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Gu X, Li X, Deng T, Fan R. Application of multidisciplinary doctor-nurse collaboration team to treat the patients in orthopedic department. Asian J Surg 2023; 46:6021-6022. [PMID: 37739891 DOI: 10.1016/j.asjsur.2023.09.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2023] [Accepted: 09/06/2023] [Indexed: 09/24/2023] Open
Affiliation(s)
- Xiaomei Gu
- Department of Orthopaedics Nursing, Neijiang Hospital of Traditional Chinese Medicine, Neijiang, 641000, China.
| | - Xianlan Li
- Department of Orthopaedics Nursing, Neijiang Hospital of Traditional Chinese Medicine, Neijiang, 641000, China
| | - Ting Deng
- Department of Orthopaedics Nursing, Neijiang Hospital of Traditional Chinese Medicine, Neijiang, 641000, China
| | - Rui Fan
- Department of Orthopaedics Nursing, Neijiang Hospital of Traditional Chinese Medicine, Neijiang, 641000, China
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Macías-Cortés E. Menopause: Questions and Answers for Improving Homeopathic Clinical Practice. HOMEOPATHY 2023; 112:214-225. [PMID: 36413987 DOI: 10.1055/s-0042-1755362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
BACKGROUND Medical attention for menopausal women is frequently delivered by health care providers (general practitioners, gynecologists or homeopathic physicians) who are not specialized in post-reproductive care. Homeopathy has been used for treating menopausal complaints for more than two centuries. Therefore, it is important to improve clinical knowledge in this field among homeopathic physicians. Nowadays, there is a special interest in the study of menopause-related chronic conditions due to the impact on women's quality of life. The aim of this review is to address the important key points of the menopause, clinical assessment, and available tests for evaluating menopausal women, as well as some general topics regarding homeopathic clinical practice for menopause. METHODS AND RESULTS A literature search regarding menopause and current guidelines and recommendations was performed. To be practical and concise, the information is presented in the form of questions and answers. Currently, there is an international classification of woman's reproductive aging that can be useful for clinical and research purposes in homeopathy. A comprehensive homeopathic approach is mandatory for evaluating women with a healthy menopause, but also for those experiencing co-morbidities. In an integrative health care system, several assessment resources can be incorporated into the homeopathic consultations. Clinical and laboratory examinations for detecting metabolic disorders (dyslipidemia, insulin resistance, diabetes and hypertension, among others), mood disorders, cognitive impairment and osteoporosis are available in many clinical settings. Screening for gynecological cancers is an international recommendation at this stage. All data obtained from homeopathic consultations would help to integrate well-documented case reports. This would give the possibility to generate hypotheses to design high-quality clinical research. CONCLUSION Improving homeopathic clinical practice for menopause is useful for both clinical and research purposes. The international recommendations for evaluating menopausal women should be incorporated in homeopathic clinical practice, mainly in clinical settings where homeopathy is integrated in outpatient services.
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Affiliation(s)
- Emma Macías-Cortés
- Outpatient Homeopathy Service, Hospital Juárez de México, Mexico City, Mexico
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Kafaei-Atrian M, Sadat Z, Nasiri S, Izadi-Avanji FS. The Effect of Self-care Education Based on Self-efficacy Theory, Individual Empowerment Model, and Their Integration on Quality of Life among Menopausal Women. INTERNATIONAL JOURNAL OF COMMUNITY BASED NURSING AND MIDWIFERY 2022; 10:54-63. [PMID: 35005041 PMCID: PMC8724726 DOI: 10.30476/ijcbnm.2021.86814.1370] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/27/2020] [Revised: 09/19/2021] [Accepted: 10/04/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Menopause has adverse physical and emotional effects on the quality of life. The aim of this study was to determine the effect of self-care education based on self-efficacy theory, individual empowerment model, and their integration on the quality of life among menopausal women. METHODS In this quasi-experimental study, 186 menopausal women, aged 45-60 years at Kashan health centers entered the study using cluster sampling for health centers and simple random sampling inside each center from the list of the population from December 2019 to March 2020. The intervention was performed in 3 groups, using empowerment training, self-efficacy training, and their integration for 4 sessions each lasting 1-1.5 hours of weekly training. Three study groups were selected from different centers to minimize information exchange. Menopausal women's quality-of-life questionnaire was used to assess the quality of life. Questionnaires were completed pre-intervention and one and three months after completing the intervention. SPSS16 software and ANOVA, Chi-square, and repeated measure tests were used. RESULTS The mean±SD score of quality of life in pre-intervention measurement was 32.96±10.62 in empowerment, 31.93±12.54 in self-efficacy, and 34.07±11.7 in integrated groups. The intervention was effective in improving the quality of life of all three groups (P values were<0.001 for time, 0.92 for group, and 0.38 for time*group interaction). CONCLUSION This study showed that empowerment and enhancing self-efficacy could improve menopausal women's quality of life. This can help health professionals to better educate postmenopausal women about self-care in menopausal complications.
