Afshari Fateme, Bahri Narjes, Sajjadi Moosa, Mansoorian Mohammad Reza, Tohidinik Hamid Reza
Department of Medical Surgical Nursing, School of Nursing, Gonabad University of Medical Science, Gonabad, Iran.
Department of Midwifery, Faculty of Medicine, Social Development and Health Promotion Centre, Gonabad University of Medical Sciences, Gonabad, Iran.
Prz Menopauzalny. 2020 Mar;19(1):18-24. doi: 10.5114/pm.2020.95305. Epub 2020 Apr 27.
Menopause is a natural part of women's lives, which is associated with physical and mental changes and can lead to uncertainty and consequent undesirable effects in the lives of menopausal women. The present study was conducted to compare the impact of multimedia and booklet educational methods on the uncertainty about menopause during this transition period.
In a cluster randomized trial 68 women aged 45-55 years were randomly allocated into two groups: multimedia and booklet. Data were collected using knowledge and uncertainty questionnaires about menopause in three stages, i.e. before intervention, immediately after intervention (two weeks later), and one month later. Repeated-measures analysis of variance (rANOVA) was used to compare knowledge and uncertainty scores between two groups for the duration of the study. Data were analysed using SPSS software and values < 0.05 were considered as statistically significant.
The results of the study indicated a high level of uncertainty in both groups before the implementation of the educational program. There was no significant difference between groups in terms of knowledge and uncertainty about menopause over time ( > 0.05). However, we found a significant increase in knowledge and a significant decrease in uncertainty scores in both groups ( < 0.001) after the interventions.
Although the findings of this study did not show a significant difference between the effect of multimedia and booklet educational methods in postmenopausal women, the high level of uncertainty of women before intervention and its significant reduction after the implementation of the educational programs indicated the importance of education throughout this period.
更年期是女性生命中的一个自然阶段，与身心变化相关，会给更年期女性的生活带来不确定性及随之而来的不良影响。本研究旨在比较多媒体和手册教育方法对这一过渡时期女性更年期不确定性的影响。
在一项整群随机试验中，68名年龄在45至55岁之间的女性被随机分为两组：多媒体组和手册组。使用关于更年期的知识和不确定性问卷在三个阶段收集数据，即干预前、干预后即刻（两周后）和干预后一个月。在研究期间，采用重复测量方差分析（rANOVA）比较两组之间的知识和不确定性得分。数据使用SPSS软件进行分析，P值<0.05被认为具有统计学意义。
研究结果表明，在实施教育计划前，两组的不确定性水平都很高。随着时间的推移，两组在更年期知识和不确定性方面没有显著差异（P>0.05）。然而，我们发现干预后两组的知识得分显著提高，不确定性得分显著降低（P<0.001）。
尽管本研究结果未显示多媒体和手册教育方法对绝经后女性的影响存在显著差异，但干预前女性的高不确定性水平以及教育计划实施后其显著降低表明了这一时期教育的重要性。
