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EVIDENCE-BASED PRACTICES USED FOR THE SYMPTOM MANAGEMENT OF MENOPAUSE

Yıl 2019, Cilt: 2 Sayı: 3, 36 - 54, 07.01.2020

Öz

Menopause is not a disease yet it causes symptoms that affect 25% of women’s quality of life and require treatment. The highest scientific evidence involving complementary and alternative treatments used to reduce these symptoms. The study found that hormone replacement therapy and complementary and alternative treatments (yoga, acupuncture, massage, herbal medicine and vitamins) led to a decrease in vasomotor and urogenital symptoms, sleep problems, mental problems and an increase in women’s quality of life. Therefore, determining the effectiveness of medical and alternative treatments with studies that have the highest level of evidence can contribute to the literature. This may prove beneficial for reducing the menopausal symptoms that women experience and improve their quality of life.

Kaynakça

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MENOPOZDA SEMPTOM YÖNETİMİNDE KULLANILAN KANITA DAYALI UYGULAMALAR

Yıl 2019, Cilt: 2 Sayı: 3, 36 - 54, 07.01.2020

Öz

Menopoz
bir hastalık değildir ancak kadınların yaklaşık %25’inin yaşam kalitesini bozan
ve tedavi gerektiren semptomlara neden olmaktadır. Bu semptomları azaltmak için
birçok tamamlayıcı ve alternatif tedaviler uygulanmaktadır. Bu derlemede sık
görülen menopozal semptomların giderilmesinde uygulanan yöntemler kanıt
düzeylerine göre değerlendirilmiştir. Hormon replasman tedavisi ve
tamamlayıcı-alternatif tedavilerin (egzersiz, yoga, akupunktur, masaj, bitkisel
tedaviler ve vitaminler) vazomotor ve ürogenital semptomlarda azalma, uyku
problemlerinde, psikolojik sorunlarda azalma ve kadınların yaşam kalitesinde
artış sağladığı saptanmıştır. Bu nedenle tıbbi ve alternatif tedavilerin
literatüre katkıda bulunacak kanıt düzeyi yüksek çalışmalarla etkinliğinin
belirlenmesi, kadınların menopozda yaşadıkları semptomların iyileştirilmesinde
ve yaşam kalitesinin geliştirilmesinde yararlı olabilir.