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Affiliation(s)
- Mahboobeh Kafaei-Atrian
- Department of Midwifery, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
| | - Zohreh Sadat
- Trauma Nursing Research Centre, Kashan University of Medical Sciences, Kashan, Iran
| | - Saeideh Nasiri
- Department of Midwifery, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
| | - Fatemeh Sadat Izadi-Avanji
- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
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Macías-Cortés E. Menopause is more than Hot Flashes: What is Missing in Homeopathic Research? A Narrative Review. HOMEOPATHY 2021; 111:79-96. [PMID: 34634835 DOI: 10.1055/s-0041-1733971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND Menopausal complaints are frequently treated with homeopathy in daily practice worldwide. Recently, vasomotor symptoms have been understood to have implications as predictors of other important and long-term outcomes, causing increased risk of mortality and/or disability. METHODS A comprehensive search of the literature was conducted to investigate whether homeopathic treatments for menopausal women with vasomotor symptoms have a positive effect on other important health outcomes associated with menopause, such as cardiovascular disease, neurocognitive impairment, metabolic and mood disorders, or osteoporosis. RESULTS Though observational studies have shown encouraging results in reducing the severity and frequency of hot flashes in women treated with homeopathy, few randomized controlled trials have shown positive results. In most of the studies using homeopathy, the primary outcome is reduction in the frequency and severity of hot flashes, and other menopausal complaints are assessed secondarily as a part of the symptoms evaluated in the menopausal scales. Quality of life improves with homeopathic treatments for hot flashes, but there is scarce evidence of the effect of homeopathy on other health outcomes associated with menopause. Limited evidence exists in the case of menopausal women treated with individualized homeopathy for depression and metabolic disorders. CONCLUSION A more comprehensive approach for treating menopause in routine homeopathic practice constitutes a valuable opportunity to increase knowledge and high-quality research in this field. Future homeopathic research for menopause should be focused on well-designed, double-blind, placebo-controlled, randomized trials as well as on pragmatic trials to show whether homeopathic treatments for vasomotor symptoms can also improve outcomes that are well-known to increase the risk of mortality and/or disability.
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Affiliation(s)
- Emma Macías-Cortés
- Homeopathy Outpatient Service, Hospital Juárez de México, Mexico City, Mexico
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Brech GC, de Paula TS, Fedele TA, Dias AS, Soares-Júnior JM, Bordalo-Rodrigues M, Baracat EC, Alonso AC, Greve JMD. Response to fatigue observed through magnetic resonance imaging on the quadriceps muscle in postmenopausal women. Clinics (Sao Paulo) 2020; 75:e1768. [PMID: 32609225 PMCID: PMC7314579 DOI: 10.6061/clinics/2020/e1768] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Accepted: 05/04/2020] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES Menopause marks the end of women's reproductive period and can lead to sarcopenia and osteoporosis (OP), increasing the risk of falls and fractures. The aim of this study is to evaluate the influence of normal and low bone mineral density (BMD) on muscular activity, observed through inflammatory edema when mapping using magnetic resonance imaging (MRI) on the quadriceps muscle of postmenopausal women. METHODS This was a cross-sectional study involving 16 older women, who were divided into two groups: osteoporosis group (OG), older women with OP, and control group (CG), older women without OP. The groups were evaluated in terms of nuclear MRI exam before and after carrying out fatigue protocol exercises using an isokinetic dynamometer and squatting exercises. RESULTS The results of the present study showed that in intragroup comparisons, for both groups, there was a significant increase (p<0.05) in the T2 signal of the nuclear MRI in the quadriceps muscle after carrying out exercises using both thighs. In the intergroup comparison, no statistically significant difference was observed between the OG and CG, pre- (p=0.343) and postexercise (p=0.874). CONCLUSION The acute muscular activation of the quadriceps evaluated by T2 mapping on nuclear MRI equipment is equal in women with and without OP in the postmenopausal phase. BMD did not interfere with muscle response to exercise when muscle fatigue was reached.
