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AWARENESS OF MENOPAUSE AND STRATEGIES TO COPE WITH MENOPAUSAL SYMPTOMS OF THE WOMEN AGED BETWEEN 40 AND 65 WHO CONSULTED TO A TERTIARY CARE HOSPITAL

Year 2020, Volume 5, Issue 1, 10 - 21, 16.01.2020
https://doi.org/10.35232/estudamhsd.632194

Abstract

This study aimed to investigate the awareness of menopause and strategıes to cope wıth menopausal symptoms of the women aged between 40 and 65 who consulted to a tertiary care hospital and among those who were postmenopausal, to measure the severity of symptoms and to determine the strategies and choice of resources to cope with menopausal symptoms. From a total of 292 women 272 (93%) were available to participate in the study. A questionnaire and the Menopause Rating Scale (MRS) was during face-to-face interviews. The mean age was 50.1±6.5 years. The mean total MRS score of non-menopausal women was 16.6±8.9.  The mean scores: 6.2±3.5 for somatic subscale, 6.5±3.7 for psychological subscale and 3.8±2.7 for urogenital subscale. The most common menopausal symptom was physical and mental exhaustion (84.0%). Severe menopausal symptoms were identified in 79 (46.7%) women completing the MRS scale. The women with an average monthly income of 2000 TL or less and chronic illness had a higher frequency of severe menopausal symptoms. The most commonly preferred coping strategy was visit to a medical doctor or a healthcare center (n=103, 60.9%). In order to raise awareness about menopause, structured education programs should be prepared and implemented.

References

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  • 2. Atasü T, Özekici Ü, Hekim N. (2001), Menopoz tedavisi ve kanser. 1. Baskı. İstanbul: Nobel Tıp Kitapevleri.
  • 3. Barentsen R, Foekemab HA, Bezemer W. C, Stiphoutd FLM. The view of women aged 45-65 and their partners on aspects of the climacteric phase of life. Eur. J. Obstet. Gynecol. Reprod. Biol. 1994;57:95-101.
  • 4. Sherman S. Defining the Menopausal Transition. The Ame¬rican Journal of Medicine 2005;118(12):3-7.
  • 5. Bayraktar R, ve Uçanok Z. Menopoza ilişkin yaklaşımların ve kültürlerarası çalışmaların gözden geçirilmesi. Aile ve Toplum. 2002; 5(2), 5-12.
  • 6. Hanisc L, Hantsoo L, Freeman EW, Sullivan GM, ve Coyne J. Hot flashes and panic attacks: A comparison of symptomatology, neurobiology, treatment, and a role for cognition. Psychological Bulletin. 2008; 134(2):247-269.
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  • 9. Huffman SB, Myers JE, Tingle LR, Bond LA. Menopause symptoms and attitudes of African American women: Closing the knowledge gap and expanding opportunities for counseling. Journal of Counseling & Development. 2005;83(1):48-56.
  • 10. Koç Z, Sağlam Z. Klimakterium döneminde bulunan kadınların menopoza ilişkin yaşadıkları belirti ve tutumların belirlenmesi. Aile ve Toplum. 2008;4(15),100-112.
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  • 24. Fouzia R Memon1, Leon Jonker1, Roshan A Qazi. Knowledge, attitudes and perceptions towards menopause among highly educated Asian women in their midlife. Post Reproductive Health 2014;20(4):138–142.
  • 25. Kwak Ek, Park HS, Kang NM. Menopause Knowledge, Attitude, Symptom and Management among Midlife Employed Women. J Menopausal Med. 2014;20(3):118-125.
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  • 29. Tümer A, Kartal A. Kadınların menopoza ilişkin tutumları ile menopozal yakınmaları arasındaki ilişki. Pam Tıp Derg. 2018;11(3):337-346.
  • 30. Senturk Erenel A, Golbasi Z, Kavlak T, Dilbaz S. Relationship between menopausal symptoms and sexual dysfunction among married Turkish women in 40-65 age group. Int J Nurs Pract. 2015 Oct;21(5):575-83.
  • 31. Discigil G, Gemalmaz A, Tekin N, Basak O. Profile of menopausal women in west Anatolian rural region sample. Maturitas. 2006 Oct 20; 55(3):247-54.
  • 32. Uncu Y, Alper Z, Ozdemir H, Bilgel N, Uncu G. The perception of menopause and hormone therapy among women in Turkey. Climacteric. 2007 Feb; 10(1):63-71.
  • 33. Boulet MJ, Oddens BJ, Lehert P, Vemer HM, Visser A. Climacteric and menopause in seven south-east Asian countries. Maturitas. 1994 Oct; 19(3):157–176.
  • 34. Chuni N, Sreeramareddy CT. Frequency of symptoms, determinants of severe symptoms, validity of and cut-off score for Menopause Rating Scale (MRS) as a screening tool: a cross-sectional survey among midlife Nepalese women. BMC Womens Health. 2011 Jun 14;11:30.
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  • 38. Makara-Studzińska M, Kryś-Noszczyka K, Jakiel G. The influence of selected socio-demographic variables on symptoms occurring during the menopause. Prz Menopauzalny. 2015 Mar;14(1):20-6.
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  • 40. Joseph N, Nagaraj K, Saralaya V, Nelliyanil M, Rao PJ. Assessment of menopausal symptoms among women attending various outreach clinics in South Canara District of India. J Midlife Health. 2014 Apr;5(2):84-90.
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ÜÇÜNCÜ BASAMAK BİR HASTANEYE BAŞVURAN 40-65 YAŞ ARALIĞINDAKİ KADINLARDA MENOPOZ FARKINDALIĞI ve SEMPTOMLARI ile BAŞ ETME YÖNTEMLERİ

