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The Mediating Effect of Cognitive Function on Climacteric Symptoms and Quality of Life in the Middle-aged Women

중년여성의 갱년기 증상과 삶의 질의 관계에 대한 인지기능의 매개효과

  • Received : 2014.06.03
  • Accepted : 2014.07.10
  • Published : 2014.07.31

Abstract

This study was conducted to extend the understanding and knowledge by examining the effect of climacteric symptoms and the cognitive function on QoL(Quality of life) of middle aged women. This study was conducted from March 2nd to March 10th, 2014. The data was collected by self-report questionnaires from 204 middle aged women. There was a significantly positive correlation between the climacteric symptoms and cognitive function. A significantly negative correlation was observed between the climacteric symptoms and QoL. The climacteric symptoms were a direct predictor and an indirect predicator of QoL mediated by the cognitive function. The study suggests that nursing intervention is needed to manage the climacteric symptoms and cognitive function for improving the QoL of middle aged women.

본 연구의 목적은 중년여성의 갱년기 증상, 인지기능, 삶의 질의 정도를 규명하고, 삶의 질에 미치는 직 간접 효과를 파악하여, 중년여성의 삶의 질 향상에 기초자료를 제공하기 위함이다. 자료 수집은 2014년 3월 2일부터 3월 10일까지, A시와 Y시에 거주하는 지역사회 중년여성 204명을 대상으로 설문조사하였다. 연구결과, 중년여성의 갱년기 증상은 14.64/46점, 인지기능은 65.66/240점, 삶의 질 정도는 100.64/188점으로 나타났다. 갱년기 증상과 인지기능은 순상관관계로 나타났으며, 갱년기 증상과 삶의 질과는 역상관관계로 나타났다. 매개효과를 경로분석을 한 결과 갱년기 증상이 인지기능 및 삶의 질에 직 간접적으로 영향을 주는 것으로 확인되었다. 본 연구를 통하여 중년여성의 삶의 질 향상을 위해서는 갱년기 증상의 정도를 감소시키는 중재와 동시에 중년여성을 위한 인지기능 증진 프로그램이 적용되어야 할 것으로 사료된다.

