Korean Journal of Family Practice, 10(3), pp.158~163 (2020), 대한가정의학회[DOI]
- 조은하, "폐경여성의 폐경증상 정도에 따른 우울증상, 부부친밀감, 건강 관련 삶의 질", 글로벌 건강과 간호, 9(1), pp.1~9 (2019), 간호과학연구소[DOI]
- 김애경, "중년 여성의 폐경 경험에 대한 근거 이론적 접근", 기본간호학회지, 15(3), pp.321~331 (2008), 기본간호학회
- 전성욱, "열성 홍조와 기타 폐경 증상 및 폐경기 만성 질환과의 연관성", 대한폐경학회지, 19(2), pp.54~63 (2013), 대한폐경학회
- 구본진, "중년 여성의 극복력, 희망, 부부친밀감 및 가족지지가 삶의 질에 미치는 영향", 정신간호학회지, 17(4), pp.421~430 (2008), 한국정신간호학회
- 김수진, "중년여성의 부부친밀감, 우울과 갱년기 증상의 관계", 여성건강간호학회지, 19(3), pp.176~187 (2013), 한국여성건강간호학회
- 권대휘, "폐경 후 여성의 호르몬요법에 대한 최신 치료가이드라인", 대한의사협회지, 62(3), pp.145~149 (2019), 대한의사협회
- Shannon D. Sullivan, "Hormone replacement therapy in young women with primary ovarian insufficiency and early menopause", Fertility and Sterility, 106(7), pp.1588~1599 (2016), Elsevier BV[DOI]
- 선수경, "호르몬 대체 요법을 결정한 폐경 여성의 갈등과 관련요인", Korean Journal of Family Medicine, 27(8), pp.629~636 (2006), 대한가정의학회
- Himansu Waidyasekera, "Menopausal symptoms and quality of life during the menopausal transition in Sri Lankan women", Menopause, 16(1), pp.164~170 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Catherine A. Greenblum, "Midlife women: symptoms associated with menopausal transition and early postmenopause and quality of life", Menopause, 20(1), pp.22~27 (2013), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 김혜영, "폐경후기 기혼여성의 성기능 영향요인", 여성건강간호학회지, 22(4), pp.287~296 (2016), 한국여성건강간호학회[DOI]
- 김지순, "중년 이후 여성에서 삶의 질 저하에 영향을 미치는 요인: 폐경 형태와 대사증후군 위험요인을 중심으로", 여성건강간호학회지, 22(4), pp.275~286 (2016), 한국여성건강간호학회[DOI]
- Min SK, "Korean version of WHOQOL", pp.70~ (2008), Hana
- Sarrel PM, "Evaluation and management of postmenopausal patients", Female Patient, 20(Suppl 2), pp.27~32 (1995)
- Hyun Sook Jo, "A Comparative Study on Climacteric Symptoms of Natural Menopausal Women and Artificial Menopausal Women", Journal of Korean Academy of Nursing, 31(4), pp.692~702 (2001), Korean Society of Nursing Science[DOI]
- E. M. Waring, "The measurement of intimacy in marriage: The waring intimacy questionnaire", Journal of Clinical Psychology, 39(1), pp.53~57 (1983), Wiley[DOI]
- Sook Nam Kim, "A Structural model for Quality of Life in Women Having Hysterectomies", Journal of Korean Academy of Nursing, 29(1), pp.161~173 (1999), Korean Society of Nursing Science[DOI]
- Ogmi Kim, "The Climacteric Symptoms and Quality of Life in Climacteric Women according to Hormone Replacement Therapy", Korean Journal of Women Health Nursing, 7(4), pp.642~656 (2001), Korean Society of Women Health Nursing[DOI]
- Hong SS, "Analysis of drug compliance status for the hormone replacement therapy", Korean J Clin Pharm, 10(1), pp.7~12 (2000)
- "Medical guideline of menopausal hormone therapy" (2019)[URL]
- 최정순, "폐경기 여성의 호르몬 대체요법 여부에 따른 폐경과 노화에 대한 태도, 사회관계망 및 삶의 질 비교", Korean Journal of Health Promotion, 7(1), pp.24~31 (2007), 대한임상건강증진학회
- 정윤지, "호르몬 치료에 대한 한국 폐경 여성의 인식도 변화: Women’s Health Initiative 연구결과 발표 전과 7년 경과 후의 변화", 대한폐경학회지, 18(2), pp.94~99 (2012), 대한폐경학회[DOI]
- Lim HJ, "A comparative study on climacteric symptom and health behavior in climacteric women according to hormone replacement therapy(HRT)", J Korean Commun Health Nurs Acad Soc, 17(2), pp.224~237 (2003)
- The NAMS 2017 Hormone Therapy Position Statement Advisory Panel, "The 2017 hormone therapy position statement of The North American Menopause Society", Menopause, 24(7), pp.728~753 (2017), Ovid Technologies (Wolters Kluwer Health)[DOI]