Pendekatan Pelayanan Kesehatan Holistik-Komprehensif Pada Kasus Menopause (original) (raw)
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Knowledge on care and management of menopause in middle aged women
The Pharma Innovation Journal, 2019
Knowledge on care and management of menopause in middle aged 160 rural women was studied during 2015-16. The women who attained menopause and belonging to 40-55 years age range were selected from 8 villages of 4 talukas of Dharwad and Bagalkot Districts. The knowledge regarding menopause was assessed by using Self structured interview schedule which included five categories like general information, history of menopause, effects of menopause, care and management of menopause. The postmenopausal symptoms were measured by using Menopause Rating Scale (MRS) developed by Barlin (1992) with 11 items. The responses on each item was scored as 0-4 as none to very severe. MRS was categorized as low (0-14), medium (15-29) and high (30-44) further it was divided into somatic, psychological and urinary symptoms. The Socio-Economic Status (SES) of family was assessed by using Socio Economic Status scale developed by Agarwal. (2005). Correlation was used to assess the relationship between knowled...
Journal of emerging technologies and innovative research, 2021
Background: Menopause is a part of every woman's life. It is the stage when the menstrual period permanently stops. This stage usually occurs between the age of 40 and 60 years associated with hormonal, physical, psychological changes .These changes can occurs can occur gradually or abruptly. It can start as early as the age of 30 and last until as late as the age of 60years. It can also occur when the ovaries are removed or stopped functioning. Symptoms include irregular menstruation, changes in sexual desire, hot flushes, vaginal dryness and urinary problems changes in appearances, mood changes sleep disturbances palpitations and backache. When the body produce less estrogen and progesterone, the parts of the body that depends on estrogen to keep them healthy will react and this often causes the discomfort in women. Aim: To assess the Physiological and Psychological changes among menopausal women in the selected Rural area, Dehradun. Material and Methods: Non-experimental exploratory descriptive survey design (Nonprobability convenient sampling technique) was used for sample selection. Maldevta Raipur village at Dehradun. Participants 150 women's fulfil the inclusion and exclusion criteria selected by convenient sampling technique for the study. Data was collected by two tools section 1) Demographic variables of the participants, 2) Menopause rating scale. Collected data was analysed by using descriptive and inferential statistics. Results: On analysis, the study revealed that majority of symptoms were dryness of vagina in 98%, Anxiety in 96.7%, Irritability in 96%, Depressive mood in 94%, Joint and muscular discomfort in 88.7%, Sexual problems in 87.3%, Sleep problems in 86.7%, Heart discomfort in 80%, Physical and mental exhaustion in 79.3%, Hot flushes in 52.7% and Bladder problems in 52%. Out of the total 98% samples who had severity of symptoms regarding urogenital (dryness of vagina) .The mean, mean % and SD of menopausal rating scale. The mean percentage for somatic score was 43.96 %, psychological score was 52.38 % and urogenital score was 50.67 %. Therefore overall mean scores of respondents were found to be 21.34, mean percentage 48.5 % with standard deviation 5.67. Out of the eight demographic variables selected for the study only two is found to be significantly associated with the physiological and psychological change i.e, menopausal women. It was found that with severity of symptoms in age group (55-59) and occupation status (housewife), of menopausal women regarding menopause. Conclusion: The finding of the study revealed that the most of the severity of symptoms related to menopause in women's has got positive impact on healthy quality of life.
Knowledge and Experience of Menopause -A Rural Based Study in Aligarh
The menopause is a transitional phase in women's life.The level of oestrogen is decreased ,because of which a variety of symptoms such as hot flushes, mucosal dryness, excessive sweating, emotional fluctuations, psychoses, decreased strength and calcification of bones occurs. Attitudes, perception and expectations are part of the psychosocial phenomenon surrounding menopause. Natural menopause is diagnosed after 12 months of amenorrhoea not associated with a pathological cause. Menopause is a gradual process that lasts for about 2 years, called climacteric. It is normal and should not be taken as a disease or syndrome. The aim of this study was to find out the knowledge and experience of menopausal symptoms among women who had attained menopause. Material and Methods A cross-sectional study was conducted during Jan-Feb in 2010 in the rural areas of Jawan, Aligarh. The study population comprised of women (40-60 years) who had attained menopause. The women with a history of surgical menopause (i.e. history of surgical removal of both the ovaries with or without hysterectomy) were excluded from the study.A total of 100 females were taken. Informed consent was taken from each participant. Questionnaires were prepared for the study. Data was collected and analysed using SPSS software. Results Most of the females under study reported complaint of backache, followed by complaint of body ache. This was followed by history of hot flushes and night sweats in most of them. About half of females gave complaint of insomnia and loss of memory. Most of females under study knew that menopause is a natural process.53% of females were happy about menstrual cessation but 47% were worried about it. Only 2% of females under study had heard about HRT. Before attaining menopause, 73% of females under study were aware about the age of menopause and 23% were aware about few menopausal symptoms. Conclusion Knowledge, attitude and menopausal symptoms in studied population were not very different from other studies reported within the country and abroad. Medical care providers should be encouraged to educate women about menopause, its symptoms, consequences and treatment options. There should be menopause clinics in the health centres.
