Korean J Women Health Nurs.  2020 Dec;26(4):336-345. 10.4069/kjwhn.2020.11.14.

Factors influencing quality of life in post-menopausal women

Affiliations
  • 1Yein Woman Clinic, Changwon, Korea
  • 2Department of Nursing, Kyungnam University, Changwon, Korea

Abstract

Purpose
This study aimed to identify factors influencing quality of life in post-menopausal women.
Methods
The participants were 194 post-menopausal women who visited a women’s clinic in Changwon, Korea from July 1 to August 31, 2018, and completed questionnaires containing items on menopausal symptoms, marital intimacy, current menopausal hormone therapy (MHT), and quality of life. Collected data were analyzed by descriptive statistics, the independent t-test, Pearson correlation coefficients, and multiple regression using SPSS for Windows version 23.0.
Results
Quality of life had a significant negative correlation with menopausal symptoms (r=–.40, p<.001), and a significant positive correlation with marital intimacy (r=.54, p<.001). The factors influencing the quality of life of post-menopausal women were current MHT (t=6.32, p<.001), marital intimacy (t=4.94, p<.001), monthly family income (t=4.78, p<.001), menopausal symptoms (t=–4.37, p<.001), and education level (t=3.66, p<.001). These variables had an explanatory power of 59.2% for quality of life in post-menopausal women.
Conclusion
In order to improve the quality of life of post-menopausal women, nursing interventions are needed to help menopausal women choose appropriate MHT, alleviate menopausal symptoms, and increase marital intimacy. Interventions should also be prioritized for women of a low educational level and with a low income in consideration of their health problems.

Keyword

Menopause; Hormone replacement therapy; Quality of life; Women; 폐경; 호르몬 대체요법; 삶의 질; 여성

