scholarly journals GAMBARAN KARAKTERISTIK WANITA POSTMENOPAUSE YANG TINGGAL DI WILAYAH PEDESAAN INDONESIA

2019 ◽  
Vol 3 (2) ◽  
pp. 46
Author(s):  
Ida Ayu Ningrat Pangruating Diyu

Latar Belakang: Menopause merupakan tonggak yang penting dalam kesehatan wanita dan signifikan mempengaruhi kualitas hidup wanita. Memasuki masa post-menopause keluhan akan  gejala menopause yang dialami meningkat.  Penelitian yang meneliti mengenai karakteristik maupun keluhan-keluhan wanita postmenopause yang tinggal di pedesaan masih jarang. Penelitian ini bertujuan untuk mengetahui karakteristik wanita postmenopause yang tinggal di pedesaan.Metode Penelitian: Desain penelitianyang digunakan adalah deskriptif cross sectional study. Penelitian dilakukan di Desa Petang, salah satu daerah  pedesaan di Bali, Indonesia. Sampel penelitian ini berjumlah 392 wanita postmenopause. Stages of Reproductive Aging Workshop (STRAW+10) digunakan untuk mengklasifikasikan wanita post menopause. Instrumen yang digunakan adalah instrument yang dirancang sendiri untuk mengetahui karakteritik demografi dan pola kebiasaan serta Menopause Rating Scale (MRS) untuk gejala-gejala menopause.Hasil Penelitian: Hasil analisa data menunjukkan sebagian besar wanita postmenopause yang tinggal di daerah pedesaan memiliki kebiasaan mengkonsumsi kopi yakni sebanyak 315 responden  (80,4%) dan tidak terbiasa berolahraga 218 (55,6%). Keluhan gejala -gejala menopause  dirasakan oleh wanita postmenopause diantaranya rasa tidak nyaman pada persendian dan otot yakni sebanyak 316 wanita  (82%), kelelahan fisik dan mental sebanyak 275 wanita (70,3%), masalah tidur sebanyak 223 (56,9%,), masalah seksual sebanyak 179 (45,7%), rasa tidak nyaman pada jantung sebanyak 122 (31,2%) serta badan terasa panas dan berkeringat sebanyak 119 (30,4%).Kesimpulan:  Wanita postmenopause yang tinggal didaerah pedesaan memiliki karakteritik yang sedikit berbeda . Hampir sebagian besar wanita postmenopause mengeluhkan lebih dari satu gejala menopause. Hal ini menjadi perhatian khusus dan tantangan tersendiri bagi petugas kesehatan dalam merancang intervensi yang tepat guna membantu mengatasi gejala-gejala yang dialami oleh wanita postmenopause 

Author(s):  
Muharam R ◽  
Muhammad Ikhsan ◽  
Herdinda Erudite Rizkinya

Objective: The objective of this study was to assess the association between menarche age and menopausal symptoms.Methods: A cross-sectional study with 100 perimenopause subjects. Every subject was assessed of their menopausal symptoms with validated menopause rating scale (MRS) questionnaire. Menopause symptoms were classified into somato-vegetative, psychological, and urogenital symptoms. Statistical analysis was used to assess menarche age and menopause symptoms associations.Results: Out of 100 subjects, somato-vegetative, psychological, and urogenital symptoms were found in 46%, 68%, and 74% cases, respectively. Menarche age was varied between 10 and 17-year-old. There was a significant correlation between menarche age and psychological symptoms (p=0.034). However, there was no significant correlation between menarche age and somato-vegetative as well as urogenital symptoms (p=0.257; p=0.093).Conclusion: There was a significant association between menarche age and psychological symptoms in perimenopause women. However, there was no association between menarche age and somato-vegetative as well as urogenital symptoms in perimenopause women.


