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Türkiye'de Sağlığı Geliştirme Eğitim ve Danışmanlık Programının kadınlarda menopozal belirtilerin azaltılmasına yönelik etkisi

Year 2019, Volume: 44 Issue: 3, 850 - 860, 30.09.2019
https://doi.org/10.17826/cumj.487852

Abstract

Amaç: Bu çalışma menopozal dönemdeki kadınlara Pender’in Sağlığı Geliştirme modeli doğrultusunda uygulanan Sağlığı Geliştirme Eğitim ve Danışmanlık Programının menopozal belirtilerin giderilmesine etkisini belirlemeyi amaçlamıştır.
Gereç ve Yöntem: Bu çalışma ön test ve son test kontrol gruplu yarı deneysel bir araştırmadır. Çalışmanın ilk aşamasında, menopoz semptomlarının şiddetini belirlemek için 401 menopoz dönemindeki kadına Sosyodemografik Bilgi Formu (SIF) ve Menopoz Semptomlarını Değerlendirme Ölçeği (MSDÖ) uygulanmıştır. Çalışmanın ikinci aşamasında, yoğun menopoz semptomları olan kadınlar randomize olarak iki gruba ayrılmıştır. Deney grubu, Sağlığı Geliştirme Eğitim ve Danışmanlık Programı grubu, diğer grup ise kontrol grubu olarak belirlenmiştir. 32 menopozal kadın girişim, 32 menopozal kadın kontrol grubunda yer almıştır. Menopoz Derecelendirme Ölçeği (MSDÖ), Sağlıklı Yaşam Davranışları Ölçeği II (SYBDÖ II) ve Özetkililik-Yeterlilik Ölçeği her iki grupa da ön test olarak uygulanmıştır. Sağlığı Geliştirme Eğitim ve Danışmanlık Programı, deney grubuna iki kez birer hafta ara ile uygulanmış ve seanslar dört haftada tamamlanmıştır.
Bulgular: Eğitimden sonra, deney grubundaki menopozdaki kadınların toplam MSDÖ skorları ve alt boyut puanlarında istatistiksel olarak anlamlı bir düşüş belirlenmiştir.
Sonuç: Sağlığı Geliştirme Eğitim ve Danışmanlık Programının menopoz belirtilerin şiddetini azaltmada etkili olduğu belirlenmiştir.

