Effects of Sanhujori and Menopausal Adaptation on Health-related QOL in Middle-aged Women

Moon-Jeong Kim; Kyung-Ja Kang

doi:10.4069/kjwhn.2014.20.1.62

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Kim and Kang: Effects of Sanhujori and Menopausal Adaptation on Health-related QOL in Middle-aged Women

Original Article

Korean Journal of Women Health Nursing 2014; 20(1): 62-71.

Published online: 31 March 2014

DOI: https://doi.org/10.4069/kjwhn.2014.20.1.62

Effects of Sanhujori and Menopausal Adaptation on Health-related QOL in Middle-aged Women

Moon-Jeong Kim, Kyung-Ja Kang

College of Nursing, Jeju National University, Jeju, Korea.

Corresponding author: Kang, Kyung-Ja. College of Nursing, Jeju National University, 102 Jejudaehak-ro, Jeju 690-756, Korea. Tel: +82-64-754-3752, Fax: +82-64-702-2686, kkyungja@jejunu.ac.kr

Received 24 January 2014 Revised 11 March 2014 Accepted 18 March 2014

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study investigated the effects of menopausal adaptation and Sanhujori (Korean traditional postnatal care) on the Health-related quality of life in middle-aged women.

Methods

Women aged from 45 to 60 completed questionnaires consisting of SF-36 ver. 2 and menopausal adaptation scale between July to Aug, 2013. Two hundred and eighteen participants' data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and 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-variables of quality of life being lower. Menopausal adaptation was at moderate level, and correlation of its sub-variables with quality 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 total variation 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 psychosocial concerns with developing nursing strategies to improve stability and confidence. For post-partum women, enough periods of sanhujori needs to be recommended.

Keywords: Postnatal care, Menopause, Middle-aged women, Quality of life

Figures and Tables

Table 1

Health-related Quality of Life (HrQOL) according to General Characteristics and Sanhujori (N=218)

Table 2

Level of Menopausal Adaptation and Health-related Quality of Life (N=218)

AF=accomplishing feeling, HrQOL=health-related quality of life.

^†5-score; ^‡Z-score.

Table 3

Relationships between Sub-variables of Menopausal Adaptation and Health-related Quality of Life

AF=accomplishing feeling, HrQOL=health-related quality of life.

Table 4

Influencing Factors on Health-related Quality of Life

^†Dummy variable.

Notes

This research was supported by the 2014 scientific promotion program funded by Jeju National University.

Summary Statement

▪ What is already known about this topic?

It is not known whether menopause affects health-related quality of life in middle aged women. Current literature indicates that there is a positive correlation between menopausal adaptation and quality of life with negative correlation between sanhujori and menopausal symptoms.

▪ What this paper adds?

Health-related quality of life in middle aged women in Korea revealed worse than 2009 general U.S. population. Fatigue, confidence, stability and dryness which are some factors of menopausal adaptation and period of sanhujori revealed that they are influencing factors of health-related quality of life.

▪ Implications for practice, education and/or policy

To improve quality of life of middle aged women, health care providers need to provide nursing interventions related to relieve fatigue and dryness; and address psychosocial concerns and develop nursing strategies to improve stability and confidence. For postnatal women, enough periods of sanhujori needs to be recommended.

References

1. Park HS. Effects of soybean foods intake on menopausal symptoms, serum hormones, serum lipids, and bone metabolism in middle-aged women [dissertation]. Seoul: Ewha Womans University;2003.

2. Bae KE. Instrument development for adaptation of women in the menopause period [dissertation]. Seoul: Ewha Womans University;2006.

3. The Korean Society of Menopause. Management of menopausal women. Seoul: Koonja;2007.

4. Leboeuf FJ, Carter SG. Discomfort of the perimenopause. J Obstet Gynecol Neonatal Nurs. 1996; 25(2):173–180.

5. Ha JY. A study on the menopausal symptoms and quality of life in middle aged women [master's thesis]. Seoul: Ewha Womans University;2002.