2020 ◽  
Vol 58 (230) ◽  
Author(s):  
Asmita Pandey ◽  
Chanda Karki ◽  
Veena Rani Shrivastava ◽  
Dipty Shrestha ◽  
Pratigyan Gautam

Introduction: Menopause is the permanent cessation of menstruation for more than a year resulting from the loss of follicular activity of the ovaries. It is manifested by vasomotor, psychological, and urogenital symptoms which can be assessed by an internationally accepted scale known as Menopause Rating Scale. This study was conducted to find out the issues of perimenopausal women and proceed for management and proper counseling. Methods: A descriptive cross-sectional study was conducted among women visiting the gynecological outpatient department of a tertiary care hospital from June 2017 to May 2018 using the Menopause Rating Scale. Ethical approval was taken from the Institutional Review Committee (reference number: 20122016). Convenient sampling was done. Statistical Package for the Social Sciences version 20.0 was used for data analysis. Point estimate at 90% confidence interval was calculated along with frequency and proportion for binary data. Results: Out of 189 perimenopausal women interviewed, the mean age of menopause was found to be 50.2±2.1 years. The most common gynecological symptoms among the study population was abnormal uterine bleeding 66 (34.9%) followed by abnormal vaginal discharge 50 (26.5%). Among symptoms in Menopause Rating Scale, the depressive mood was found in 99 (52.4%) cases followed by joint and muscular discomfort 88 (46.6%) and bladder problems in 87 (46%). None of the women had a score on the Menopause Rating Scale more than 16 and did not require management for their problem. Conclusions: Most of the women didn't know menopausal symptoms. However, none required intervention from gynecologists for their problems reflecting better quality of life.


2021 ◽  
Vol 12 ◽  
pp. 215013272110251
Author(s):  
Álvaro Monterrosa-Castro ◽  
Angélica Monterrosa-Blanco ◽  
Andrea González-Sequeda

Background: Quarantine is a measure to control COVID-19 spread, resulting in an increased perception of loneliness. In turn, sleep disorders (SD) may be more frequently reported in uncertain circumstances. Objectives: To identify the association between loneliness and severe SD, in women quarantined due to the COVID-19 pandemic. Methods: A cross-sectional study carried out in women, between 40 and 79 years and living in Colombia. The women were invited through social network to complete 5 digital instruments: de Jong Gierveld Loneliness Scale, Menopause Rating Scale, Fear of COVID-19 Five-item Version, Coronavirus Anxiety Scale, and Francis Religion Scale. Bivariate analysis and adjusted logistic regression between loneliness and SD were performed. Results: 1133 women participated, half of them under 50 years old. 43.1% had emotional loneliness, 39.9% social loneliness and 43.3% general loneliness. SD were identified in 6 out of 10 women, those with mild SD presented an OR of 1.84, 1.85, and 1.64, for emotional, social and general loneliness, respectively. Loneliness was associated twice with moderate SD, and more than twice with severe SD. Very severe SD reached OR:5.81 for emotional loneliness, OR:4.38 social loneliness and OR:4.02 general loneliness. In the presence of religiosity, fear and anxiety due to COVID-19, statistical significance was retained for associations, except intense SD with general loneliness. Conclusions: SD were significantly associated with loneliness in our study population. It is important to assess sleep quality and perception of loneliness in middle-aged women, especially during periods of quarantine due to a pandemic to avoid health implications.


2020 ◽  
Vol 30 (3) ◽  
pp. 200-206 ◽  
Author(s):  
Ava Yun Lin ◽  
Maggie Clapp ◽  
Elizabeth Karanja ◽  
Kevin Dooley ◽  
Conrad C. Weihl ◽  
...  

2021 ◽  
Vol 15 (1) ◽  
pp. 9-12
Author(s):  
Ameer Hamza Mahmood-ul-Hassan ◽  
Abdul Sannan ◽  
Nehala Nooz ◽  
Ansa Ramay ◽  
Muhammad Huzaifa ◽  
...  