Year 2020, Volume 5, Issue 1, 10 - 21, 16.01.2020
https://doi.org/10.35232/estudamhsd.632194

Abstract

Çalışmada, üçüncü basamak bir hastaneye başvuran 40-65 yaş aralığındaki kadınlarda menopoz farkındalığını, menopoza girenlerde semptom şiddetini ölçmek ve semptomlarla başa çıkma yöntemleri ile yöntem seçiminde başvurdukları kaynakları belirlemek amaçlanmıştır. Başvuran 292 kadının 272’sine (%93) ulaşıldı. Katılımcılara bir anket ve Menopoz Semptomlarını Değerlendirme Ölçeği (MRS) yüz yüze uygulandı. Yaş ortalaması 50,1±6,5’dir. Kadınların MRS’den aldıkları toplam puan ortalaması 16,6±8,9’dur.  Ölçeğin alt boyut puan ortalamaları: somatik alt boyut için 6,2±3,5, psikolojik alt boyut için 6,5±3,7 ve ürogenital alt boyutunda 3,8±2,7’dir. Çalışma grubunda en çok görülen menopoz semptomları; fiziksel ve zihinsel yorgunluk (%84,0)’tur. MRS uygulanan kadınların 79’unda (%46,7) ciddi menopozal semptom olduğu saptanmıştır. Ortalama aylık geliri 2000 TL veya altında olan ve kronik hastalığı olan kadınların şiddetli menopoz semptomları sıklığı daha yüksektir. En çok tercih edilen başa çıkma yöntemi, doktora/sağlık kuruluşuna başvurma 103(%60,9)’dır. Menopoz hakkında farkındalığı arttırmak için yapılandırılmış eğitim programları hazırlanmalı ve uygulanmalıdır.