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Affiliation(s)
- Guilherme Carlos Brech
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia (IOT), Hopital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Programa de Ciencias do Envelhecimento, Universidade Sao Judas Tadeu (USJT), Sao Paulo, SP, BR
- *Corresponding author. E-mail:
| | - Thalita Sousa de Paula
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia (IOT), Hopital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Departamento de Fisioterapia, Universidade Nove de Julho (UNINOVE), Sao Paulo, SP, BR
| | - Thiago Antônio Fedele
- Radiologia, Instituto de Ortopedia e Traumatologia (IOT), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Aluane Silva Dias
- Programa de Ciencias do Envelhecimento, Universidade Sao Judas Tadeu (USJT), Sao Paulo, SP, BR
| | - José Maria Soares-Júnior
- Disciplina de Ginecologia, Departamento de Obstetricia e Ginecologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Marcelo Bordalo-Rodrigues
- Radiologia, Instituto de Ortopedia e Traumatologia (IOT), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Edmund Chada Baracat
- Disciplina de Ginecologia, Departamento de Obstetricia e Ginecologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Angélica Castilho Alonso
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia (IOT), Hopital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Programa de Ciencias do Envelhecimento, Universidade Sao Judas Tadeu (USJT), Sao Paulo, SP, BR
| | - Julia Maria D’Andréa Greve
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia (IOT), Hopital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
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Faraji K, Kamrani MA, Saeieh SE, Farid M. Could a Midwife Leading Health Behavior Counseling Improve Self-Care of Women During Perimenopause? A Quasi-Experimental Study. J Midlife Health 2019; 9:195-199. [PMID: 30692815 PMCID: PMC6332717 DOI: 10.4103/jmh.jmh_18_17] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background: Promoting the health and providing a sense of well-being in each period of a woman's life could improve her life quality and would bring lots of benefits to the community. Menopause has a remarkable impact on quality of life during the climacteric stage and the early stages of post menopause. Aims: This study aims to evaluate the effectiveness of a behaviour change counselling program based on the model A, which is planned in order to improve the women self-care during the climacteric stage. Methods: The study is quasi-experimental type, conducted before and after counselling intervention, to evaluate effect of the health behaviour counselling of model 5A on self-care of 42 women aged 39-51 (during climacteric stage) in areas of general health, physical activity, nutrition, sleep, psycho-social health, body image and sexual health. After obtaining permission from the ethics of Alborz University of Medical Sciences, a clinical trial registry (IRCT2016042427557N1) was performed. Results: Results of non-parametric Fridman test showed a change in score average grade of self-care before and after the health behaviour counselling in the area studied (P < 0.0001). There was a significant difference between the self-care score before counselling, and one and three months later, in all areas except body image and sleep. Conclusions: Multidimensional changes of women in climacteric stage may affect their life quality. They need more information about menopause process to manage its symptoms. Results of this study highlight more the effectiveness of health behaviour change counselling planned by emphasizing the individual's self-care level.