Background: The world is facing COVID-19 pandemic and almost 70% of the world had gone under Lockdown. People are facing stress, insomnia and anxiety. The lack of basic awareness and spread of fake news are common causes of all these issues. This study was done to determine the prevalence of insomnia and anxiety in medical and non-medical students. Subjects and methods: Subjects were approached through friends in universities using WhatsApp. People having insomnia and anxiety before quarantine were excluded from this study. People using anti-depressants and anti-psychotics before quarantine were also excluded from this study. A descriptive cross-sectional study was conducted among 965 students of medical and non-medical universities in the cities of Lahore, Rawalpindi and Islamabad. Consent was taken for using the Hamilton Anxiety Rating Scale and Insomnia Severity Index for scoring of anxiety and insomnia respectively. An online questionnaire made in Google forms was used for data collection. Independent t-tests, Pearson Correlation and Regression analysis were performed using SPSS v25. Results: Increased prevalence of anxiety and insomnia in non-medical students as compared to the medical students was observed. There was statistically significant strong correlation between anxiety and insomnia of the enrolled subjects (r=0.742, p<0.001). A linear regression equation was formulated. Increased prevalence of anxiety and insomnia in females was also determined. Conclusion: Non-medical students, compared to medical students, among which, females, compared to males, were more likely to suffer from anxiety and insomnia during lockdown.


2017 ◽  
Vol 32 (3) ◽  
pp. 157-165 ◽  
Author(s):  
Heidi Bjørge ◽  
Kari Kvaal ◽  
Milada Cvancarova Småstuen ◽  
Ingun Ulstein

This cross-sectional study aimed to investigate the relationship between caregivers and care receivers, defined as home-dwelling family members with dementia. We used a self-rating questionnaire, the Felt Expressed Emotion Rating Scale (FEERS; 6 simple questions), to measure caregiver perceptions of the care receiver’s criticisms (CCs) and emotional overinvolvement (EOI) toward the caregiver. We performed factor analyses to rank single items on the FEERS pertaining to CC and EOI. We included 208 caregiver/care receiver pairs. Logistic regression analyses tested associations between FEERS items and caregiver and care receiver variables. The main contributors to caregiver perceptions of CC were the caregiver’s own distress and the amount of time spent with the care receiver. Socially distressed caregivers perceived the care receiver as emotionally overinvolved. When offering a psychosocial intervention, a tailored program should target the caregiver’s perceived relationship with the family member and the caregiver’s distress. The program should also endeavor to give the caretaker more opportunities for leisure time.


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Sahar Obeid ◽  
Marwan Akel ◽  
Chadia Haddad ◽  
Kassandra Fares ◽  
Hala Sacre ◽  
...  

Abstract Background To our knowledge, no research project on alexithymia has been conducted in Lebanon. The objective of this study was to assess risk factors associated with alexithymia in a representative sample of the Lebanese population. Methods This is a cross-sectional study, conducted between November 2017 and March 2018, which enrolled 789 participants from al districts of Lebanon. The Toronto Alexithymia Scale (TAS-20) was used to measure alexithymia, the Alcohol Use Disorders Identification Test to assess alcohol use, drinking patterns, and alcohol-related issues, the Rosenberg self-esteem scale to evaluate self-worth, the Hamilton depression rating scale and Hamilton Anxiety Scale to screen for depression and anxiety respectively, the Three-Dimensional Work Fatigue Inventory to measure physical, mental and emotional work fatigue respectively, the Columbia–Suicide Severity Rating Scale to evaluate suicidal ideation and behavior, the Perceived Stress Scale to measure stress, the Liebowitz Social Anxiety Scale to help identify a social anxiety disorder and the Quick Emotional Intelligence Self-Assessment to measure emotional intelligence. Results The results showed that 395 (50.4%) were not alexithymic, 226 (28.8%) were possible alexithymic, whereas 163 (20.8%) were alexithymic according to established clinical cutoffs. Stress (Beta = 0.456), emotional exhaustion (Beta = 0.249), the AUDIT score (Beta = 0.225) and anxiety (Beta = 0.096) were associated with higher alexithymia, whereas low emotional work fatigue (Beta = −0.114) and being married (Beta = −1.933) were associated with lower alexithymia. People in distress (Beta = 7.33) was associated with higher alexithymia scores, whereas people with high wellbeing (Beta = −2.18), an intermediate (Beta = −2.90) and a high (Beta = −2.71) family monthly income were associated with lower alexithymia compared to a low one. Conclusion Alexithymia appears to be influenced by many factors, including stress, anxiety, and burnout. To reduce its prevalence, it is important that health professionals educate the public about these factors. Further studies on a larger scale are needed to confirm our findings.