References

  • 1. World Health Organizaton WHO Scientific Group. Research on Menopause in the 1990s. Report of a WHO Scientific Group. 1996.
  • 2. Koç Z, Sağlam Z. The Determination of The Symptom and The Attitudes of Women in Climacterium Period Related to Menopause. Aile ve Toplum. 2008;4:100-112.
  • 3. Moilanen J, Aalto AM, Hemminki E, Arod AR, Luotob R. Prevalence of menopause symptoms and their association with lifestyle among Finnish middle-aged women. Maturitas. 2010;67:368-374. Avaliable: doi: 10.1016/j.maturitas.2010.08.007.
  • 4. Anderson D, Posner N. Relationship between psychosocial factors and health behaviours for women experiencing menopause. Int J Nurs Pract. 2002;8:265-273. doi:10.1046/j.1440-172X.2002.00376.x.
  • 5. Tortumluoğlu G. The impact of planned health education given to climacteric women on the menopozal symtoms and attitude and health behaviours. [dissertation]. Erzurum: Atatürk University; 2003.
  • 6. Rotem M, Kushnir T, Levine R, Ehrenfeld M. A psycho-educational program for improving women's attitudes and coping with menopause symptoms. JOGNN. 2005;34:233-240. doi: 10.1177/0884217504274417.
  • 7. Fahimeh S, Mirghafourvand M, Momeni K. Health Promoting Behaviors Among Postmenopausal Women in Langroud City, Iran. International Journal of Women’s Health and Reproduction Sciences. 2015;3:158–162. doi 10.15296/ijwhr.2015.3.
  • 8. Sehhatie F, Mirghafourvand M, Momeni K. Health promoting behaviors among postmenopausal women in langroud city, Iran. International Journal of Women’s Health and Reproduction Sciences. 2015; 3:158–162. doi 10.15296/ijwhr.2015.33.
  • 9. Gold EB, Sterbfeld B, Kelsey JL, Brown C, Mouton C, Reame N, et. al. Relation of demographic and lifestyle factors to symptoms in a multiracial/ethnic population of women 40–55 years of age. Am J Epidemiol. 2000;152:463–473. doi:10.1093/aje/152.5.463.
  • 10. Whiteman MK, Staropoli CA, Langenberg PW, McCarter RJ, Kjerulff KH, Flaws JA. Smoking, body mass, and hot flashes in midlife women. Obstet Gynecol. 2003;101:264–272.
  • 11. Col NF, Cuthrie JR, Politi M, Dennerstein L. Duration of vasomotor symptoms in middle- aged women: a longitudinal study. Menopause. 2009;16:453–457. doi:10.1097/gme.0b013e31818d414e.
  • 12. Anderson D, Seib C, McGuire A, Porter-Steele J. Decreasing menopausal symptoms in women undertaking a web-based multi-modal lifestyle intervention: The Women's Wellness Program. Maturitas. 2015;81:69–75. doi: 10.1016/j.maturitas.2015.02.263.
  • 13. Thurston RC, Sowers MR, Sutton-Tyrrell K, Everson-Rose SA, Lewis TT, Edmundowicz D, et. al. Abdominal adiposity and hot flashes among midlife women. Menopause. 2008;15:429–434. doi: 10.1097/gme.0b013e31815879cf.
  • 14. Al-Safi ZA, Polotsky AJ. Obesity and menopause. Best Pract Res Clin Obstet Gynaecol. 2015;29:548–553. doi: 10.1016/j.bpobgyn.2014.12.002.
  • 15. Ertem KG, Şirin A. Menopoz polikliniğine başvuran kadınların menopoza ilişkin yakınmalarına verilen planlı eğitimin etkinliğinin incelenmesi. Menopoz polikiliniğine başvuran kadınların menopoza ilişkin yakınmalarına verilen planlı eğitimin etkinliğinin incelenmesi. I. Uluslar Arası-VIII. Ulusal Hemşirelik Kongresi. Kongre Kitabı. Antalya. 256-259.
  • 16. Nazari M, Farmani S, Kaveh MH, Ghaem H. The Effectiveness of Lifestyle Educational Program in Health Promoting Behaviors and Menopausal Symptoms in 45-60-Year-Old Women in Marvdasht, Iran. Glob J Health Sci. 2016;10:55414. doi: 10.5539/gjhs.v8n10p34.17. Pender NJ, Walker NS, Sechrıst RK, Strombog FM. Predicting health–promoting lifestyles in the workplace. Nurs Res. 1990;39:326–332.
  • 18. Altunbay D, Yurdakul M. The Menopausal Complaining And Coping Solutions İn The Climacteric Women. Journal of Ege University School of Nursing. 2009;25:43-60.
  • 19. Bahar Z, Açıl D. Health Promotion Model: Conceptual Structure. DEUHYO ED. 2014;7:59-67.
  • 20. Turkish Statistical Institute (TSI) (2014). 2014 Cause of Death Statistics. Ankara: Turkish Statistical Institute. Accessed November 7, 2016. http://www.tuik.gov.tr/PreHaberBultenleri.do?id=18855.