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Reference

References

https://doi.org/10.4040/jkan.2001.31.4.692
1. Asan Medical Center. Menopause [Internet]. Seoul: Author;2020. [cited 2020 May 29]. Available from: http://www.amc.seoul.kr/asan/healthinfo/disease/diseaseDetail.do?contentId=31316.
2. Kim YJ, Cho A, Chang YS, Cho JH, Rhu SH. Prospective observational study on the risk factors for chronic disease in menopausal transition women. Public Health Wkly Rep. 2017; 10(3):814–820.
3. Korean Statistical Information Service. Prospective population projection: life expectancy/nationwide [Internet]. Daejeon: Author;2020. [cited 2020 Aug 1]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B41&checkFlag=N.
4. The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995; 41(10):1403–1409. https://doi.org/10.1016/0277-9536(95)00112-k.
5. Kim YJ, Kim KS, Kim JS. Menopausal symptoms and quality of life according to hormone replacement therapy in rural postmenopausal women. Korean J Rehabil Nurs. 2013; 16(1):18–26. https://doi.org/10.7587/kjrehn.2013.18.
Article
6. Choi HJ, Oh HJ. Menopause. Korean J Fam Prac. 2020; 10(3):158–163. https://doi.org/10.21215/kjfp.2020.10.3.158.
Article
7. Cho E, Sung K. Comparative study on depressive symptoms, marital intimacy and health-related quality of life according to the severity of menopausal symptoms. Global Health Nurs. 2019; 9(1):1–9.
8. Kim AK. A grounded theory study on women’s menopause experiences. J Korean Acad Fundam Nurs. 2008; 15(3):321–331.
9. Chun S. The relationship of hot flush to other menopausal symptoms and chronic disease related to menopause. J Korean Soc Menopause. 2013; 19(2):54–63. https://doi.org/10.6118/jksm.2013.19.2.54.
Article
10. Ku 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.
11. Kim SJ, Kim SY. A study on the relationship of marital intimacy, depression, and menopausal symptoms in middle-aged women. Korean J Women Health Nurs. 2013; 19(3):176–187. https://doi.org/10.4069/kjwhn.2013.19.3.176.
Article
12. Kwon DH, Shin JH. Updated treatment guideline for hormone therapy in postmenopausal women. J Korean Med Assoc. 2019; 62(3):145–149. https://doi.org/10.5124/jkma.2019.62.3.145.
Article
13. Sullivan SD, Sarrel PM, Nelson LM. Hormone replacement therapy in young women with primary ovarian insufficiency and early menopause. Fertil Steril. 2016; 106(7):1588–1599. https://doi.org/10.1016/j.fertnstert.2016.09.046.
Article
14. Sun SK, Song HY, Kim JS, Min YK, Oh HJ, Lee JK. Decisional conflict about hormone replacement therapy in postmenopausal women and its related factors. J Korean Acad Fam Med. 2006; 27(8):629–636.
15. Waidyasekera H, Wijewardena K, Lindmark G, Naessen T. Menopausal symptoms and quality of life during the menopausal transition in Sri Lankan women. Menopause. 2009; 16(1):164–170. https://doi.org/10.1097/gme.0b013e31817a8abd.
Article
16. Greenblum CA, Rowe MA, Neff DF, Greenblum JS. Midlife women: symptoms associated with menopausal transition and early postmenopause and quality of life. Menopause. 2013; 20(1):22–27. https://doi.org/10.1097/gme.0b013e31825a2a91.
Article
17. Kim HY, Ko E. Factors influencing sexual function in postmenopausal married women. Korean J Women Health Nurs. 2016; 22(4):287–296. http://doi.org/10.4069/kjwhn.2016.22.4.287.
Article
18. Kim J, Ahn S. Impact of menopausal status, metabolic syndrome and its risk factors on impaired quality of life above middle-aged women. Korean J Women Health Nurs. 2016; 22(4):275–286. https://doi.org/10.4069/kjwhn.2016.22.4.275.
Article
19. Min SK, Kim KI, Park IH. Korean version of WHOQOL. Seoul: Hana;2008. p. 70.
20. Sarrel PM. Evaluation and management of postmenopausal patients. Female Patient. 1995; 20 Suppl 2:27–32.
21. Jo HS, Lee KJ. A comparative study on climacteric symptoms of natural menopausal women and artificial menopausal women. J Korean Acad Nurs. 2001; 31(4):692–702.
Article
22. Waring EM, Reddon JR. The measurement of intimacy in marriage: the Waring Intimacy Questionnaire. J Clin Psychol. 1983; 39(1):53–57. https://doi.org/10.1002/1097-4679(198301)39:1<53::aid-jclp2270390110>3.0.co;2-0.
Article
23. Kim SN. A structural model for quality of life in women having hysterectomies. J Korean Acad Nurs. 1999; 29(1):161–173. https://doi.org/10.4040/jkan.1999.29.1.161.
Article
24. Kim OM, Lee YS. The climacteric symptoms and quality of life in climacteric women according to hormone replacement therapy. Korean J Women Health Nurs. 2001; 7(4):642–656. https://doi.org/10.4069/kjwhn.2001.7.4.642.
Article
25. Hong SS, Lee EK. Analysis of drug compliance status for the hormone replacement therapy. Korean J Clin Pharm. 2000; 10(1):7–12.
26. The Korean Society of Menopause. Medical guideline of menopausal hormone therapy [Internet]. Seoul: Authors;2019. [cited 2020 Jul 31]. Available from: http://www.koreanmenopause.or.kr/file/webzine/book_2019/book_2019.pdf.
27. Choi JS, Han SS. Comparison of the attitude towards menopause and aging, social network and quality of life between the HRT and non-HRT in menopausal women. Korean J Health Promot Dis Prev. 2007; 7(1):24–31.
28. Chung YJ, Kim MR, Jeong HW, Yoon BK, Lee BS, Kang BM et al. Changing Korean menopausal women’s awareness on hormone therapy: 7-years after women’s health initiative study. J Korean Society of Menopause. 2012; 18(2):94–99. https://doi.org/10.6118/jksm.2012.18.2.94.
Article
29. Lim HJ. A comparative study on climacteric symptom and health behavior in climacteric women according to hormone replacement therapy (HRT). J Korean Commun Health Nurs Acad Soc. 2003; 17(2):224–237.
30. The NAMS 2017 Hormone Therapy Position Statement Advisory Panel. The 2017 hormone therapy position statement of The North American Menopause Society. Menopause. 2017; 24(7):728–753. https://doi.org/10.1097/GME.0000000000000921.
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