Kaynakça

  • 1. Atasü T, Gezer A. Menopoz: tanım ve terminoloji. Menopoz, tedavisi ve kanser. İstanbul, Nobel Tıp Kitabevleri. 2001; 13-26.
  • 2. Shea JL. Chinese women’s symptoms: relation to menopa¬use, age and related attitudes. Climacteric. 2006; 9(1): 30-39.
  • 3. Görsel E, Çakıroğlu F. Me¬nopoz döneminde kadın. Ankara Üniversitesi Basımevi, Ankara. 2007. p. 1-13.
  • 4. Özcan H, Oksay Ü. Menopoz döneminde semptom yönetiminde kanıta dayalı uygulamalar. Göztepe Tıp Dergisi. 2013; 28(4): 157-63.
  • 5. Dalal PK, Agarwal M. Postmenopausal syndrome. Indian J Psychiatry. 2015; 57(Suppl 2): 222-232.
  • 6. Col NF, Guthrıe JR, Polıtı M, Dennersteın L. Duration of vasomotor symptoms in middle-age women: a longitunal study. Menopause. 2009; 16(3): 453-7.
  • 7. Coşkun AM. Kadın sağlığı ve hastalıkları hemşireliği el kitabı, Koç Üniversitesi Yayınları, 1. Baskı, İstanbul. 2012. p. 443-57.
  • 8. Depypere HT, Comhaire FH. Herbal preparations for the menopause: beyond isoflavones and black cohosh. Maturitas. 2014; 77(2): 191-4.
  • 9. Heyerick A, Vervarcke S, Depypere H, Bracke M, De Keukeleire D. A first prospective, randomized, double-blind, placebo-controlled study on the use of a standardized hop extract to alleviate menopausal discomforts. Phytomedicine. 2010;17(6): 389-96.
  • 10. Erkkola R, Vervarcke S, Vansteelandt S, Rompotti P, De Keukeleire D, Heyerick A. A randomized, double-blind, placebo-controlled, cross-over pilot study on the use of a standardized hop extract to alleviate menopausal discomforts. Phytomedicine. 2010; 17(6): 389-96.
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  • 60. Haimov-Kochman R, Constantini N, Brzezinski A, Hochner-Celnikier D. Regular exercise is the most significant lifestyle parameter associated with the severity of climacteric symptoms: a cross sectional study. Eur J Obstet Gynecol Reprod Biol. 2013; 170(1): 229-34.
  • 61. Daley A, MacArthur C, Mutrie N, Stokes-Lampard H. Exercise for vasomotor menopausal symptoms. Cochrane Database Syst Rev. 2007; 17;(4):CD006108.
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  • 63. Newton KM, Reed SD, Guthrıe KA, Sherman KJ, Booth-Laforce C, Caan B, Sternfeld B, Carpenter JS, Learman LA, Freeman EW, Cohen LS, Joffe H, Anderson GL, Larson JC, Hunt JR, Ensrud KE, LaCroix AZ. Efficacy of yoga for vasomotor symptoms: a randomized controlled trial. Menopause. 2014; 21(4): 339-46.
  • 64. Saensak S, Vutyavanich T, Somboonporn W, Srisurapanont M. Relaxation for perimenopausal and postmenopausal symptoms. Cochrane Database Syst Rev. 2014; 20;(7):CD008582.
  • 65. Nedstrand E, Wyon Y, Hammar M, Wijma K. Psychological well-being improves in women with breast cancer after treatment with applied relaxation or electro-acupuncture for vasomotor symptom. J Psychosom Obstet Gynaecol. 2006; 27(4): 193-199.
  • 66. Zaborowska E, Brynhildsen J, Damberg S, Fredriksson M, Lindh-Astrand L, Nedstrand E, Wyon Y, Hammar M. Effects of acupuncture, applied relaxation, estrogens and placebo on hot flushes in postmenopausal women: an analysis of two prospective, parallel, randomized studies. Climacteric. 2007; 10(1): 38-45.
  • 67. Lindh-Åstrand L, Nedstrand E. Effects of applied relaxation on vasomotor symptoms in postmenopausal women: a randomized controlled trial. Menopause. 2013; 20(4): 401-408.
  • 68. Dodin S, Blanchet C, Marc I, Ernst E, Wu T, Vaillancourt C, Paquette J, Maunsell E. Acupuncture for menopausal hot flushes. Cochrane Database of Systematic Reviews. 2013; 1-3.
  • 69. Avis NE, Legault C, Coeytaux RR, Pian‐Smith M, Shifren JL, Chen W, Valaskatgis P. A randomized, controlled pilot study of acupuncture treatment for menopausal hot flashes. Journal of the North American Menopause Society. 2008; 15(6): 1070‐8.
  • 70. Joshi S, Khandwe R, Bapat D, Deshmukh U. Effect of yoga on menopausal symptoms. Menopause Int. 2011; 17(3): 78-81.
  • 71. Kung YY, Yang CC, Chıu JH, Kuo TB. The relationship of subjec¬tive sleep quality and cardiac autonomic nervous system in postmenopausal women with ınsomnia under auricular acupressure. Menopause. 2011; 18(6): 638-45.