Knowledge, practice and life style management of postmenopausal women: A study in Odisha
International journal of home science, 2016
The objectives of the present research was to study the life style, knowledge and practice of the adult women in managing their post menopausal health problems. One hundred and twenty respondents were selected by random purposive sampling method from urban areas of Bhubaneswar City, Odisha. Information on demographic profile, health problems, life style, knowledge on management of health problems and their practice in real life was collected by questionnaire cum interview method. The results of the study revealed that majority (78%) of the respondents had natural menopause and belonged to the age group of 45-55 years. Common health problems such as hot flash, sweating, loss of memory, mood swing, back ache, alopecia was found among majority of the respondents and 80% of them had perception that it is a natural process. Even though educated only 51.6% respondents were aware about its management and out of them only 35.8% did their regular health check up. Very few respondents were co...
Concept and Management of Menopause in Unani Medicine: An Evidence Based Approach
INDIAN JOURNAL OF UNANI MEDICINE
Menopause or climacteric is a phase of transition in a woman's life. During this phase there can be recognisable physiological alteration of structures and functions that eventually lead to the beginning of old age and devolution. Unani medicine has got a clear concept of different temperamental, humoral and power changes in different phases of life and that's also known Asnān Arba'a / A'mār Arba'a (four stages of life). Menopause is related to Sinn-i-Kuhūlat / Sinn-i-Inhitāt (age of decline) and extends to Sinn-i-Shaykhūkhat (age of elderly / geriatric age).the temperament of this phase of life is either cold and dry or cold and dry with dominance of abnormal moistness. Apart from this one of the most distinguishing features of the menopaustic uterus is atrophy of the endometrium. This can be correlated with the concept of Amrād Sū'al-Tarkīb (structural diseases) of Unani medicine. Under this heading Nuqsān-i-Miqdār Maqāmī (localized decrease in size) is compatible with the uterine atrophy. Further in terms of Humoral theory, the persons of this age group are Sawdāwī al-Mizāj (melancholic temperament).It is commonly seen that these women suffer mostly from irritability, hot flushes, mood swings, sleeplessness, forgetfulness, hysteria, skin problems e.g. pruritus etc. as per Unani Medicine these are more or less Sawdāwī (melancholic) disorders. To manage these disorders or symptoms, there are many drugs that are included in the classical texts. Some of these drugs have been researched and have proven to be effective on these symptoms. This paper highlights not only the concept of menopause but also the drugs that can be used in this phase to achieve a better quality of life. This paper will prove beneficial for the herbal drug industry to explore and research on these drugs for providing an opportunity to the women to have a graceful and healthy old age.
The Effect of Menopause On Women's Health: A Systematic Review
2022
Background: Importance: Menopause accompanied by many signs and symptoms in the women's life. Objective: This study aims to review impact of menopause on the health of menopausal women in Iran. method: This review performed in accordance with the PRISMA guidelines. We searched, including PubMed, Web of Science (ISI), Scopus, Ovid, and the Iranian Clinical Trial Registry and Magiran, SID from January 1990 to January 2020. The quality of the articles was assessed the consort tool in clinical trials and STORB tool for observational research and PRISMA tool for systematic review. Findings: In total 2759 articles were obtained by searching in databases. Finally23 study selected to evaluate. According to the studies, Women's experiences of physical effects, negative emotions, negative attitudes, how adjustment, worries and psychological effects cause severity of menopausal symptoms and, as the age of postmenopausal women increases, the severity of physical and psychological sympto...
International Journal for Research in Applied Science and Engineering Technology (IJRASET), 2022
Menopause is the most prominent event in women's middle age and marks the end of a women's reproductive life. Symptoms of menopause are the basis of health care providers and public health professionals to provide adequate medical care, including improving the physiological and psychological state of women. The main objective of the study was to determine age at menopause along with its health consequences and socioeconomic determinants affecting the quality of life. A total of 70 women were enrolled in the study. Information was collected from 40-55 years old womens to estimate the age of menopause along with socioeconomic determinants and health effects of menopause. Questionnaire was created consisting of socio demographic data, prevalence of menopausal symptoms, knowledge and attitude towards menopaus for data collection. From the study, we found the average age of menopause was 48.5 years, which is higher than other studies conducted in India, reason may be methodological. Psycho-physiological changes were associated with irritability, heart discomfort, anxiety, depressive mood, hot flashes, physical and mental exhaustion, sleep problems. There must be well planned, balanced health education and necessary treatment arrange for the welfare of perimenopause women for better quality of life. The obtained results were analyzed and discussed in detail.
An Investigation into the Knowledge and Practices of Women towards Menopause in Choma District
Texila International Journal of Public Health, 2022
Menopause is a biological event characterized by a complexity of factors. On average one, third of the women's life consists of the post-menopause years, and health care programs for women do not address concerns beyond reproductive ages. The purpose of this study was to investigate into the knowledge and practices of women towards menopause in choma district. A descriptive crosssectional research design was used to collect data from a sample of 50 women from two clinics. The researcher used a questionnaire that included both structured and open-ended questions. The findings indicated that 14(28%) of the respondents had adequate knowledge, while 36(72%) had inadequate knowledge towards menopause. 24(48%) of the respondents had good practices with adequate knowledge on menopause which was statistically significant (P<0.000). In this study, 37(74%) of the respondents who had bad practices had bad health-seeking behaviour. A high proportion of women are affected by menopause related symptoms. Care seeking for all symptoms is not uniform, indicative of a lack of knowledge about the treatable nature of many of these symptoms. There is a need to continue giving health education to women 45 years and above on the signs and symptoms, treatment needed, and where and when to seek health services so as to impart knowledge on menopause.