scholarly journals Evaluation of quality of life and postmenopausal symptoms of postsmenopausal women – a prospective observational study

Author(s):  
V.S. Geethika Timmana ◽  
Glory Mattapalli ◽  
Emmanuel Gujju ◽  
Priyanka Boddu ◽  
Uma Sankar V

Background:  Menopause is a  phase of transformation from the reproductive to the non-reproductive period in a woman’s life. In the aging population it is nature’s defensive event against reproductive morbidity and mortality.“An individual’s insight of their position in conditions such as the value and culture systems in which they survive and in relation to their goals, expectations, standards and concerns” in life is defined as QOL. A negative effect on the common health and quality of life (QOL) as well as the contentment of middle-aged women may occur due to Menopause and associated biologicals. Objective: To evaluate the quality of life and postmenopausal symptoms in postmenopausal women. Methods: In this present study 100 patients were recruited and studied for their demographic details and their postmenopausal qualityof life related aspects. The obtained data was analysed using the SPSS software. Results: The mean menopausal age was found to be 45.6 years. The maximum and minimum menopausal ages were 37 and 60 respectively in this study. On analysis, MSQOL revealed that 89% women suffered sexual symptoms, followed by 78% women who suffered physical symptoms like decrease in physical strength and stamina, aches in back of neck and head, aching muscles and joints. Approximately half of the women experienced vasomotor and psychological symptoms. UQOL revealed lower or poor QOL of the postmenopausal women. The overall average scores for occupational, health, emotional, sexual and total QOL for 100 participants was found to be 11.37, 21.03, 17.84, 3.67 and 53.34 respectively

2021 ◽  
pp. 205336912110147
Author(s):  
Pratima Thapa ◽  
Prabha Thebe

Background Menopause is one of the natural phenomena in every woman’s life. The transition phase gradually brings lots of changes in the life of women, both physically and mentally. In Nepal, these changes are often viewed as the symptoms of old age. This study aims to determine the prevalence of menopausal symptoms and their quality of life (QOL). Methods A descriptive cross-sectional study was conducted in a rural municipality of Jhapa district, Nepal, with study samples of 215 collected using purposive sampling technique. Semistructured questionnaire and MENQOL questionnaire were used for data collection. Descriptive (mean, standard deviation, frequency and percentage) and inferential statistics (t-test and ANOVA test) were used for data analysis. The confidence interval was taken as 95% and probability of significance at p < 0.05. Results The study showed that the mean age of the respondents was 53.51 ± 4.42 years with the mean age at menopause being 47.18 ± 6.16 years. The most prevalent symptoms among postmenopausal women were feeling tired or worn out (98.8%), followed by decrease in stamina (94%), decrease in physical strength (91.2%) and lack of energy (90%). The highest mean score was seen in physical domain (2.88 ± 1.61) followed by sexual (2.77 ± 1.93), vasomotor (2.65 ± 1.84) and psychosocial (2.45 ± 1.55). The overall mean score of QOL was found to be 80.06 ± 24.52. Marital status, number of children, educational status, occupational status and health seeking behaviour had significant association with the QOL score. Conclusion The most common symptoms experienced by the postmenopausal women were the physical symptoms followed by sexual, vasomotor and psychosocial. Presence of these symptoms certainly affects the QOL. Hence, effective awareness and education programme regarding the symptoms and ways to minimize those symptoms should be planned and provided both at individual and community levels.


2004 ◽  
Vol 22 (20) ◽  
pp. 4202-4208 ◽  
Author(s):  
A.G.E.M. de Boer ◽  
J.J.B. van Lanschot ◽  
J.W. van Sandick ◽  
J.B.F. Hulscher ◽  
P.F.M. Stalmeier ◽  
...  

PurposeTo assess 3 years of quality of life in patients with esophageal cancer in a randomized trial comparing limited transhiatal resection with extended transthoracic resection.Patients and MethodsQuality-of-life questionnaires were sent at baseline and at 5 weeks; 3, 6, 9, and 12 months; and 1.5, 2, 2.5, and 3 years after surgery. Physical and psychological symptoms, activity level, and global quality of life were assessed with the disease-specific Rotterdam Symptom Checklist. Generic quality of life was measured with the Medical Outcomes Study Short Form-20.ResultsA total of 199 patients participated. Physical symptoms and activity level declined after the operation and gradually returned toward baseline within the first year (P < .01). Psychological well-being consistently improved after baseline (P < .01), whereas global quality of life showed a small initial decline followed by continuous gradual improvement (P < .01). Quality of life stabilized in the second and third year. Three months after the operation, patients in the transhiatal esophagectomy group (n = 96) reported fewer physical symptoms (P = .01) and better activity levels (P < .01) than patients in the transthoracic group (n = 103), but no differences were found at any other measurement point. For psychological symptoms and global quality of life, no differences were found at any follow-up measurement. A similar pattern was found for generic quality of life.ConclusionNo lasting differences in quality of life of patients who underwent either transhiatal or transthoracic resection were found. Compared with baseline, quality of life declined after the operation but was restored within a year in both groups.