Author(s):  
Madeline Jun Yu Yon ◽  
Kitty Jieyi Chen ◽  
Sherry Shiqian Gao ◽  
Duangporn Duangthip ◽  
Edward Chin Man Lo ◽  
...  

Objectives: The objectives of this cross-sectional study were to investigate the fear level of kindergarten children in the general population during dental outreach in a familiar kindergarten setting, and to explore the factors associated with the dental fear of kindergarten children. Method: Consecutive sampling method was used to select kindergarten children aged 3 to 5 to participate in a questionnaire survey and an outreach service. A behavioural observation type of instrument for dental fear and anxiety assessment—Frankl Behaviour Rating Scale (FBRS)—was chosen to investigate the fear level of the children. Bivariate analyses between various factors and children’s dental fear and anxiety were carried out using Chi-square test. Results: A total of 498 children participated in this study. Almost half (46%) of the children have had caries experience, and the mean dmft score was 2.1 ± 3.4. The prevalence of dental caries was 32%, 43%, and 64% in the 3-, 4- and 5-year-olds, respectively. Only 4% of the children scored negatively for dental fear and anxiety (95% CI 2.3%–5.7%). Children at three years of age displayed more dental fear and anxiety than children of older ages, but the difference in dental fear and anxiety among the genders and caries status was not statistically significant. Most of the children (92%) brushed daily, but only 20% of them used toothpaste. Most (85%) of them had never visited the dentist, and over 70% of them were mainly taken care by their parents. High levels of positive and cooperative behaviour and low levels of fear were found in this population. No statistical significance was found between the child’s dental fear and any factors except age. Conclusion: Children generally displayed low fear or anxiety levels in a dental outreach consisting of a non-invasive oral examination and preventive treatment in a familiar kindergarten setting. Conducting regular outreach dental services to kindergartens by providing oral examination and simple remineralisation therapies could be a promising strategy to not only control childhood caries, but also manage and reduce dental fear and encourage long term dental attendance in line with the medical model.


2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Anne Yee ◽  
Huai Seng Loh ◽  
Huai Heng Loh ◽  
Shahrzad Riahi ◽  
Chong Guan Ng ◽  
...  

Abstract Background Methadone is an effective therapy for opiate dependence. However, one of the commonest side effects is sexual dysfunction among male patients. Buprenorphine is an alternative to methadone. This study aimed to compare sexual desire among opiate-dependent male patients on buprenorphine (BMT) and methadone maintenance therapy (MMT). Methods This cross-sectional study involved 126 male opiate-dependent patient who were tested for total testosterone (TT) and prolactin levels, and were interviewed and completed the Sexual Desire Inventory-2 (SDI-2), Malay language of International Index of Erectile Function (Mal-IIEF-15) and the Malay version of the self-rated Montgomery-Asberg Depression Rating Scale (MADRS-BM) questionnaires. Results There were 95 (75.4%) patients on MMT and 31 (24.6%) on BMT. Patients on MMT scored significantly lower in the sexual desire domain (Mal-IIEF-15 scores) (p < 0.01), dyadic sexual desire (p = 0.04) and TT plasma level (p < 0.01) when compared to BMT group after controlling all the confounders. Conclusions Patients on MMT are associated with lower sexual desire when compared with patients on BMT. Smoking may further lower testosterone and, hence, sexual desire in those already on methadone.


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