산후조리와 폐경기 적응이 중년여성의 삶의 질에 미치는 영향
Effects of Sanhujori and Menopausal Adaptation on Health-related QOL in Middle-aged Women
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Purpose: This study investigated the effects of menopausal adaptation and Sanhujori (Korean traditional postnatalcare) on the Health-related quality of life in middle-aged women. Methods: Women aged from 45 to 60 completedquestionnaires consisting of SF-36 ver. 2 and menopausal adaptation scale between July to Aug, 2013. Two hundredand eighteen participants’ data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficientand multiple regression. Results: Physical health (69.5±15.1) was better than mental health (68.8±17.1),and bodily pain and social functioning were the same results as 2009 general U.S. population, with the sub-variablesof quality of life being lower. Menopausal adaptation was at moderate level, and correlation of its sub-variables withquality of life were significant: fatigue (r=.60, p<.001), accomplishing feeling (r=.55, p<.001), confidence (r=.54,p<.001), dryness (r=.51, p<.001), flush (r=.38, p<.001), dominance (r=-.36, p<.001), stability (r=.26, p<.001). Fatigue, confidence, stability, period of sanhujori, and dryness revealed as influencing quality of life, while the totalvariation explained by these components was at 52%. Conclusion: To improve quality of life of middle aged women,health care providers need to provide nursing intervention to relieve fatigue and dryness; and address psychosocialconcerns with developing nursing strategies to improve stability and confidence. For post-partum women, enoughperiods of sanhujori needs to be recommended.
Abstract
Purpose: This study investigated the effects of menopausal adaptation and Sanhujori (Korean traditional postnatalcare) on the Health-related quality of life in middle-aged women. Methods: Women aged from 45 to 60 completedquestionnaires consisting of SF-36 ver. 2 and menopausal adaptation scale between July to Aug, 2013. Two hundredand eighteen participants’ data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficientand multiple regression. Results: Physical health (69.5±15.1) was better than mental health (68.8±17.1),and bodily pain and social functioning were the same results as 2009 general U.S. population, with the sub-variablesof quality of life being lower. Menopausal adaptation was at moderate level, and correlation of its sub-variables withquality of life were significant: fatigue (r=.60, p<.001), accomplishing feeling (r=.55, p<.001), confidence (r=.54,p<.001), dryness (r=.51, p<.001), flush (r=.38, p<.001), dominance (r=-.36, p<.001), stability (r=.26, p<.001). Fatigue, confidence, stability, period of sanhujori, and dryness revealed as influencing quality of life, while the totalvariation explained by these components was at 52%. Conclusion: To improve quality of life of middle aged women,health care providers need to provide nursing intervention to relieve fatigue and dryness; and address psychosocialconcerns with developing nursing strategies to improve stability and confidence. For post-partum women, enoughperiods of sanhujori needs to be recommended.
참고문헌 (27)
- Park HS, "Effects of soybean foods intake on menopausal symptoms, serum hormones, serum lipids, and bone metabolism in middle-aged women", pp.2003
- Bae KE, "Instrument development for adaptation of women in the menopause period", pp.2006
- The Korean Society of Menopause, "Management of menopausal women" (2007), Koonja
- Leboeuf FJ, "Discomfort of the perimenopause", Journal of Obstetric, Gynecologic, and Neonatal Nursing, 25(2), pp.173~180 (1996)
- Ha JY, "A study on the menopausal symptoms and quality of life in middle aged women", 석사, pp.2002
- Lu SY, "Factors related to depression during menopause; A study in southern Taiwan", The Journal of Nursing Research, 17(2), pp.128~135 (2009)
- 박혜숙, "중년여성의 폐경기 적응과 양생실천 정도", 여성건강간호학회지, 16(1), pp.1~9 (2010), 여성건강간호학회
- 천희란, "여성 노인의 건강인식에 관한 질적 연구", 여성학논집, 27(2), pp.3~41 (2010), 한국여성연구원
- Kim TK, "A correlational study on the level of importance & performance of postpatal care and its relationship with women's health status", Korean Journal of Women Health Nursing, 4(2), pp.145~161 (1998)
- Yoo EK, "A study on the relationship between women's health status and the experience of Sanhujori, the Korean traditional non-professional postpartal care", Journal of Korean Academy of Nursing, 36(5), pp.74~90 (1998)
- Yoo EK, "Middle aged women's related factors to climacteric symptoms and coping pattern: The relationship with Sanhujori", Korean Journal of Women Health Nursing, 5(2), pp.230~246 (1999)
- Chun CJ, "An ethnographic research on the phenomenon of women's utilization of the Zzimzilbang, a type of sauna in Korea", Journal of Korean Academy of Nursing, 27(4), pp.961~974 (1997)
- Makai P, "Quality of life instruments for economic evaluations in health and social care for older people: A systematic review", Social Science & Medicine, 102, pp.83~93 (2014)
- Han SH, "A study on the menopausal symptoms, menopausal management and quality of life in middle aged women", 석사, pp.2003
- 김영혜, "중년여성의 폐경증상과 삶의 질", Journal of Korean Academy of Nursing, 33(5), pp.601~608 (2003), 한국간호과학회
- 여정희, "중년여성의 폐경관리와 결혼만족도, 삶의 질과의 관계 연구", Journal of Korean Academy of Nursing, 34(2), pp.6~261 (2004), 한국간호과학회
- Ware JE, "How to score version 2 of the SF-36 health survey" (2001), Quality Metric Incorporated
- 정명실, "중년 여성의 극복력, 스트레스 대처방식 및 삶의 질", 정신간호학회지, 20(4), pp.345~354 (2011), 정신간호학회
- Stoker MJ, "The SmithKline Beecham 'quality of life' scale: A validation and reliability study in patients with affective disorder", Quality of Life Research, 1(6), pp.385~395 (1992)
- Noh YJ, "An analytical study of the quality of life of the middle-aged in Seoul", pp.1988
- Park HS, "Life stress, life satisfaction, and adaptation of middle-aged women in the menopause period", Korean Parent-Child Health Journal, 13(2), pp.55~62 (2010)
- Brashers VL, "Clinical applications of pathophysiology" (2002), Mosby
- Fuh JL, "Quality of life and menopausal transition for middle-aged women on Kinmen island", Quality of life Research, 12(1), pp.53~61 (2003)
- Cloninger CR, "Integrative psychobiological approach to psychiatric assessment and treatment", Psychiatry, 60(2), pp.120~141 (1997)
- Garcia D, "International note: Temperament and character's relationship to subjective well-being in Salvadorian adolescents and young adults", Journal of Adolescence, 36(6), pp.1115~1119 (2013)
- 안정숙, "스트레스, 성격특성과 우울증간의 관계에 관한 연구: 자기 주도성의 조절효과를 중심으로", 한국심리학회지: 건강, 12(4), pp.813~832 (2007), 한국건강심리학회
- 구본진, "중년 여성의 극복력, 희망, 부부친밀감 및 가족지지가 삶의 질에 미치는 영향", 정신간호학회지, 17(4), pp.421~430 (2008), 정신간호학회