References

  • 1. Hotun ŞN. (1998), Bir kilometre taşı menopoz. 1. baskı. İstanbul: Çevik matbaacılık.
  • 2. Atasü T, Özekici Ü, Hekim N. (2001), Menopoz tedavisi ve kanser. 1. Baskı. İstanbul: Nobel Tıp Kitapevleri.
  • 3. Barentsen R, Foekemab HA, Bezemer W. C, Stiphoutd FLM. The view of women aged 45-65 and their partners on aspects of the climacteric phase of life. Eur. J. Obstet. Gynecol. Reprod. Biol. 1994;57:95-101.
  • 4. Sherman S. Defining the Menopausal Transition. The Ame¬rican Journal of Medicine 2005;118(12):3-7.
  • 5. Bayraktar R, ve Uçanok Z. Menopoza ilişkin yaklaşımların ve kültürlerarası çalışmaların gözden geçirilmesi. Aile ve Toplum. 2002; 5(2), 5-12.
  • 6. Hanisc L, Hantsoo L, Freeman EW, Sullivan GM, ve Coyne J. Hot flashes and panic attacks: A comparison of symptomatology, neurobiology, treatment, and a role for cognition. Psychological Bulletin. 2008; 134(2):247-269.
  • 7. Birleşmiş Milletler Nüfus Fonu, Birleşmiş Milletler Nüfus Fonu Verileri. Available from: https://www.unfpa.org/data/world-population/TR (E.T. : 21/01/2019)
  • 8. Bakouei F, Basirat Z, Salmalian H, Omidvar S, Bakoui S. Assessment of women’s awareness level about symptoms and complications of menopause and methods to their prevention. Bakouei et al. Journal of Local and Global Health Science. 2013;6:1-6.
  • 9. Huffman SB, Myers JE, Tingle LR, Bond LA. Menopause symptoms and attitudes of African American women: Closing the knowledge gap and expanding opportunities for counseling. Journal of Counseling & Development. 2005;83(1):48-56.
  • 10. Koç Z, Sağlam Z. Klimakterium döneminde bulunan kadınların menopoza ilişkin yaşadıkları belirti ve tutumların belirlenmesi. Aile ve Toplum. 2008;4(15),100-112.
  • 11. Schneider HP, Heineman LA, Rosemeier HP, Potthoff P, Behre HM. The Menopause Rating Scale (MRS) Reliability of Scores of Menopausal Complaints. Climacteric. 2000;3(1):59-64.
  • 12. Theisen SC, Mansfield PK, Seery BL, Voda A. Predictors of midlife women’s attitudes towards menopause. Health Values: The Journal of Health Behavior, Education & Promotion. 1995;19(3):22–31.
  • 13. Avis NE, Mckinlay SM. A longitudinal analysis of women’s attitudes towards the menopause: results from the Massachusetts women’s health survey. Maturitas. 1991;13(11):65–79.
  • 14. Liao K, Hunter M. Preparation for menopause: prospective evaluation of a health education intervention for mid-aged women. Maturitas. 1998;29(3):215–224.
  • 15. Pan HA, Wu MH, Hsu CC, Yao BL, Huang KE. The perception of menopause among women in Taiwan. Maturitas. 2002;41(4):269–274.
  • 16. Güngör L. (2003). Elazığ Yenimahalle Eğitim ve Araştırma Sağlık Ocağı bölgesinde yaşayan 45 yaş ve üstü kadınların menopoz hakkındaki bilgi, tutum ve davranışları. (Uzmanlık Tezi). Fırat Üniversitesi, Tıp Fakültesi. Elazığ.
  • 17. Erdem Ö. (2006). Menopoz dönemindeki kadınların yaşadıkları sorunlar ve baş etme yolları. (Yüksek Lisans Tezi). Hacettepe Üniversitesi, Sağlık Bilimleri Enstitüsü. Ankara.
  • 18. Heinemann LA, Potthoff P, Schneider HP. International versions of the menopause rating scale (MRS). Health and quality of life outcomes. 2003;1(1):28.
  • 19. Metintas S, Arykan I, Kalyoncu C, Ozalp S. Menopause Rating Scale as a screening tool in rural Turkey. Rural and remote health. 2010;10(1230):1-11.
  • 20. Berlin Center for Epidemiology and Health Research. MRS- The Menopause Rating Scale. Population Reference Values available from:http://www.menopause ratingscale.info/documents/Ref_Values_CountrGr.pdf.
  • 21. Türkiye İstatistik Kurumu. Hayat Tabloları 2016-2018. Available from : http://tuik.gov.tr/PreTablo.do?alt_id=1100
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  • 23. Biri A, Bakar C, Maral I, Bumin MA, Güner H. The Knowledge of Women Over 40 Years of Age About Menopause, Their Complaints About Menopause and Status of Hormone Replacement Therapy Usage. Turkiye Klinikleri J Gynecol Obst 2004;14(2):75-83.
  • 24. Fouzia R Memon1, Leon Jonker1, Roshan A Qazi. Knowledge, attitudes and perceptions towards menopause among highly educated Asian women in their midlife. Post Reproductive Health 2014;20(4):138–142.