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Affiliation(s)
- Katayoon Faraji
- Departments of Midwifery and Community Medicine, Faculty of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Mahnaz Akbari Kamrani
- Departments of Midwifery and Community Medicine, Faculty of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Sara Esmaelzade Saeieh
- Departments of Midwifery and Community Medicine, Faculty of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Malihe Farid
- Departments of Midwifery and Community Medicine, Faculty of Medicine, Alborz University of Medical Sciences, Karaj, Iran
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Saint-Pierre C, Herskovic V, Sepúlveda M. Multidisciplinary collaboration in primary care: a systematic review. Fam Pract 2018; 35:132-141. [PMID: 28973173 DOI: 10.1093/fampra/cmx085] [Citation(s) in RCA: 87] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
BACKGROUND Several studies have discussed the benefits of multidisciplinary collaboration in primary care. However, what remains unclear is how collaboration is undertaken in a multidisciplinary manner in concrete terms. OBJECTIVE To identify how multidisciplinary teams in primary care collaborate, in regards to the professionals involved in the teams and the collaborative activities that take place, and determine whether these characteristics and practices are present across disciplines and whether collaboration affects clinical outcomes. METHODS A systematic literature review of past research, using the MEDLINE, ScienceDirect and Web of Science databases. RESULTS Four types of team composition were identified: specialized teams, highly multidisciplinary teams, doctor-nurse-pharmacist triad and physician-nurse centred teams. Four types of collaboration within teams were identified: co-located collaboration, non-hierarchical collaboration, collaboration through shared consultations and collaboration via referral and counter-referral. Two combinations were commonly repeated: non-hierarchical collaboration in highly multidisciplinary teams and co-located collaboration in specialist teams. Fifty-two per cent of articles reported positive results when comparing collaboration against the non-collaborative alternative, whereas 16% showed no difference and 32% did not present a comparison. CONCLUSION Overall, collaboration was found to be positive or neutral in every study that compared collaboration with a non-collaborative alternative. A collaboration typology based on objective measures was devised, in contrast to typologies that involve interviews, perception-based questionnaires and other subjective instruments.
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Affiliation(s)
- Cecilia Saint-Pierre
- Department of Computer Science, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Valeria Herskovic
- Department of Computer Science, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Marcos Sepúlveda
- Department of Computer Science, Pontificia Universidad Católica de Chile, Santiago, Chile
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Thu WPP, Logan SJS, Lim CW, Wang YL, Cauley JA, Yong EL. Cohort Profile: The Integrated Women’s Health Programme (IWHP): a study of key health issues of midlife Singaporean women. Int J Epidemiol 2018; 47:389-390f. [DOI: 10.1093/ije/dyx278] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/18/2017] [Indexed: 11/13/2022] Open
Affiliation(s)
- Win Pa Pa Thu
- Department of Obstetrics and Gynaecology, National University of Singapore (NUS), Republic of Singapore
| | - Susan Jane Sinclair Logan
- Department of Obstetrics and Gynaecology, National University of Singapore (NUS), Republic of Singapore
| | - Chun Wei Lim
- Department of Obstetrics and Gynaecology, National University of Singapore (NUS), Republic of Singapore
| | - Yue Luna Wang
- Department of Obstetrics and Gynaecology, National University of Singapore (NUS), Republic of Singapore
| | - Jane A Cauley
- University of Pittsburgh, Graduate School of Public Health, Pittsburgh, PA, USA
| | - E L Yong
- Department of Obstetrics and Gynaecology, National University of Singapore (NUS), Republic of Singapore
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Rindner L, Strömme G, Nordeman L, Wigren M, Hange D, Gunnarsson R, Rembeck G. Prevalence of somatic and urogenital symptoms as well as psychological health in women aged 45 to 55 attending primary health care: a cross-sectional study. BMC WOMENS HEALTH 2017; 17:128. [PMID: 29221473 PMCID: PMC5723029 DOI: 10.1186/s12905-017-0480-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/27/2015] [Accepted: 11/28/2017] [Indexed: 11/10/2022]
Abstract
BACKGROUND Women's physical and mental ill-health such as stress-related symptoms, depression, pain, hypertension and urogenital health shows a marked increase around the ages 45-55 years. These women are an important group for Primary Health Care (PHC) due to their prevalent symptoms and illnesses. The aim of this study was to estimate the prevalence of somatic, psychological and urogenital symptoms in women aged 45-55 attending PHC and evaluate factors associated with severe symptoms. METHODS One hundred and thirty-one women were recruited from PHC in southwestern Sweden. Data were obtained from two self-reported questionnaires, the Menopause Rating Scale (MRS) and the Montgomery-Asberg Depression Rating Scale (MADRS). RESULTS Exhaustion, depressive mood, muscle and joint problems, sleep and sexual problems were the most prevalent reported symptoms. Half of the women reported heart discomfort. Depression and increasing age were correlated to more severe symptoms. CONCLUSION We recommend that cardiovascular risk factors, musculoskeletal symptoms, sexual problems, sleeping problems and mental health should be actively asked for when women aged 45 to 55 attend PHC. We propose that preventive counselling of women in PHC before the age 45 should be evaluated in future studies.