2020 ◽  
Vol 15 (1) ◽  
pp. 43-49
Author(s):  
Dipti Koirala ◽  
Nirupa Thapa ◽  
Sarala Shrestha

Aim: To assess menopause specific quality of life of postmenopausal women. Method: This descriptive survey was carried out among postmenopausal women aged 40 to 60 years residing in a municipality of Kaski district of Nepal. Data was collected from 150 women meeting the criteria through face to face interview using a structured questionnaire consisting of socio-demographic items and Menopause-Specific Quality of Life (MENQOL) scale. Results: Respondents’ mean age and SD was 52.83±4.19 years and their mean menopausal age and SD was 47.12±4.34 years. The most common menopausal symptom reported by the respondents was decrease in physical strength (82.70%) and the least frequent symptom was increase in facial hair (7.40%). The mean scores and SD of MENQOL for physical, psychosocial, sexual and vasomotor domains were 1.67±0.42, 1.46±0.42, 1.31±0.47 and 1.27±0.57 respectively. Significant differences were detected in vasomotor, psychosocial and physical domain score according to physical activity, living status and body mass index respectively (p=0.05). Conclusions: Based on findings, it is concluded that all the postmenopausal women tend to have at least one or more menopausal symptoms. Physical domain is the most affected domain of QOL among the postmenopausal women. The presence of menopausal symptoms affects the quality of life of women adversely that warrants focused teaching and counselling. Keywords: menopause, menopausal symptoms and menopause specific quality of life


2006 ◽  
Vol 22 (12) ◽  
pp. 660-668 ◽  
Author(s):  
Kalliopi L. Koundi ◽  
George E. Christodoulakos ◽  
Irene V. Lambrinoudaki ◽  
Ioannis M. Zervas ◽  
Areti Spyropoulou ◽  
...  

2020 ◽  
Vol 9 ◽  
pp. 1649
Author(s):  
Khadijeh Sharifi ◽  
Zahra Tagharrobi ◽  
Zahra Sooki

Menopause can cause mental, physical, vasomotor, and sexual symptoms and problems, which negatively affect the quality of life (QOL). The aim of this study was to systematically evaluate QOL among Iranian postmenopausal women. This systematic review was conducted on cross-sectional studies that were published between 2000 and 2018. An online search to find studies published in English or Persian was conducted in the databases of Web of Science, PubMed, ScienceDirect, Scopus, Google Scholar, Scientific Information Database, Magiran, and IranMedex. Search key terms were “quality of life”, “menopause”, and “Iran”. Fourteen studies were eligible for this study. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist was used for quality appraisal. The mean and standard deviation of QOL and its domains were extracted from the selected studies. Study data were analyzed using the Review Manager (v. 5.0) and the STATA (v. 12.0) software. The mean of total QOL among 3413 postmenopausal women was 57.89±12.8 (in the possible range of 0–174). The means of its vasomotor, psychosocial, physical, and sexual domains were 7.86±2.14, 19.43±2.05, 40.58±3.33, and 6.71±1.77, respectively. The QOL among Iranian postmenopausal women is nearly higher than the moderate level. The lowest and the highest levels of QOL are related to the physical and sexual domains, respectively. Health authorities need to develop educational interventions to promote postmenopausal women’s QOL, particularly in the physical domain. [GMJ.2020;9:e1649]


2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Nirmala Rathnayake ◽  
Janaka Lenora ◽  
Gayani Alwis ◽  
Sarath Lekamwasam

