중년기 여성의 폐경지식,태도, 증상 및 관리 = The Midlife Women's Menopause Knowledge, Attitude, Sympton and Management

국문 초록 (Abstract)

한글초록 : 본 연구는 중년기 여성의 간호 중재시 필요한 폐경지식과 태도, 증상 및 관리에 관련된 기초 자료를 파악하여 중년기 여성으로 하여금 정확한 폐경에 관련된 지식을 가지고 긍정적인 폐경태도를 형성하여 중년여성 스스로 효율적인 폐경관리를 하는데 필요한 기초 자료를 제시하고자 시도하였다.체적인 연구목적은 다음과 같다.첫째, 대상자의 일반적 특성에 따른 폐경지식, 태도, 증상 및 관리양상을 파악한다.둘째, 대상자의 폐경관리 정도에 따른 폐경지식, 태도 및 증상의 차이를 파악한다.셋째, 대상자의 폐경지식, 태도, 증상 및 관리 정도를 파악 한다넷째, 대상자의 폐경시기에 따른 폐경지식, 태도, 증상 및 관리양상의 차이를 파악한다.다섯째, 대상자의 폐경지식, 태도, 증상 및 관리 정도의 상관관계를 파악한다. 본 연구대상은 서울과 경기지역 등 대도시에 거주하는 임의로 선정된 40세­59세 사이의 직장여성 중 폐경주변기와 폐경기에 있는 중년여성 231명을 대상으로 2006년 4월3일부터 2006년 5월31일까지 실시되었으며 완전한 자료 189명의 자료를 SPSS 12.0통계프로그램을 사용하여 분석하였다. 연구결과는 다음과 같다.1. 일반적 특성에 따른 폐경지식, 태도, 증상, 관리에서 폐경지식 정도의 차이는 연령에 따른 차이가 있는 것으로 나타났으며, 폐경태도는 연령, 학력, 직업과 배우자 유무에 따른 차이를 보였다. 폐경증상은 학력, 배우자 유무, 초경나이, 월경전불편감 유무에 따른 차이가 있는 것으로 나타났으며 일반적 특성에 따른 폐경관리 수행정도는 유의미한 차이가 나타나지 않았다.2. 폐경관리 정도에 따른 폐경지식, 태도, 증상에서 폐경지식의 차이는 식생활관리가 낮은 집단이 높은 집단보다 의미 있게 높게 나타났고, 폐경태도의 차이는 식생활관리와 성생활 관리가 높은 집단이 낮은 집단보다 의미 있게 높았다. 폐경증상의 차이는 식생활관리, 성생활관리, 전문적 관리는 낮은 집단이 높은 반면, 자가 조절관리는 높은 집단이 높게 나타났다. 3. 폐경지식, 태도, 증상 및 관리정도에서 폐경지식은 평균 17.93±2.39점, 폐경태도는 평균 60.86±10.12점, 폐경증상은 평균 88.89±64.52점, 폐경관리는 평균44.99±7.67점 이었다.4. 폐경시기에 따른 폐경지식, 태도 및 증상과 관리정도에서 폐경지식은 폐경기집단이 높게 나타났고, 폐경태도는 의미 있는 차이가 나타나지 않았다. 폐경증상은 폐경주변기 여성이 폐경기 여성보다 유의미하게 높게 나타났으며, 폐경관리에서는 자가 조절관리가 폐경기 여성이 폐경주변기 여성보다 유의미한 차이가 있는 것으로 나타났다. 5. 폐경지식, 폐경태도, 폐경증상, 및 폐경관리의 상관관계에서는 폐경태도와 폐경관리가 양의 상관관계를 나타냈다

국문 초록 (Abstract)

영문초록 : This study was intended to promote the menopause-related knowledge of middle-aged women by providing basic materials concerning midlife women's knowledge of and attitude toward the menopause, menopausal symptoms and management. And it attempted to present basic materials necessary for the efficient menopausal management intervention of middle-aged women by forming the more positive attitude towards the menopause. The detailed purposes of this study were as follows: First, to identify the menopause-related knowledge, attitude, symptoms and management according to their general characteristics. Second. to identify the difference of knowledge, attitude and symptoms according to menopause management level. Third, to identify the level of knowledge, attitude, symptoms and management related to the menopause of midlife women. Fourth, to identify the difference of knowledge, attitude and symptoms according to the menopausal period.Fifth, to identify the correlation between knowledge, attitude, symptoms and management related to the menopause of midlife women.Over the period between Apr 3, 2006 and May 31, 2006, the questionnaire research was conducted for 231 middle-aged women around and in the menopause of the randomly selected aged group of 40 to 59 years old resident in large cities such as Seoul and the Kyonggi district. The completed data of 189 middle-aged women were analyzed using the SPSS statistical program. As a result, the following findings were obtained: First, it was found that there was a difference in the level of knowledge about the menopause according to general characteristics such as age. That is, the women in their 40s showed the significantly high level of knowledge about menopause than the counterparts in their 50s(p<.001). And it was found that the younger women had the higher level of knowledge about the menopause. The younger age group and the group of women with high educational level showed the positive attitude towards the menopause. And the respondents with the spouse working in the non-profession showed a positive attitude towards the menopause. It was found that there was a significant difference in the scores of menopausal symptoms according to the religion, the education, the spouse, the earlier menarche and a discomfort in the menstruation. But it was found that there was no significant difference in the degree of carrying out menopausal management. Second. it was found that there was a significant difference in the knowledge of the menopause according to the degree of menopausal management. The group with low eating habit management showed the significantly higher knowledge about the menopause than the counterpart(p<.05). It was found that there was a significant difference in the attitude towards the menopause according to the degree of menopausal management. The group with high eating habit management showed the significantly higher attitude towards the menopause than the counterpart(p<.05). And it was found that the group with high sexual life management showed the significantly higher attitude towards the menopause than the counterpart(<.01). An attempt was made to investigate whether there was a difference in the menopausal symptom according to the degree of menopausal management. The group with low eating habit management, sexual life management and specialized management had the high attitude towards the menopause. The group with high self-regulated management also showed the high attitude towards the menopause. That is, there was no significant difference in the attitude towards the menopause between the groups. Third, it was found that there was no significant difference in the knowledge of the menopause according to the menopausal period. But it was found that there was a significant difference in the menopausal symptom according to the menopausal period. That is, it was found that the group in around the menopause had the higher menopausal symptom than the group in the menopause(p<.01). The group of the women in the menopause showed the significantly higher physical symptom than the group in around the menopause(<.001). The group of the women in the menopause showed the significantly higher psychosomatic symptom than the group of the women in around the menopause(<.05). In the light of these findings, it was found that the group of the women in the menopause had the remarkably high level of physical symptom, psychosomatic symptom than the group of the women in around the menopause. Fourth, It was found that there was no difference in menopausal management according to the menopausal period. But, it was found that there was a significant difference in self-adjusted management between the women in and around the menopause. Fifth, It was found that there was a significant correlation between the menopausal attitude and management. Overall, it is thought that it is necessary to make a nursing plan for health and wellbeing of middle-aged women in the menopause by developing and providing the health promotion program for them and minimizing their feeling of discomfort in the menopause as midlife women in the menopause had the low degree of performing menopausal management