Korean J Adult Nurs.  2017 Apr;29(2):200-210. 10.7475/kjan.2017.29.2.200.

Menopause Symptoms and Perceived Cognitive Decline in Menopausal Women: The Mediating Effect of Health Promotion Behavior

• Kim JH
• Oh PJ

• KMID: 2378873
• DOI: http://doi.org/10.7475/kjan.2017.29.2.200

Abstract

PURPOSE
The purpose of this study was to assess the relationship between menopausal symptoms and decline in cognitive functioning of menopausal women with mediating effects of health promoting behavior.
METHODS
Using a convenience sampling, 140 menopausal women were recruited for the cross-sectional survey. Data were collected by using the Menopause Rating Scale, Health Promoting Lifestyle Profile, Everyday Cognition, and Korean Mini-Mental State Examination.
RESULTS
The mean scores for menopausal symptoms, health promotion behavior, and subjective cognitive decline were 14.40, 153.79, and 67.40 respectively. Health promotion behavior was directly affected by menopausal symptom (R2=8%). Cognitive decline was directly affected by menopausal symptom (R2=11%). Menopausal symptom (β=.33, p<.001) and health promotion behavior (β=−.21, p=.014) were found to be predictive factors in subjective cognitive decline and explained 14%. Health promotion behavior had a partial mediating effect in the relationship between menopausal symptom and perceived cognitive decline (Sobel test: Z=2.05, p=.040).
CONCLUSION
Based on the findings of this study, developing nursing intervention programs focusing on decreasing menopausal symptoms and encouraging health promotion behavior are recommended to improve cognitive decline in menopausal women.

MeSH Terms

Cognition
Cross-Sectional Studies
Female
Health Promotion*
Humans
Life Style
Menopause*
Negotiating*
Nursing

Figure

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  Figure 1. Mediating effect of health promotion behavior in the relationship between menopause symptom and perceived cognitive decline.

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