  • 72. Abedian Z, Eskandari L, Abdi H, Ebrahimzadeh S. The effect of acupressure on sleep quality n menopausal women: a randomized control trial. Iran Journal of Medical Sciences. 2015; 40(4): 328-34.
  • 73. Hachul H, Garcıa TKP, Macıel AL, Yagıhara F, Tufık S, Bıtten¬court L. Acupuncture ımproves sleep in postmenopause in a randomized, double-blind, placebo-controlled study. Climacterium. 2013; 16(1): 36-40.
  • 74. Whiskey E, Werneke U, Taylor D. A systematic review and meta-analysis of Hypericum perforatum in depression: a comprehensive clinical review. Int Clin Psychopharmacol 2001; 16:239–52.
  • 75. Röder C, Schaefer M, Leucht S. Meta-analysis of effectiveness and tolerability of treatment of mild to moderate depression with St. John’s wort. Fortschr Neurol Psychiatr. 2004; 72(6): 330-43.
  • 76. Hartley DE, Heinze L, Elsabagh S, File SE. Effects on cognition and mood in postmenopausal women of 1-week treatment with Ginkgo biloba. Pharmacol Biochem Behav. 2003; 75(3): 711-20.
  • 77. Kim KH, Kang KW, Kim DI, Kim HJ, Yoon HM, Lee JM, Jeong JC, Lee MS, Jung HJ, Choi SM. Effects of acupuncture on hot flushes in perimenopausal and postmenopausal women‐a multicenter randomized clinical trial. Journal of the North American Menopause Society. 2010;17(2): 269‐80.
  • 78. Kazemzadeh R, Nikjou R, Rostamnegad M, Norouzi H. Effect of lavender aromatherapy on menopause hot flushing: A crossover randomized clinical trial. Complement Ther Med. 2013; 21(3): 158-63.
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  • 80. Stearns V, Beebe KL, Iyengar M, Dube E. Paroxetine controlled release in the treatment of menopausal hot flashes: a randomized controlled trial. JAMA. 2003; 289(21): 2827-34.
  • 81. Pebdani MA, Taavoni S, Seyedfatemi N, Haghani H. Triple-blind, placebo-controlled trial of Ginkgo biloba extract on sexual desire in postmenopausal women in Tehran. Iran J Nurs Midwifery Res. 2014; 19(3): 262–265.
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  • 83. Ziaei S, Kazemnejad A, Zareai M. The effect of vitamin E on hot flashes in menopausal women. Gynecol Obstet In¬vest. 2007; 64(4): 204-7.
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  • 88. Ma D, Wu L, He Z. Effects of walking on the preservation of bone mineral density in perimenopausal and postmenopausal women: a systematic review and meta-analysis. Menopause 2013; 20(11): 1216-26.
  • 89. Morelli V, Naquın C. Alternative therapies for tran¬ditional disease states: menopause. Am Fam Physician. 2002; 66(1): 29-34.
  • 90. Somekawa Y, Chiguchi M, Ishibashi T, Aso T. Soy intake related to menopausal symptoms, serum lipids, and bone mineral density in postmenopausal Japanese women. Obstet Gynecol. 2001; 97(1): 109-115.
  • 91. Wei P, Liu M, Chen Y, Chen DC. Systematic review of soy isoflavone supplements on osteoporosis in women. Asian Pac J Trop Med. 2012; 5(3): 243-8.
  • 92. Karadavut Kİ, Başaran A, Çakçı A. Osteoporoz tedavisinde vitamin D’nin yeri. Geriatri. 2002; 5(3): 115-122.
  • 93. Richy F, Schacht E, Bruyere O, Ethgen O, Gourlay M, Reginster JY. Vitamin D analogs versus native vitamin D in preventing bone loss and osteoporosis-related fractures: a comparative meta-analysis. Calcif Tissue Int. 2005; 76(3): 176-86.
  • 94. Massonı AM, Menoya I, Bocanera R, Pezzotto SM, Mario E, Morosano ME. Hypovitaminosis D and associated risk factors in postmenopausal women. Health. 2014; 6(11): 1180-90.
  • 95. Mata-Granados JM, Cuenca-Acevedo JR, Luque de Castro MD, Holick MF, Quesada-Gómez JM. Vitamin D insufficiency together with high serum levels of vitamin A increases the risk for osteoporosis in postmenopausal women. Arch Osteoporos. 2013; 8: 124.
  • 96. Nelson HD, Humphrey LL, Nygren P, Teutsch SM, Alan JD. Postmenopausal Hormone Replacement Therapy. JAMA. 2002; 288(7): 872-881.
Toplam 96 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Hemşirelik
Bölüm Derleme
Yazarlar

Şeyma Kilci 0000-0002-6282-8933

Gül Ertem 0000-0002-5853-3980

Yayımlanma Tarihi 7 Ocak 2020
Gönderilme Tarihi 8 Temmuz 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 2 Sayı: 3

Kaynak Göster

APA Kilci, Ş., & Ertem, G. (2020). MENOPOZDA SEMPTOM YÖNETİMİNDE KULLANILAN KANITA DAYALI UYGULAMALAR. Sakarya University Journal of Holistic Health, 2(3), 36-54.