6. Lu SY, Tseng HF, Lin LL, Luh WM, Shu BC. Factors related to depression during menopause; A study in southern Taiwan. J Nurs Res. 2009; 17(2):128–135.

7. Park HS, Kim JA. Adaptation to menopause and use of yangsaeng in middle-aged Korean women. Korean J Women Health Nurs. 2010; 16(1):1–9.

8. Chun HR, Kang MA, Jung-Choi KH, Cho SI. A qualitative study on health perception in older women. Womens Study Rev. 2010; 27(2):3–41.

9. Kim TK, Yoo EK. A correlational study on the level of importance & performance of postpatal care and its relationship with women's health status. J Korean Acad Womens Health Nurs. 1998; 4(2):145–161.

10. Yoo EK. A study on the relationship between women's health status and the experience of Sanhujori, the Korean traditional non-professional postpartal care. Korean Nurse. 1998; 36(5):74–90.

11. Yoo EK, Kim MH. Middle aged women's related factors to climacteric symptoms and coping pattern: The relationship with Sanhujori. J Korean Acad Womens Health Nurs. 1999; 5(2):200–212.

12. Chun CJ, Yoo EK. An ethnographic research on the phenomenon of women's utilization of the Zzimzilbang, a type of sauna in Korea. J Nurs Acad Soc. 1997; 27(4):961–974.

13. Makai P, Brouwer WB, Koopmanschap MA, Stolk EA, Nieboer AP. Quality of life instruments for economic evaluations in health and social care for older people: A systematic review. Soc Sci Med. 2014; 102:83–93.

14. Han SH. A study on the menopausal symptoms, menopausal management and quality of life in middle aged women [master's thesis]. Seoul: Ewha Womans University;2003.

15. Kim YH, Ha EH, Shin SJ. A study on the menopausal symptoms and quality of life in middle aged women. J Korean Acad Nurs. 2003; 33(5):601–608.

16. Yeo JH. Correlational study on management of menopause, marital satisfaction, and quality of life in middle-aged women. J Korean Acad Nurs. 2004; 34(2):261–269.

17. Ware JE, Kosinski M, Dewey JE. How to score version 2 of the SF-36 health survey. Providence: Quality Metric Incorporated;2001.

18. Chung MS. Resilience, coping methods, and quality of life in middle-aged women. J Korean Acad Psychiatr Ment Health Nurs. 2011; 20(4):345–354.

19. Stoker MJ, Dunbar GC, Beaumont G. The SmithKline Beecham 'quality of life' scale: A validation and reliability study in patients with affective disorder. Qual Life Res. 1992; 1(6):385–395.

20. Noh YJ. An analytical study of the quality of life of the middle-aged in Seoul [dissertation]. Seoul: Yonsei University;1988.

21. Park HS, Kim AJ, Bae KE. Life stress, life satisfaction, and adaptation of middle-aged women in the menopause period. Korean Parent Child Health J. 2010; 13(2):55–62.

22. Brashers VL. Clinical applications of pathophysiology. St. Louis: Mosby;2002.

23. Fuh JL, Wang SJ, Lee SJ, Lu SR, Juang KD. Quality of life and menopausal transition for middle-aged women on Kinmen island. Qual Life Res. 2003; 12(1):53–61.

24. Cloninger CR, Svrakic DM. Integrative psychobiological approach to psychiatric assessment and treatment. Psychiatry. 1997; 60(2):120–141.

25. Garcia D, Nima AA, Archer T. International note: Temperament and character's relationship to subjective well-being in Salvadorian adolescents and young adults. J Adolesc. 2013; 36(6):1115–1119.

26. An JS, Chae KM. A study regarding the relationships among stress, personality characteristics, and depression: Focusing on the moderating effect of self directedness. Korean J Health Psychol. 2007; 12(4):813–832.

27. Koo BJ. The influence of resilience, hope, marital intimacy, and family support on quality of life for middle-aged women. J Korean Acad Psychiatr Ment Health Nurs. 2008; 17(4):421–430.

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