Menopausal symptoms and quality of life (QOL) of pre- and postmenopausal women in Sri Lanka have not been studied adequately. This study aimed to evaluate the prevalence and severity of menopausal symptoms and the QOL of pre- and postmenopausal women in Galle District, Sri Lanka. A cross-sectional study was conducted with a randomly selected sample of premenopausal (n=184) and postmenopausal (n=166) community-dwelling healthy women aged 30-60 years. The mean (SD) ages of pre- and postmenopausal women, respectively, were 46.1(3.7) and 55.8(3.8) years. Menopausal symptoms were evaluated using the menopause rating scale under three subscales: psychological symptoms, somatovegetative symptoms, and urogenital symptoms. The QOL was evaluated using the short form 36 survey under eight domains. Further, sociodemographic status, gynaecologic factors, physical activity pattern (walking, moderate, and vigorous), body mass index, and waist to hip ratio were also evaluated. The prevalence and severity of all the menopausal symptoms were higher among postmenopausal women. In premenopausal women, the most frequently reported menopausal symptoms were mental exhaustion (49.5%), joint and muscular discomforts (48.5%), and irritability (41.3%). Physical and mental exhaustion (53%), irritability (48.2%), depressive mood (43.4%), and hot flushes (42.2%) were the most frequently reported menopausal symptoms in postmenopausal women. The QOL was significantly impaired among postmenopausal women [mean (SD); 57.47(18.83)] compared to premenopausal women [mean (SD); 66.82(17.93)] (p<0.001). Psychological symptoms score and somatovegetative symptoms score were associated with the QOL of premenopausal women (adjusted R2; 0.35). Somatovegetative symptoms score, psychological symptoms score, moderate and vigorous physical activity scores, and monthly income were associated with the QOL in postmenopausal women (adjusted R2; 0.38). The current study showed that the prevalence and severity of menopausal symptoms and impaired QOL were significantly higher among postmenopausal women, compared to premenopausal women. Menopausal symptoms mostly contributed to the poorer QOL in both pre- and postmenopausal women.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Majid Barati ◽  
Hakimeh Akbari-heidari ◽  
Elham Samadi-yaghin ◽  
Ensiyeh Jenabi ◽  
Hanieh Jormand ◽  
...  

Abstract Objective The present work aimed at determining the prevalence of menopausal symptoms and factors associated with the Quality of life among postmenopausal women. Materials and methods This cross-sectional work was carried out on 270 postmenopausal females referring to health centers of Hamadan city chosen by stratified random sampling. A questionnaire of the Menopausal Quality of Life Questionnaire (MENQOL) was used as the data collection method. Although, the Mann–Whitney test and the Kruskal–Wallis tests were used to compare MENQOL item scores. The significance level of statistical tests was regarded as less than 0.05. Results The mean MENQOL Score in menopausal was 2.45 ± 1.04. Also, vasomotor symptoms had the highest score, and sexual symptoms had the lowest score rather than other dimensions. There was a significant association between the total menopausal quality of life score and job, economy status, smoking, exercise, supplemental Omega-3 s intake, and Postmenopausal stage (p < 0.01). As smokers, women had increasing levels of bother experienced from the MENQOL symptom than non-smokers (mean = 3.67 ± 0.85 vs. 2.36 ± 0.99; p < 0.001). While the MENQOL scores for menopausal females who exercised more often (mean = 1.56 ± 0.7) had lower than those who exercised less than 3 times per week (mean = 3.27 ± 0.9; p < 0.001). However the lowest score was menopausal females who had taking supplemental Omega-3 s than those who hadn't taken it (mean = 2.15 ± 1.06 vs. 2.65 ± 0.97; p < 0.001). Though women who had postmenopausal stage less than 5 years stage (mean = 2.28 ± 0.87) had significantly lower MENQOL scores from those who had postmenopausal stage 5 or more years (mean = 2.63 ± 1.16; p < 0.001). Conclusion Based on the results, vasomotor symptoms were the most dominant symptom. Therefore, it is necessary to improve physical activity levels, focusing on job status, recommend taking an omega 3 s supplement, and planning education and promotion intervention for cessation or prevention of smoking among postmenopausal women to increase the MENQOL is essential.