  • 21. Sümbüloğlu V, Sümbüloğlu K. Sağlık bilimlerinde araştırma yöntemleri. 7th Edition. Ankara: Hatiboğlu Publications; 2013.
  • 22. The Turkish Women's Health Survey 2014. Women's Health Research Report. T.C. Ministry of Health Access: https://www.saglik.gov.tr/ Accessed March 09, 2016.
  • 23. Gürkan ÖC. The Validity And Reliability Of Turkish Versıon Of Menopouase Ratıng Scale. Hemşirelik Forumu Dergisi 2005; 30-35.
  • 24. Çelik AS, Pasinlioğlu T. Women’s Menopausal Sypmtoms and Factors Affecting it During Climacteric Period. Journal of Hacettepe University Faculty of Nursing. 2014;1:16-29.
  • 25. Esin N. Promotion and determination of health behaviours of the workers who work in the industry. [dissertation]. İstanbul: İstanbul University; 1997.
  • 26. Tortumluoğlu G, Erci B. The Effectiveness Of Planned Health Education Given To Climacteric Women On Menopausal Sypmtoms, Menopausal Attitude and Health Behaviours. Journal of Atatürk University School of Nursing. 2004;7:48-58.
  • 27. Bahar Z, Beşer A, Gördes N, Ersin F, Kıssal A. Healthy Life Style Behavior Scale II:A Reliability And Validity Study. Journal of Cumhuriyet University School of Nursing. 2008;12:1-12.
  • 28. Pınar G, Pınar T, Dogan N, Karahan A, Algıer L, Abbasoglu A, et. al. Osteoporosis risk factors in the women over 45-years old. Dicle Med J. 2009;36:258-266.
  • 29. Gözüm S, Aksayan S. The Relıabıllty And Valldıty Of Turkısh Form Of The Self-Effıcacy Scale. Journal of Atatürk University School of Nursing. 1999;2:21-34.
  • 30. Uludağ A, Güngör Çakır AN, Gencer M, Şahin EM, Coşar E. Another period of women’s life: menopause and its impact on quality of life. Turkish Journal of Family Practice. 2014;18:25-30.
  • 31. Çoban A, Nehir S, Demirci H, Özbaşaran F, İnceboz Ü. The Impact on Menopausal Symptoms of Marital Adjustment and Attitude Toward Menopausal of Married Women in The Climacteric Period. Journal of Fırat University Health Sciences. 2008;6:343-349.
  • 32. Nalbant AM. Menopozal Semptomlar İle Cinsel Yaşam Arasındaki İlişkiler. [dissertation]. Aydın: Adnan Menderes University; 2009.
  • 33. Özgür N. Menoposal symptoms experienced by women in climacteric period and its management. [dissertation]. İstanbul: Marmara University; 2007.
  • 34. Garcia CL, Gómez-Calcerrada SG. Cognitive-Behavioral Intervention among Women with Slight Menopausal Symptoms: A Pilot Study. The Spanish Journal of Psychology. 2011;14:344-355.
  • 35. Imayama I, Alfano CM, Kong A, Foster-Schubert KE, Bain CE, Xiao L, et. al. Dietary weight loss and exercise interventions effects on quality of life in overweight/obese postmenopausal women: A randomized controlled trial. I Int J Behav Nutr Phys Act. 2011;8:118:2-12. doi: 10.1186/1479-5868-8-118.
  • 36. Boğa Mumcu N. The effect of home education given to women with surgical menopause in accordance with roy's adaptation model on menopausal symptom control, depression, social support and quality of life. [dissertation]. Erzurum: Atatürk University; 2013.
  • 37. Sehhatieshafaie F, Mirghafourvand M, Jafari M. Effect of Education through Support Group on Early Symptoms of Menopause: A Randomized Controlled Trial. J Caring Sci. 2014;3:247-256. doi: 10.5681/jcs.2014.027.
  • 38. Patel V, Koshy S, Ravindra HN. Effectiveness Of Structured Teaching Programme On Knowledge Regarding Menopausal Symptoms And Its Management Among Women. IOSR, J Nurs Health Sci. 2014;3:22-26.
  • 39. Kim IK, Choi HM, Kim MH. Menopausal Knowledge and Management in Peri-menopausal Women. J Korean Soc Menopause. 2012;18:124-131. doi:10.6118/jksm.2012.18.2.124.
  • 40. Rindner L, Strömme G, Nordeman L, Hange D, Gunnarsson R, Rembeck G. Reducing menopausal symptoms for women during the menopause transition using group education in a primary health care setting-a randomized controlled trial. Maturitas. 2017; 98:14-19. doi: 10.1016/j.maturitas.2017.01.00