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Affiliation(s)
- Lena Rindner
- Närhälsan, Skene Health Care Center, Varbergsvägen 80, SE-511 81, Skene, Sweden. .,Research and Development Center Södra Älvsborg, Närhälsan, Research and Development, Primary Health Care Region, Västra Götaland, Sweden. .,Department of Public Health and Community Medicine/Primary Health Care, Institute of Medicine, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
| | - Gunilla Strömme
- Närhälsan Svenljunga Antenatal Clinic, Svenljunga, Sweden.,Research and Development Center Södra Älvsborg, Närhälsan, Research and Development, Primary Health Care Region, Västra Götaland, Sweden
| | - Lena Nordeman
- Research and Development Center Södra Älvsborg, Närhälsan, Research and Development, Primary Health Care Region, Västra Götaland, Sweden.,Department of Health and Rehabilitation, Unit of Physiotherapy, University of Gothenburg, Sahlgrenska Academy, Institute of Neuroscience, Physiology, Gothenburg, Sweden
| | - Margareta Wigren
- Research and Development Center Södra Älvsborg, Närhälsan, Research and Development, Primary Health Care Region, Västra Götaland, Sweden
| | - Dominique Hange
- Research and Development Center Södra Älvsborg, Närhälsan, Research and Development, Primary Health Care Region, Västra Götaland, Sweden.,Närhälsan, Svenljunga Health Care Center, Svenljunga, Sweden.,Department of Public Health and Community Medicine/Primary Health Care, Institute of Medicine, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Ronny Gunnarsson
- Research and Development Center Södra Älvsborg, Närhälsan, Research and Development, Primary Health Care Region, Västra Götaland, Sweden.,Department of Public Health and Community Medicine/Primary Health Care, Institute of Medicine, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.,General Practice and Rural Medicine, Cairns Clinical School, College of Medicine and Dentistry, James Cook University, Townsville, Australia
| | - Gun Rembeck
- Research and Development Center Södra Älvsborg, Närhälsan, Research and Development, Primary Health Care Region, Västra Götaland, Sweden.,Department of Public Health and Community Medicine/Primary Health Care, Institute of Medicine, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.,Närhälsan Borås Adolescent Health Centre, Kvarngatan 4, 50336, Borås, Sweden
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Rindner L, Strömme G, Nordeman L, Hange D, Gunnarsson R, Rembeck G. Reducing menopausal symptoms for women during the menopause transition using group education in a primary health care setting-a randomized controlled trial. Maturitas 2017; 98:14-19. [PMID: 28274323 DOI: 10.1016/j.maturitas.2017.01.005] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2016] [Revised: 12/12/2016] [Accepted: 01/10/2017] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Women's physical and mental ill-health shows a marked increase during menopause, which usually occurs between 45 and 55 years of age. Mental illness and somatic symptoms are common causes of long-term sick leave. Women suffer from a lack of knowledge about the menopause transition and its associated symptoms. The aim of the study was to investigate whether group education for women in primary health care (PHC) about the menopause transition can improve their physical and mental ill-health. STUDY DESIGN This randomized controlled study was conducted in PHC and aimed to evaluate a group education programme for women aged 45-55 years, around the menopause transition. A total of 131 women were randomized to group education or no intervention. The group intervention included two education sessions with topics related to menopause. They answered two questionnaires at baseline and at four-month follow-up: the Menopause Rating Scale (MRS) and the Montgomery-Asberg Depression Rating Scale (MADRS). MAIN OUTCOME MEASURE Change in MRS and MADRS scores over the four months. RESULTS The intervention group experienced a slight reduction in symptoms while the control group mostly experienced the opposite. CONCLUSION This study showed that it was feasible to implement group education on menopause for women aged 45-55 years. THE CLINICAL TRIAL REGISTRATION NUMBER NTC02852811.
