Moghadam Fereshteh Salimi, Mahmoodi Zohreh, Kabir Kourosh, Mirabi Parvaneh, Yazdkhasti Mansoureh
Department of Midwifery, Medical School, Alborz University of Medical Sciences, Karaj, Iran.
Social Determinants of Health Research Center, Department of Midwifery, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
J Menopausal Med. 2019 Dec;25(3):130-141. doi: 10.6118/jmm.19200.
Surgical menopause can influence women's quality of life in many aspects. This study was designed to assess the effectiveness of a multi-dimensional group counseling program based on the great clients, ask clients, tell clients, help clients, explain how to use, return for follow up (GATHER) approach, on quality of life in the surgically menopausal women.
This randomized clinical trial was conducted using two groups. The study comprised 78 women meeting inclusion criteria who had visited 4 healthcare centers in Tehran from December 2017 to September 2018. The participants were selected through simple random sampling (39 in each group). The intervention group underwent 6 consecutive weekly group counseling sessions based on GATHER approach, whereas the control group received no interventions. Data were collected using the Menopause-specific Quality of Life questionnaire at 4 time-points (i.e., baseline, immediately after the intervention, 1 month after the intervention, and 3 months after the intervention).
The trend of changes at four time-points obtained on the basis of repeated measures test results showed significant betweengroup differences in vasomotor ( = 0.001), psychosocial ( = 0.025), and physical ( = 0.001) domains. Friedman test showed significant between-group differences in the mean score trend of changes at 4 time-points in sexual ( = 0.002) and overall quality of life ( = 0.004) domains.
On the basis of the study results, implementation of this approach with less expenditure in healthcare centers aimed at improving quality of life in surgically menopausal women is highly recommended.
手术绝经会在多个方面影响女性的生活质量。本研究旨在评估基于“伟大客户、询问客户、告知客户、帮助客户、解释如何使用、回访跟进”（GATHER）方法的多维度团体咨询项目对手术绝经女性生活质量的有效性。
本随机临床试验采用两组进行。该研究纳入了2017年12月至2018年9月期间在德黑兰4家医疗中心就诊的78名符合纳入标准的女性。参与者通过简单随机抽样选取（每组39人）。干预组基于GATHER方法连续进行6周的团体咨询，而对照组不接受任何干预。在4个时间点（即基线、干预后即刻、干预后1个月和干预后3个月）使用绝经特异性生活质量问卷收集数据。
基于重复测量检验结果获得的4个时间点的变化趋势显示，在血管舒缩（P = 0.001）、心理社会（P = 0.025）和身体（P = 0.001）领域存在显著的组间差异。Friedman检验显示，在性（P = 0.002）和总体生活质量（P = 0.004）领域，4个时间点的平均得分变化趋势存在显著的组间差异。
根据研究结果，强烈建议在医疗中心以较低成本实施该方法，以改善手术绝经女性的生活质量。