Effect of Health Promoting Lifestyle Education Program on reducing the menopausal symptoms of women in Turkey

Year 2019, Volume: 44 Issue: 3, 850 - 860, 30.09.2019
https://doi.org/10.17826/cumj.487852

Abstract

Purpose: This study aimed to determine the effect of health-promoting lifestyle education given to menopausal women in accordance with Pender’s Health Promoting Model (HPM) on reducing the menopausal symptoms.

Materials and Methods: This study is a semi-experimental research with pre-test and post-test control groups. In the first stage of the study, Socio-demographic Information Form (SIF) and Menopause Rating Scale (MRS) were applied to 401 menopausal women to determine the severity of their menopausal symptoms. In the second phase of the study, women with intense menopausal symptoms were randomly divided into two groups. 32 menopausal women in initiative group and 32 menopausal women were in the control group. One group, the experimental group, received Health-Promoting Lifestyle Education (HPLE), while the other group was the control group. Menopause Rating Scale (MRS), Health Promoting Lifestyle Profile II (HPLP II), and Self-Efficacy Scale (SES) were applied as pretests in both groups. Health-promoting lifestyle education was given to the experimental group twice with a one-week break between the sessions and the sessions were completed in four weeks.

Results: Statistically significant decreases were found in the total MRS scores and subdimension scores of the menopausal women in experimental group after the education.

Conclusion: Health-promoting lifestyle education was found to be effective in reducing the severity of menopausal symptoms.