  • 25. Kwak Ek, Park HS, Kang NM. Menopause Knowledge, Attitude, Symptom and Management among Midlife Employed Women. J Menopausal Med. 2014;20(3):118-125.
  • 26. Özgür N. (2007) Klimakterium dönemindeki kadınların yaşadıkları menopoz semptomları ve başa çıkma yolları. (Yayınlanmamış yüksek lisans tezi). Marmara Üniversitesi Sağlık Bilimleri Enstitüsü. İstanbul.
  • 27. Güngör ANÇ, Uludağ A, Coşar E, Şahin EM, Gencer EM. Kadınların hayatındaki başka bir dönem: Menopoz ve menopozun yaşam kalitesine etkisi. Türkiye Aile Hekimliği Dergisi. 2014;18(1):25-30.
  • 28. Koyuncu T. (2015). Beylikova’da orta yaş kadınlarda menopoz semptomları sıklığı, menopoz bilgi düzeyi ve sağlık eğitiminin menopoz semptomları üzerine etkinliğinin değerlendirilmesi (Yayınlanmamış uzmanlık tezi). Eskişehir Osmangazi Üniversitesi. Eskişehir.
  • 29. Tümer A, Kartal A. Kadınların menopoza ilişkin tutumları ile menopozal yakınmaları arasındaki ilişki. Pam Tıp Derg. 2018;11(3):337-346.
  • 30. Senturk Erenel A, Golbasi Z, Kavlak T, Dilbaz S. Relationship between menopausal symptoms and sexual dysfunction among married Turkish women in 40-65 age group. Int J Nurs Pract. 2015 Oct;21(5):575-83.
  • 31. Discigil G, Gemalmaz A, Tekin N, Basak O. Profile of menopausal women in west Anatolian rural region sample. Maturitas. 2006 Oct 20; 55(3):247-54.
  • 32. Uncu Y, Alper Z, Ozdemir H, Bilgel N, Uncu G. The perception of menopause and hormone therapy among women in Turkey. Climacteric. 2007 Feb; 10(1):63-71.
  • 33. Boulet MJ, Oddens BJ, Lehert P, Vemer HM, Visser A. Climacteric and menopause in seven south-east Asian countries. Maturitas. 1994 Oct; 19(3):157–176.
  • 34. Chuni N, Sreeramareddy CT. Frequency of symptoms, determinants of severe symptoms, validity of and cut-off score for Menopause Rating Scale (MRS) as a screening tool: a cross-sectional survey among midlife Nepalese women. BMC Womens Health. 2011 Jun 14;11:30.
  • 35. Dennerstein L, Dudley EC, Hopper JL, Guthrie JR, Burger HG. A prospective population-based study of menopausal symptoms. Obstet Gynecol. 2000 Sep;96(3):351-8.
  • 36. Makara-Studzińśka MT, Kryś-Noszczyk KM, Jakiel G. Epidemiology of the symptoms of menopause – an intercontinental review. Prz Menopauzalny. 2014 Jun; 13(3):203-11.
  • 37. Krajewska-Ferishah K, Krajewska-Kułak E, Terlikowski S, et al. Analysis of quality of life of women in menopause period in Poland, Greece, Belarus and Belgium using MRS Scale. A multicenter study. Adv Med Sci. 2010;55(2):191-5.
  • 38. Makara-Studzińska M, Kryś-Noszczyka K, Jakiel G. The influence of selected socio-demographic variables on symptoms occurring during the menopause. Prz Menopauzalny. 2015 Mar;14(1):20-6.
  • 39. Chae HD, Choi SY, Cho EJ, et al. Awareness and experience of menopausal symptom and hormone therapy in korean postmenopausal women. J Menopausal Med. 2014 Apr;20(1):7-13.
  • 40. Joseph N, Nagaraj K, Saralaya V, Nelliyanil M, Rao PJ. Assessment of menopausal symptoms among women attending various outreach clinics in South Canara District of India. J Midlife Health. 2014 Apr;5(2):84-90.
  • 41. Freeman EW, Sherif K. Prevalence of hot flushes and night sweats around the world: a systematic review. Climacteric. 2007 Jun;10(3):197-214.
  • 42. Blümel JE, Chedraui P, Baron G, et al. Menopausal symptoms appear before the menopause and persist 5 years beyond: a detailed analysis of a multinational study. Climacteric. 2012 Dec;15(6):542-51.
  • 43. Rindner L, Strömme G, Nordeman L, et al. Prevalence of somatic and urogenital symptoms as well as psychological health in women aged 45 to 55 attending primary health care: a cross-sectional study. BMC Womens Health. 2017 Dec 8;17(1):128.
  • 44. Khatoon A, Husain S, Husain S, Hussain S. An overview of menopausal symptoms using the Menopause Rating Scale in a tertiary care center. J Midlife Health. 2018 Jul-Sep;9(3):150-154.
  • 45. Sharma S, Mahajan N. Menopausal symptoms and its effect on quality of life in urban versus rural women: A cross-sectional study. J Midlife Health. 2015 Jan-Mar;6(1):16-20.
  • 46. Chim H, Tan BH, Ang CC, Chew EM, Chong YS, Saw SM. The prevalence of menopausal symptoms in a community in Singapore. Maturitas. 2002 Apr 25;41(4):275-82.
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Details