Author(s):  
Nawang Sukestiningsih ◽  
Denny Agustiningsih ◽  
Wahyudi Istiono

Background: The number and proportion of the Indonesian female population aged 60 years and over from year to year have experienced a significant increase. Women who have gone through menopause and enter old age are described as having many physical and psychological changes, sometimes resulting in a crisis and psychological symptoms. Eighty percent of women report discomfort that can significantly reduce their quality of life. Terra exercise is an exercise movement that is adapted to the anatomical and physiological conditions of the elderly person’s body (low impact). Terra exercise is used to train stamina both physically and mentally. Objective: This study aimed to examine the effect of Terra exercise on the quality of life of postmenopausal women in Kemanukan Village, Bagelen District, Purworejo Regency. Method: This study used a quasi-experimental pre-test-post-test design with a control group. The samples were selected by purposive sampling with the following inclusion criteria: postmenopausal women aged 60-75 years, who did not experience kidney failure, heart disease, rheumatism, blood pressure below 160/90 mmHg, did not have a mental disorder (schizophrenia) nor violent behavior, have a level of independence in the category of sufficient or more, can communicate verbally, and willing to be respondents with a signature/thumbprint of approval to follow the study. Quality of life was measured using the Older People’s Quality of Life Questionnaire (OPQOL-35). Hypothesis testing used paired t-test and Mann-Whitney tests to see the average differences between treatment groups. Result: There was a significant change in the mean pre-test-post-test scores of quality of life of the intervention group with Terra exercise. Conclusion: Terra exercise can improve the quality of life of women after menopause.


2003 ◽  
Vol 1 (3) ◽  
pp. 231-237 ◽  
Author(s):  
JEAN S. KUTNER ◽  
DAVID E. NOWELS ◽  
CORDT T. KASSNER ◽  
JANET HOUSER ◽  
LUCINDA L. BRYANT, ◽  
...  

Objective:The purpose of this study was to describe quality of life (QOL) and psychosocial and spiritual issues among patients receiving hospice care.Methods:A questionnaire addressing QOL, spirituality, optimism, loss, fears about the terminal process and death anxiety was administered to 66 adults receiving care from 14 hospices. The physical components of QOL (physical symptoms and physical well-being) were rated lower than the psychosocial and spiritual aspects (support, existential well-being, psychological symptoms).Results:Respondents had a strong spiritual connection and a strong sense of hope. Although these individuals did not express anxiety or fear about death, there were concerns about the dying process itself. Also, although most felt at ease with their current situation, respondents were concerned about how their illness was affecting their family. Financial and legal issues did not concern most of these individuals.Significance of results:There were few significant associations between patient characteristics and the QOL or other psychosocial or spiritual issues addressed. Among this older terminally ill population receiving hospice care, whose functional status was fair and for whom physical symptoms were troublesome, QOL persisted and a positive outlook prevailed.


2019 ◽  
Vol 15 (2) ◽  
pp. 111
Author(s):  
Salmon Charles Siahaan ◽  
Hendera Henderi ◽  
Ardelia C V ◽  
Ridzal W ◽  
Azyvati KP

Abstract: Approximately 70% of women in the peri period and post menopause experience vasomotor complaints, depression, psychological and somatic complaints. The severity of the symptoms will be different for each woman. This research was conducted to find out whether the clinical symptoms that appear in menopausal women will cause disruption to quality of life. This study was conducted on menopausal women at Geriatric Poly at Simomulyo Health Center Surabaya in March - April 2019 using cross sectional method. Questionnaire was used to measure clinical symptoms in menopausal women and the QOLWHO-BREF questionnaire to assess the quality of life of menopausal women. Menopausal women in this study were at the age of 60.89 + 6.55 years. Menarche at the age of 12.49 + 1.74 years and Menopause at 49.41 + 4.88 years. For the BMI category mean at 24.33 + 4.02 kg / m2. Based on contraception used, it was found that most of women used combination pills (36.8%). Menopausal complaints consist of physical complaints and psychological complaints, for the major complaints from physical are complaints regarding bone and joint pain (86.5%) and for major complaints from psychological factor is a decrease in sexual desire (72.9%). The category of the amount of variety clinical symptoms that appear in each woman, it was found that at most of menopausal women felt 3 complaints (67.6%; 13.24 + 1.76). For the quality of life (WHOQOL) results, the overall quality of life criteria is in the very bad and bad category with the environmental domain being the lowest (3.04 + 10.93) and the better category compare than the other is the social relations domain (29.82 + 4.74) . The results of data analysis through the Spearman correlation test showed that there was a relationship between the number of complaints with a decrease in quality of life (Z = 3.15433; p = 0.00164) and it was found that menopausal women with complaints of menopause affected the decrease quality of life (Z = -4.30769; p <0.00001). Based on this study it was found that the factors that significantly influence the quality of life of a menopausal woman are clinical symptoms that appear both from physical symptoms and psychological symptoms. appears also has a significant effect on decreasing the quality of life of a menopausal woman Keyword: Menopause, clinical symtoms, quality of life


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