References

  • 1. World Health Organizaton WHO Scientific Group. Research on Menopause in the 1990s. Report of a WHO Scientific Group. 1996.
  • 2. Koç Z, Sağlam Z. The Determination of The Symptom and The Attitudes of Women in Climacterium Period Related to Menopause. Aile ve Toplum. 2008;4:100-112.
  • 3. Moilanen J, Aalto AM, Hemminki E, Arod AR, Luotob R. Prevalence of menopause symptoms and their association with lifestyle among Finnish middle-aged women. Maturitas. 2010;67:368-374. Avaliable: doi: 10.1016/j.maturitas.2010.08.007.
  • 4. Anderson D, Posner N. Relationship between psychosocial factors and health behaviours for women experiencing menopause. Int J Nurs Pract. 2002;8:265-273. doi:10.1046/j.1440-172X.2002.00376.x.
  • 5. Tortumluoğlu G. The impact of planned health education given to climacteric women on the menopozal symtoms and attitude and health behaviours. [dissertation]. Erzurum: Atatürk University; 2003.
  • 6. Rotem M, Kushnir T, Levine R, Ehrenfeld M. A psycho-educational program for improving women's attitudes and coping with menopause symptoms. JOGNN. 2005;34:233-240. doi: 10.1177/0884217504274417.
  • 7. Fahimeh S, Mirghafourvand M, Momeni K. Health Promoting Behaviors Among Postmenopausal Women in Langroud City, Iran. International Journal of Women’s Health and Reproduction Sciences. 2015;3:158–162. doi 10.15296/ijwhr.2015.3.
  • 8. Sehhatie F, Mirghafourvand M, Momeni K. Health promoting behaviors among postmenopausal women in langroud city, Iran. International Journal of Women’s Health and Reproduction Sciences. 2015; 3:158–162. doi 10.15296/ijwhr.2015.33.
  • 9. Gold EB, Sterbfeld B, Kelsey JL, Brown C, Mouton C, Reame N, et. al. Relation of demographic and lifestyle factors to symptoms in a multiracial/ethnic population of women 40–55 years of age. Am J Epidemiol. 2000;152:463–473. doi:10.1093/aje/152.5.463.
  • 10. Whiteman MK, Staropoli CA, Langenberg PW, McCarter RJ, Kjerulff KH, Flaws JA. Smoking, body mass, and hot flashes in midlife women. Obstet Gynecol. 2003;101:264–272.
  • 11. Col NF, Cuthrie JR, Politi M, Dennerstein L. Duration of vasomotor symptoms in middle- aged women: a longitudinal study. Menopause. 2009;16:453–457. doi:10.1097/gme.0b013e31818d414e.
  • 12. Anderson D, Seib C, McGuire A, Porter-Steele J. Decreasing menopausal symptoms in women undertaking a web-based multi-modal lifestyle intervention: The Women's Wellness Program. Maturitas. 2015;81:69–75. doi: 10.1016/j.maturitas.2015.02.263.
  • 13. Thurston RC, Sowers MR, Sutton-Tyrrell K, Everson-Rose SA, Lewis TT, Edmundowicz D, et. al. Abdominal adiposity and hot flashes among midlife women. Menopause. 2008;15:429–434. doi: 10.1097/gme.0b013e31815879cf.
  • 14. Al-Safi ZA, Polotsky AJ. Obesity and menopause. Best Pract Res Clin Obstet Gynaecol. 2015;29:548–553. doi: 10.1016/j.bpobgyn.2014.12.002.
  • 15. Ertem KG, Şirin A. Menopoz polikliniğine başvuran kadınların menopoza ilişkin yakınmalarına verilen planlı eğitimin etkinliğinin incelenmesi. Menopoz polikiliniğine başvuran kadınların menopoza ilişkin yakınmalarına verilen planlı eğitimin etkinliğinin incelenmesi. I. Uluslar Arası-VIII. Ulusal Hemşirelik Kongresi. Kongre Kitabı. Antalya. 256-259.
  • 16. Nazari M, Farmani S, Kaveh MH, Ghaem H. The Effectiveness of Lifestyle Educational Program in Health Promoting Behaviors and Menopausal Symptoms in 45-60-Year-Old Women in Marvdasht, Iran. Glob J Health Sci. 2016;10:55414. doi: 10.5539/gjhs.v8n10p34.17. Pender NJ, Walker NS, Sechrıst RK, Strombog FM. Predicting health–promoting lifestyles in the workplace. Nurs Res. 1990;39:326–332.
  • 18. Altunbay D, Yurdakul M. The Menopausal Complaining And Coping Solutions İn The Climacteric Women. Journal of Ege University School of Nursing. 2009;25:43-60.
  • 19. Bahar Z, Açıl D. Health Promotion Model: Conceptual Structure. DEUHYO ED. 2014;7:59-67.
  • 20. Turkish Statistical Institute (TSI) (2014). 2014 Cause of Death Statistics. Ankara: Turkish Statistical Institute. Accessed November 7, 2016. http://www.tuik.gov.tr/PreHaberBultenleri.do?id=18855.
  • 21. Sümbüloğlu V, Sümbüloğlu K. Sağlık bilimlerinde araştırma yöntemleri. 7th Edition. Ankara: Hatiboğlu Publications; 2013.
