Impact of menopause on quality of life: A cross sectional study in menopausal females in the north of Jordan

Yıl 2018, Cilt: 5 Sayı: 6, 234 - 238, 30.06.2018

Lama Al-mehaisen , Oqba Al-kuran

https://doi.org/10.17546/msd.432528

Öz

Aims: Menopause can
severely effects the somatic, urogenital and psychological aspects of life, our
aim is to find out the Health Related Quality of Life in female patients with menopause
in a tertiary care hospital.

Methods: A
cross-sectional, observational study was conducted in the Gynecology
out-patient department. All female patients with menopause attending the
Gynecology OPD of tertiary care hospital for various complaints were included
in the study. After obtaining written informed consent, demographics, relevant
medical and surgical history was noted and they were then administered
validated questionnaire ‘Health related Quality of Life Questionnaire:
Menopause Rating Scale’ (HRQoL).

Results: The overall
population sample size was 409. The mean age of menopause was 48.91± 4.76
years. Hot flushes and sweating (somatic symptom) were the commonest symptom
(86.31%), followed by anxiety (psychological symptom) in 76.53%.  Maximum score was attributed to psychological
symptoms, while urogenital domain had the minimum score. The association
between the duration of menopause (early versus late post-menopause) and
severity of symptom complex was found to be significant in psychological
symptoms only.  Frequency of psychological
symptoms decreased as the duration since onset of menopause increased.
Occurrence of somatic and urogenital symptoms is not significantly associated
with duration of menopause.

Conclusion: Menopausal
symptoms commonly affect a large number of early and late post-menopausal women
and adversely affect health related quality of life. Menopausal symptoms are
common in postmenopausal women and except psychological symptoms there is
minimal difference in the frequency and severity of other symptoms with duration. 

Anahtar Kelimeler

Menopause, Quality of life questionnaire, Menopause Rating Scale

Kaynakça

• 1. Dillaway HE. "Why can't you control this?" How women's interactions with intimate partners define menopause and family. J Women Aging. 2008; 20(1-2):47-64.
• 2. Lewis V. Undertreatment of menopausal symptoms and novel options for comprehensive management. Cur Med Res Opin 2009;25:2689-98.
• 3. Cheng MH, Lee SJ, Wang SJ, Wang PH, Fuh JL. Does menopausal transition affect the quality of life? A longitudinal study of middle-aged women in Kinmen. Menopause 2007 Sep-Oct; 14(5):885-90. 4. Avis NE, Colvin A, Bromberger JT, Hess R, Matthews KA, Ory M, et al. Change in health-related quality of life over the menopausal transition in a multiethnic cohort of middle-aged women: Study of Women's Health Across the Nation. Menopause 2009 Sep-Oct; 16(5):860-9.
• 5. Smith-DiJulio K, Woods NF, Mitchell ES. Well-being during the menopausal transition and early postmenopause: a longitudinal analysis. Menopause 2008 Nov-Dec; 15(6):1095-102.
• 6. Col N, Haskins A, Ewan-Whyte C. Measuring the impact of menopausal symptoms on quality of life: methodological considerations. Menopause 2009;16:843-845.
• 7. Dodd M, Janson S, Facione N, et al. Advancing the science of symptom management. J Adv Nurs 2001;33:668-76.
• 8. Hauser GA, Huber IC, Keller PJ, Lauritzen C, Schneider HPG: Evaluation der klinischen Beschwerden (Menopause Rating Scale). Zentralbl Gynakol 1994;116:16-23.
• 9. Heinemann K, Ruebig A, Potthoff P, Schneider HP, Strelow F, Heinemann LA et al. The Menopause Rating Scale (MRS) scale: a methodological review. Health Qual Life Outcomes 2004 Sep 2;2:45.
• 10. Williams RE, Levine KB, Kalilani L, Lewis J, Clark RV. Menopause-specific questionnaire assessment in US population-based study shows negative impact on health-related quality of life. Maturitas. 2009 Feb 20; 62(2):153-9.
• 11. Heinemann LA, Potthoff P, Schneider HP. International versions of the Menopause Rating Scale (MRS). Health Qual Life Outcomes. 2003 Jul 30; 1:28.
• 12. Nedstrand E, Pertl J, Hammar M. Climacteric symptoms in a postmenopausal Czech population. Maturitas 1996; 23: 85-89.
• 13. Boulet MJ, Oddens BJ, Lehert P, Vemer HM, Visser A. Climacteric and menopause in seven South-east Asian countries. Maturitas 1994;19: 157-176.
• 14. Nortvedt MW, Riise T, Myhr KM, Nyland HI. Performance of the SF-36, SF-12, and RAND-36 summary scales in a multiple sclerosis population. Med Care 2000 Oct; 38(10):1022-8.