중년여성이 호소하는 갱년기 증상에 관한 연구 = A Study on Climacteric Symptoms in Korean Midlife Women

다국어 초록 (Multilingual Abstract)

The purpose of this study was to serve as a basis for creating better quality of life for the middle aged or the elderly, by preventing or easing the physical or mental problems that might possibly occur in climacteric.
It's specifically intended to examine the menopause history of the midlife women, the type, frequency and extent of climacteric symptoms, and the time for appearance and disappearance of those symptoms. The subjects in this study were the midlife women whose age ranged from 40 to less than 60, living in Seoul or Kyonggi Province. They were surveyed from March 27 through April 10, 2000, and among the collected data, the responses from 234 women were selected for analysis. For symptom-related information, the responses from 214 were analyzed, excluding 20 who had ever received hormone therapy.
The findings of this study were as follows:
1) The mean age of experiencing menarche was 15.3, and the mean menopause age was 49.7, 82.9% had have a regular menstruation, and the menstrual period of 47.9% was 28 to 29 days. Before menopause, they generally experienced menstrual irregularity for about 6 through 36 months, but some of them reached menopause with no menstrual irregularity. The most common period of menstrual irregularity was 12 months(66.7%). There was a correlational relationship between menarche age and menopause age(r=.264, p<.001).
2) The most frequently exhibited climacteric symptom was joint pain(93.9%), followed by psychological symptom(93.6%), osteological symptom(92.1%), other symptoms(87.4%), vasomotor symptom(83.2%), urogenital symptom(81.3%), symptom caused by the loss of collagen (77.6%), and cardiovascular symptom(66.8%) in the order named. More concretely, what they suffered from most was dry eyes(81.3%), followed by frequent fatigue(77.6%), backache(72.4%), knee pain(72.4%), frequent forgetting (69.6%), and dry mouth(6.8%) in the order named.
As a result of scoring the extent of climacteric symptoms on the basis of 4 scale, other symptoms appeared to be most severe(2.00), and the next most severe one was joint pain(1.94), followed by vasomotor symptom(1.85), psychological symptom (1.82), symptom caused by the loss of collagen(1.68), urogenital symptom(1.61), cardiovascular symptom (1.52), and osteological symptom(1.31) in the order named. Concretely, what they suffered from most severely was backache(2.70), followed by knee pain(2.53), dry eyes(2.42), frequent forgetting(2.38), and frequent fatigue(2.32) in the order named.
3) The climacteric symptom that appeared first was psychological one, followed by vasomotor one, urogenital one, joint pain, symptom caused by the loss of collagen, other symptoms, and osteological one in the order named. The one that disappeared first was joint pain, followed by psychological symptom, vasomotor one, urogenital one, other symptoms, cardiovascular one, symptom caused by the loss of collagen, and osteological one in the order named. But just some of the women who suffered from joint pain got rid of that pain, and most of them continued to carry that pain with them.
The following suggestions might be made based on the above-mentioned findings:
1) Long-term dynamic research efforts should be devoted to the relationship of menarche age to menopause age, the menstruation calendar of women in their twenties, thirties and fourties, or the relationship between the time for appearance or disappearance of frequent or severe climacteric symptoms, their intensity and personal characteristics of midlife women.
2) Programs that could successfully deal with climacteric symptoms experienced by women should be developed, and it's needed to begin health care before menopause.
3) What could ease climacteric symptoms, like breathing, meditation, relaxation, exercise or diet cure, should be studied broadly.

목차 (Table of Contents)

• Ⅰ. 서론 = 1
• 1. 연구의 필요성 = 1
• 2. 연구의 목적 = 4
• 3. 용어의 정의 = 5
• Ⅱ．문헌고찰 = 6
• Ⅲ．연 구 방 법 = 14
• 1. 연구설계 = 14
• 2. 연구대상 및 자료수집 = 14
• 3. 연구도구 = 17
• 4. 자료처리 및 분석방법 = 18
• 5. 연구의 제한점 = 18
• Ⅳ．연구결과 = 19
• 1. 폐경력 = 19
• 2. 갱년기 증상과 정도 = 22
• 3. 갱년기 증상의 발현 및 소실시기 = 32
• 4. 갱년기 증상에 영향하는 변수 = 39
• Ⅴ. 논의 = 40
• Ⅵ. 결론 및 제언 = 46
• 1. 결론 = 46
• 2. 제언 = 48
• 참고문헌 = 49
• 부 록 = 54
• 영문초록 = 61