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Affiliation(s)
- Lena Rindner
- Närhälsan, Skene Health Care Center, Skene, Närhälsan, Research and Development, Primary Health Care Region Västra Götaland, The Research and Development Center Södra Älvsborg, Sweden; Department of Public Health and Community Medicine/Primary Health Care, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Sweden; Research and Development Center Södra Älvsborg, Närhälsan, Research and Development, Primary Health Care Region, Västra Götaland, Sweden.
| | | | - Lena Nordeman
- Research and Development Center Södra Älvsborg, Närhälsan, Research and Development, Primary Health Care Region, Västra Götaland, Sweden; University of Gothenburg, Sahlgrenska Academy, Institute of Neuroscience and Physiology Department of Health and Rehabilitation, Unit of Physiotherapy, Sweden
| | - Dominique Hange
- Department of Public Health and Community Medicine/Primary Health Care, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Sweden; Research and Development Center Södra Älvsborg, Närhälsan, Research and Development, Primary Health Care Region, Västra Götaland, Sweden; Närhälsan, Svenljunga Health Care Center, Department of Public Health and Community Medicine/Primary Health, Gothenburg University, Sweden
| | - Ronny Gunnarsson
- Department of Public Health and Community Medicine/Primary Health Care, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Sweden; Research and Development Center Södra Älvsborg, Närhälsan, Research and Development, Primary Health Care Region, Västra Götaland, Sweden; Associate Professor in General Practice and Rural Medicine, Cairns Clinical School, College of Medicine and Dentistry, James Cook University, Australia
| | - Gun Rembeck
- Research and Development Center Södra Älvsborg, Närhälsan, Research and Development, Primary Health Care Region, Västra Götaland, Sweden; Närhälsan Borås Youth Centre, Region Västra Götaland, Sweden, Borås, Sweden
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11
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Ceylan B, Özerdoğan N. Menopausal symptoms and quality of life in Turkish women in the climacteric period. Climacteric 2014; 17:705-12. [PMID: 24884351 DOI: 10.3109/13697137.2014.929108] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVES The purpose of this study is to determine the frequency of menopausal symptoms in Turkish women and the impact of these symptoms and related factors on the quality of life. METHODS The sample in this cross-sectional study consisted of 1030 women, aged 40-59 years. The researcher collected the data at the women's homes via the face-to-face interview method using the Menopause-Specific Quality of Life (MENQOL) questionnaire and a questionnaire developed and drawn up in line with the literature. RESULTS The mean age (± standard deviation) of the women participating in the study was 48.58 ± 5.61 years and their mean menopausal age was 46.4 ± 4.4 years. While the most frequently experienced menopausal symptoms in the study were feeling tired and worn out (79.2%), aches in the muscles and joints (79.1%) and low backache (77.8%), the least experienced symptom was an increase in facial hair (28.3%). Significant differences were found between the subdomain mean scores on the MENQOL according to menopausal periods (p = 0.000). Significant differences were detected in all subdomain mean scores of the MENQOL questionnaire according to age groups, perception of income, education, parity and body mass index (p < 0.05). CONCLUSION In women in the climacteric period, the time that quality of life is the most affected among all the menopausal periods is the postmenopausal period. Women in menopause should not be forgotten; health-care services addressing the health needs of women should not be restricted only to the period of fertility but continued with the same sensitivity throughout the life cycle.
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Affiliation(s)
- B Ceylan
- Department of Fundamentals of Nursing, Ege University Faculty of Nursing , Bornova-Izmir , Turkey
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Doubova SV, Infante-Castañeda C, Espinosa-Alarcón P, Flores-Hernández S, Martinez-Vega I, Pérez-Cuevas R. Effectiveness of an integrative health-care model for climacteric-stage women. Climacteric 2012; 16:590-600. [DOI: 10.3109/13697137.2012.720621] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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