Factors Affecting the Quality of Life in Climacteric Women in Manisa ...
Factors Affecting the Quality of Life in Climacteric Women in Manisa ...
Factors Affecting the Quality of Life in Climacteric Women in Manisa ...
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Trakya Univ Tip Fak Derg 2010;27(2):111-116 • doi: 10.5174/tutfd.2008.01050.2Orig<strong>in</strong>al Article / Kl<strong>in</strong>ik Çalışma - Araştırma<strong>Factors</strong> <strong>Affect<strong>in</strong>g</strong> <strong>the</strong> <strong>Quality</strong> <strong>of</strong> <strong>Life</strong> <strong>in</strong> <strong>Climacteric</strong> <strong>Women</strong><strong>in</strong> <strong>Manisa</strong> Region<strong>Manisa</strong> Bölges<strong>in</strong>de Yaşayan Klimakterik Dönem Kadınlarında Yaşam Kalites<strong>in</strong>i Etkileyen FaktörlerÜmit İNCEBOZ, 1 Hülya DEMİRCİ, Ferda ÖZBAŞARAN, 2 Ayden ÇOBAN, Sevgi NEHİRDepartment <strong>of</strong> Nurs<strong>in</strong>g, <strong>Manisa</strong> School <strong>of</strong> Health, 1 Department <strong>of</strong> Obstetrics, Medical Faculty <strong>of</strong> Celal Bayar University, <strong>Manisa</strong>;2Department <strong>of</strong> Nurs<strong>in</strong>g, Balıkesir School <strong>of</strong> Health, BalıkesirSubmitted / Başvuru tarihi: 23.09.2008 Accepted / Kabul tarihi: 14.11.2008Objectives: To determ<strong>in</strong>e <strong>the</strong> factors affect<strong>in</strong>g <strong>the</strong>severity <strong>of</strong> menopausal symptoms and <strong>the</strong> quality<strong>of</strong> life among women liv<strong>in</strong>g <strong>in</strong> <strong>Manisa</strong>, a westerncity <strong>of</strong> Turkey.Patients and Methods: After statistical estimation<strong>of</strong> <strong>the</strong> sample size reflect<strong>in</strong>g <strong>the</strong> whole population,268 climacteric women (mean age 50.7±6.6 years;range 40 to 60 years) with menopausal symptomswere <strong>in</strong>vestigated by sociodemographic questionnaire,menopause rat<strong>in</strong>g scale (MRS), and <strong>Quality</strong><strong>of</strong> <strong>Life</strong> Scale (WHOQOL-BREF-TR) <strong>in</strong> Celal BayarUniversity Hospital.Results: Almost 1/3 <strong>of</strong> women had no knowledgeon menopause. The MRS scores <strong>of</strong> womenwere <strong>in</strong>versely correlated with Physical Health,Psychological well-be<strong>in</strong>g, Social Relationshipdoma<strong>in</strong>s <strong>of</strong> quality <strong>of</strong> life. Educational level, menopausalknowledge, participation <strong>in</strong> decision-mak<strong>in</strong>g<strong>in</strong> <strong>the</strong> family and economic status positively affectedmost doma<strong>in</strong>s <strong>of</strong> quality <strong>of</strong> life, whereas be<strong>in</strong>gmarried and hav<strong>in</strong>g high BMI scores had negativeeffects.Conclusion: In climacteric women, quality <strong>of</strong>life was negatively affected by <strong>the</strong> severity <strong>of</strong>menopausal symptoms, low education level,limited menopausal knowledge, and be<strong>in</strong>g overweight.Key words: <strong>Quality</strong> <strong>of</strong> life; menopause; climacteric; MRS;WHOQOL-BREF.Amaç: Bu çalışmadaki amacımız, <strong>Manisa</strong> ve çevres<strong>in</strong>deyaşayan klimakterik dönemdeki kadınlardayaşam kalitesi ve menopoza ilişk<strong>in</strong> semptomlarınşiddet<strong>in</strong>e etki eden faktörleri belirlemektir.Hastalar ve Yöntemler: Araştırmanın örneklemievreni belli örneklem seçim yöntemi ile 268 klimakterikdönem kadın (ort. yaş 50.7±6.6; dağılım40-60) olarak belirlendi. Veriler<strong>in</strong> toplanmasındasosyo-demografik soruların bulunduğu anketformu, Menopoz Semptomlarını DeğerlendirmeÖlçeği (MRS) ve Yaşam Kalitesi Ölçeği (WHOQOL-BREF-TR) kullanıldı.Bulgular: Kadınların yaklaşık 1/3’ü menopozailişk<strong>in</strong> bilgiler<strong>in</strong><strong>in</strong> olmadığını belirttiler. MRS skoruile yaşam kalitesi alan puanları karşılaştırıldığında,MRS skoru ile bedensel, ruhsal ve sosyal alanlardaistatistiksel olarak anlamlı fark bulundu. Kadınlarıneğitim durumu, menopoza ilişk<strong>in</strong> bilgileri, ailedekikararlara katılma ve ekonomik durumu yaşamkaliteler<strong>in</strong>i olumlu etkilemekte, evli ve yüksek vücutkitle <strong>in</strong>deksi skoru olan kadınlarda ise yaşam kalitesiolumsuz etkilenmekte idi.Sonuç: Klimakterik dönemdeki kadınlarda, menopozalsemptomların şiddeti, eğitim düzeyler<strong>in</strong><strong>in</strong>düşüklüğü, menopoza ilişk<strong>in</strong> bilgiler<strong>in</strong> sınırlı olmasıve kilolu olunması yaşam kalites<strong>in</strong>i olumsuz etkilemektedir.Anahtar sözcükler: Yaşam kalitesi; menopoz; klimakterik;MRS; WHOQOL-BREF.Presented at <strong>the</strong> 8th Uludağ W<strong>in</strong>ter Congress on Obstetrics and Gynecology, January 17-21, 2007, Bursa, Turkey (8. Uludağ J<strong>in</strong>ekoloji ve Obstetri KışKongresi'nde sunulmuştur, 17-21 Ocak 2007, Bursa).Correspondence (İletişim adresi): Dr. Ayden Çoban. Adnan Menderes Üniversitesi, Aydın Sağlık Yüksekokulu, Ebelik Bölümü, 09100 Aydın.Tel: 0256 - 213 88 66 Fax (Faks): 0256 - 212 42 19 e-mail (e-posta): ayden.coban@adu.edu.tr© Trakya Üniversitesi Tıp Fakültesi Dergisi. Ek<strong>in</strong> Tıbbi Yayıncılık tarafından basılmıştır. Her hakkı saklıdır.© Medical Journal <strong>of</strong> Trakya University. Published by Ek<strong>in</strong> Medical Publish<strong>in</strong>g. All rights reserved.111
<strong>Factors</strong> <strong>Affect<strong>in</strong>g</strong> <strong>the</strong> <strong>Quality</strong> <strong>of</strong> <strong>Life</strong> <strong>in</strong> <strong>Climacteric</strong> <strong>Women</strong> <strong>in</strong> <strong>Manisa</strong> RegionTable 6. Correlation between demographiccharacteristics and MRS scores (statisticalsignificant differences are highlighted)Demographic characteristics n MRS scoresAge*40-47 83 15.2±8.848-55 132 18.7±8.7>55 53 17.6±8.5F=4.24 p=0.015Marital status**Married 230 17.9±8.6S<strong>in</strong>gle 38 13.9±8.9p=0.013Menopausal status*Perimenopause 93 15.3±9.1Natural menopause 131 18.5±8.5Surgical menopause 44 18.5±8.3F=4.11 p=0.017Marital age (years) (n=267)*2-20 36 14.9±8.921-30 121 16.2±8.431-49 112 19.7±8.7F=6.73 p=0.001Medical problem necessitat<strong>in</strong>g medication**No 110 14.9±8.2Yes 158 19.2±8.8P
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