Primary Language English
Subjects Public Environmental and Occupational Health
Journal Section Research Article
Authors

Hatice İKİIŞIK> (Primary Author)
ISTANBUL MEDENIYET UNIVERSITY, FACULTY OF MEDICINE
0000-0003-0958-0649
Türkiye


Güven TURAN This is me
ISTANBUL MEDENIYET UNIVERSITY, FACULTY OF MEDICINE
0000-0001-9700-3440
Türkiye


Feyza KUTAY This is me
ISTANBUL MEDENIYET UNIVERSITY, FACULTY OF MEDICINE
0000-0002-9575-5291
Türkiye


Defne Cansu KARAMANLI This is me

0000-0003-1943-6907


Elif GÜLEN This is me

0000-0001-7048-9938


Ezgi ÖZDEMİR This is me

0000-0002-6975-3946


Mustafa TAŞDEMİR>
ISTANBUL MEDENIYET UNIVERSITY, FACULTY OF MEDICINE
0000-0002-3148-1981
Türkiye


İşıl MARAL>
ISTANBUL MEDENIYET UNIVERSITY, FACULTY OF MEDICINE
0000-0001-5234-6108
Türkiye

Publication Date January 16, 2020
Application Date October 11, 2019
Acceptance Date
Published in Issue Year 2020, Volume 5, Issue 1

Cite

Vancouver İkiışık H. , Turan G. , Kutay F. , Karamanlı D. C. , Gülen E. , Özdemir E. , Taşdemir M. , Maral İ. AWARENESS OF MENOPAUSE AND STRATEGIES TO COPE WITH MENOPAUSAL SYMPTOMS OF THE WOMEN AGED BETWEEN 40 AND 65 WHO CONSULTED TO A TERTIARY CARE HOSPITAL. ESTÜDAM Halk Sağlığı Dergisi. 2020; 5(1): 10-21.

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