  • 22. The Turkish Women's Health Survey 2014. Women's Health Research Report. T.C. Ministry of Health Access: https://www.saglik.gov.tr/ Accessed March 09, 2016.
  • 23. Gürkan ÖC. The Validity And Reliability Of Turkish Versıon Of Menopouase Ratıng Scale. Hemşirelik Forumu Dergisi 2005; 30-35.
  • 24. Çelik AS, Pasinlioğlu T. Women’s Menopausal Sypmtoms and Factors Affecting it During Climacteric Period. Journal of Hacettepe University Faculty of Nursing. 2014;1:16-29.
  • 25. Esin N. Promotion and determination of health behaviours of the workers who work in the industry. [dissertation]. İstanbul: İstanbul University; 1997.
  • 26. Tortumluoğlu G, Erci B. The Effectiveness Of Planned Health Education Given To Climacteric Women On Menopausal Sypmtoms, Menopausal Attitude and Health Behaviours. Journal of Atatürk University School of Nursing. 2004;7:48-58.
  • 27. Bahar Z, Beşer A, Gördes N, Ersin F, Kıssal A. Healthy Life Style Behavior Scale II:A Reliability And Validity Study. Journal of Cumhuriyet University School of Nursing. 2008;12:1-12.
  • 28. Pınar G, Pınar T, Dogan N, Karahan A, Algıer L, Abbasoglu A, et. al. Osteoporosis risk factors in the women over 45-years old. Dicle Med J. 2009;36:258-266.
  • 29. Gözüm S, Aksayan S. The Relıabıllty And Valldıty Of Turkısh Form Of The Self-Effıcacy Scale. Journal of Atatürk University School of Nursing. 1999;2:21-34.
  • 30. Uludağ A, Güngör Çakır AN, Gencer M, Şahin EM, Coşar E. Another period of women’s life: menopause and its impact on quality of life. Turkish Journal of Family Practice. 2014;18:25-30.
  • 31. Çoban A, Nehir S, Demirci H, Özbaşaran F, İnceboz Ü. The Impact on Menopausal Symptoms of Marital Adjustment and Attitude Toward Menopausal of Married Women in The Climacteric Period. Journal of Fırat University Health Sciences. 2008;6:343-349.
  • 32. Nalbant AM. Menopozal Semptomlar İle Cinsel Yaşam Arasındaki İlişkiler. [dissertation]. Aydın: Adnan Menderes University; 2009.
  • 33. Özgür N. Menoposal symptoms experienced by women in climacteric period and its management. [dissertation]. İstanbul: Marmara University; 2007.
  • 34. Garcia CL, Gómez-Calcerrada SG. Cognitive-Behavioral Intervention among Women with Slight Menopausal Symptoms: A Pilot Study. The Spanish Journal of Psychology. 2011;14:344-355.
  • 35. Imayama I, Alfano CM, Kong A, Foster-Schubert KE, Bain CE, Xiao L, et. al. Dietary weight loss and exercise interventions effects on quality of life in overweight/obese postmenopausal women: A randomized controlled trial. I Int J Behav Nutr Phys Act. 2011;8:118:2-12. doi: 10.1186/1479-5868-8-118.
  • 36. Boğa Mumcu N. The effect of home education given to women with surgical menopause in accordance with roy's adaptation model on menopausal symptom control, depression, social support and quality of life. [dissertation]. Erzurum: Atatürk University; 2013.
  • 37. Sehhatieshafaie F, Mirghafourvand M, Jafari M. Effect of Education through Support Group on Early Symptoms of Menopause: A Randomized Controlled Trial. J Caring Sci. 2014;3:247-256. doi: 10.5681/jcs.2014.027.
  • 38. Patel V, Koshy S, Ravindra HN. Effectiveness Of Structured Teaching Programme On Knowledge Regarding Menopausal Symptoms And Its Management Among Women. IOSR, J Nurs Health Sci. 2014;3:22-26.
  • 39. Kim IK, Choi HM, Kim MH. Menopausal Knowledge and Management in Peri-menopausal Women. J Korean Soc Menopause. 2012;18:124-131. doi:10.6118/jksm.2012.18.2.124.
  • 40. Rindner L, Strömme G, Nordeman L, Hange D, Gunnarsson R, Rembeck G. Reducing menopausal symptoms for women during the menopause transition using group education in a primary health care setting-a randomized controlled trial. Maturitas. 2017; 98:14-19. doi: 10.1016/j.maturitas.2017.01.00
There are 39 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research
Authors

Derya Yüksel Koçak 0000-0001-6890-6755

Nezihe Kızılkaya Beji 0000-0002-6254-4412

Publication Date September 30, 2019
Acceptance Date January 13, 2019
Published in Issue Year 2019 Volume: 44 Issue: 3

Cite

MLA Koçak, Derya Yüksel and Nezihe Kızılkaya Beji. “Effect of Health Promoting Lifestyle Education Program on Reducing the Menopausal Symptoms of Women in Turkey”. Cukurova Medical Journal, vol. 44, no. 3, 2019, pp. 850-6, doi:10.17826/cumj.487852.