Keywords

References

  1. Statistics Korea. http://kostat.go.kr. (accessed March, 1, 2014)
  2. Calvaresi, E., & Bryan, J. "Symptom experience in Australian men and women in midlife", Maturitas, Vol. 44, No. 3, pp. 225-236, 2003. DOI: http://dx.doi.org/10.1016/S0378-5122(03)00037-9
  3. S. A. Kim, "Impact of attitude to developmental phenomena and menopausal symptoms to the meaning of life among climacteric women", The Korean gerontological society, Vol. 32, No. 2, pp. 631-664, 2012.
  4. Al-Safi, Z.A., & Santoro, N. "Menopausal hormone therapy and menopausal symptoms", Fertil Steril. Vol. 101, No. 4, pp. 905-915, 2014. DOI: http://dx.doi.org/10.1016/j.fertnstert.2014.02.032
  5. Woods, N.F., Cray, L., Mitchell, E.S., & Herting, J.R. "Endocrine biomarkers and symptom clusters during the menopausal transition and early postmenopause: observations from the Seattle Midlife Women's Health Study", Menopause, Vol. 21, No. 6, pp. 646-652, 2014. DOI: http://dx.doi.org/10.1097/GME.0000000000000122
  6. Kaasa, S., & Loge, J.H. "Quality of life in palliative care: principles and practice", Palliat Med. Vol. 17, No. 1, pp. 11-20, 2003. DOI: http://dx.doi.org/10.1191/0269216303pm662ra
  7. Y. R. Chae, & M. A. Choi, "Development of a quality of life scale for patients with breast cncer in Korea", Korean Journal of Adult Nursing, Vol. 13, No. 4, pp. 486-495, 2001.
  8. Reich, M., Lesur, A., & Perdrizet-Chevallier, C. "Depression, quality of life and breast cancer: a review of the literature", Breast Cancer Res Treat., Vol. 110, No. 1, pp. 9-17, 2008. DOI: http://dx.doi.org/10.1007/s10549-007-9706-5
  9. Berent-Spillson, A., Persad, C.C., Love, T., Sowers, M., Randolph, J.F., Zubieta, J.K., & Smith, Y.R. "Hormonal environment affects cognition independent of age during the menopause transition", J Clin Endocrinol Metab., Vol. 97. No. 9, pp. 1686-1694, 2012. DOI: http://dx.doi.org/10.1210/jc.2012-1365
  10. E. M. Jun, & D. S. Cho, "The Relationship of symptoms of stress, cancer prevention behavior and the quality of life in women", Korean J Women Health Nurs., Vol. 11, No. 2, pp. 156-162, 2005.
  11. Z. D. Yang, J. Yu, & Q. Zhang, "Effects of raloxifene on cognition, mental health, sleep and sexual function in menopausal women: A systematic review of randomized controlled trials", Maturitas, Vol. S0378-5122, No. 13, pp. 00158-8, 2013.
  12. Goveas, J.S., Espeland, M.A., Woods, N.F., Wassertheil-Smoller, S., & Kotchen, J.M. "Depressive symptoms and incidence of mild cognitive impairment and probable dementia in elderly women: the Women's Health Initiative Memory Study", J Am Geriatr Soc., Vol. 59, No. 1, pp. 57-66, 2011. DOI: http://dx.doi.org/10.1111/j.1532-5415.2010.03233.x
  13. H. J. Lee, & S. K. Kahng, "Age and gender difference in cognitive functioning among elderly", Mental Health & Social Work, Vol. 42, No. 2, pp. 179-203, 2011.
  14. Weber, M.T., Maki, P.M., & McDermott, M.P., "Cognition and mood in perimenopause: A systematic review and meta-analysis", J Steroid Biochem Mol Biol., Vol. S0960-0760, No. 13, pp. 00111-8, 2013.
  15. H. S. Jo, & K. J. Lee, "A comparative study on climacteric symptoms of natural menopausal women and artificial menopausal women", Journal of Korean Academy of Nursing, Vol. 31, No. 4, pp. 692-702, 2001. https://doi.org/10.4040/jkan.2001.31.4.692
  16. B. Y. Chung, E. H. Choi. G. D. Kim, K. H. Kim, & H. S. Byun, "Development of the cognitive function scale for breast cancer patients", Ministry of Education, Science and Technology, Seoul, Korea, 2011.
  17. Y. J. Ro, "A analytical study the quality of life of the middle-age in Seoul", Unpublished Doctoral Dissertation, Yonsei University, Seoul, 1998.
  18. M. J. Han, & J. H. Lee, "Factors influencing self-identity and menopausal symptoms on level of depression in middle-aged women", Korean J Women Health Nurs, Vol. 19, No. 4, pp. 275-284, 2013. DOI: http://dx.doi.org/10.4069/kjwhn.2013.19.4.275
  19. D. E. Chung, & K. M. Sung, "The effects of an integrated management program on climacteric symptoms and depression in middle-aged women", Journal of East-West Nursing Research, Vol. 17, No. 1, pp. 40-47, 2011.
  20. Y. R. Kweon, Y. H. Kang, & K. R. Shin, "Menopausal symptom, attitudes toward menopause, and depression in the middle aged women", Korean Academic Society of Womens Health, Vol. 12, No. 1, pp. 81-98, 2011.
  21. B. H. Park, "The relationship between the stress and climacteric symptoms of middle-aged women", Unpublished master thesis, Chonnam National University, Korea, 2000.
  22. M. S. Yoo, "A Comparative study on complaints of menopausal symptom of nuns and mrried women", Journal of Korean Academy of Nursing, Vol. 30, No. 1, pp. 18-28, 2000. https://doi.org/10.4040/jkan.2000.30.1.18
  23. Weber, M.T., Rubin, L.H., & Maki, P,M. "Cognition in perimenopause: The effect of transition stage", Menopause, Vol. 20, No. 5, pp. 511-527, 2013.
  24. Berent-Spillson, A., Persad, C.C., Love, T., Sowers, M., Randolph, JF, Zubieta, J.K., & Smith, Y.R. "Hormonal environment affects cognition independent of age during the menopause transition", J Clin Endocrinol Metab. Vol. 97, No. 9, pp. 1686-94, 2012. DOI: http://dx.doi.org/10.1210/jc.2012-1365
  25. B. J. Koo, "A study of climacteric symptoms, hwabyung and quality of life in middle-aged women", Global Social Welfare Review, Vol. 3, No. 2, pp. 5-24, 2013.
  26. H. S. Park, S. G. Kim, & G. Y. Jo, "A study on climacteric symptoms, depression and quality of life in middle- aged women", J. Korean Acad Women Health Nurs, Vol. 9, No. 4, pp. 479- 488, 2003.
  27. S. A. Kim, "Impact of Attitude to Developmental phenomena and menopausal symptoms to the meaning of life among climacteric women", The Korean Gerontological Society, Vol. 32, No. 2, pp. 631-647, 2012.
  28. H. S. Park, Y. M. Lee, & G. Y. Cho, "A study on climacteric symptoms, knowledge of menopause, menopausal management in middle-aged women", Korean Society of Womens Health Nursing, Vol. 8, No. 4, pp. 521-528, 2002.
  29. M. H. Sung, "Self-reported climacteric symptoms, self concept and depression in middle-aged women", The Journal of Korean Academic Society of Adult Nursing, Vol. 14, No. 1, pp. 102-113, 2002.
  30. K.R. Shin, E. H. Hwang, & S. J. Shin, "Study on the climacteric symptoms of adult women in the civilian controlled rural area", Korean Academic Society of Womens Health, Vol. 5, No. 2, pp. 177-193, 2004.
  31. Zelinski, E.M. & Gilewski, M.J. "Effects of demographic and health variables on Rasch scaled cognitive scores", J Aging Health, Vol. 15, No. 3, pp. 435-64, 2003. https://doi.org/10.1177/0898264303253499
  32. Hakansson, K., Rovio, S., Helkala, E.L., Vilska, A.R., Winblad, B., Soininen, H., Nissinen, A., Mohammed, A.H., & Kivipelto, M. "Association between mid-life marital status and cognitive function in later life: population based cohort study", BMJ., Vol. 339, pp. b2462, 2009. https://doi.org/10.1136/bmj.b2462
  33. K. Shin, & J. Yang, "Influencing factors on quality of life of middle-aged women living in rural area", Journal of Korean Academy of Nursing, Vol. 33, No. 7, pp. 999-1007, 2003. https://doi.org/10.4040/jkan.2003.33.7.999