From the Department of Midwifery Counseling, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran.
Midwifery Counseling, Nursing and Midwifery Faculty, Babol University of Medical Sciences, Babol, Iran.
Menopause. 2022 Oct 1;29(10):1189-1195. doi: 10.1097/GME.0000000000002050. Epub 2022 Sep 6.
This study aimed to determine the effects of health coaching on reducing menopausal symptoms in postmenopausal and perimenopausal women.
This randomized controlled study was performed on 94 postmenopausal and perimenopausal women aged 45 to 55 years. The participants were randomly divided into intervention and control groups. In the intervention group, health coaching was performed in five coaching sessions biweekly (30-45 minutes each) by a midwifery coach. The primary outcome of this study was the menopausal score based on the modified Kupperman Index at 4 months after randomization. Depression (based on Zung's Self-Rating Depression Scale), physical activity (based on the International Physical Activity Questionnaire), quality of life (based on the 12-Item Short-Form Survey), smoking, alcohol intake, and anthropometric indices were also evaluated as secondary outcomes.
There was a significant mean difference between the coaching and control groups in terms of change in the scores of menopausal symptoms from baseline (T0) to 4 months after the intervention (T1; -12.51; 95% confidence interval [CI], -10.59 to -14.42; P = 0.001). Moreover, a significant mean difference was observed between the two groups in terms of change in depression symptoms from T0 to T1 (-5.72; 95% CI, -7.61 to -3.83; P < 0.001) and in terms of quality of life (4.13; 95% CI, 2.95 to 5.31; P < 0.001). Health coaching, however, had no effects on the physical activity of the participants.
Based on the present results, the coaching intervention is a suitable method to improve quality of life by reducing weight, waist circumference, body mass index, depression, and menopausal symptoms in postmenopausal and perimenopausal women. It can have important effects on the development of health promotion programs to reduce menopausal symptoms in menopause clinics.
本研究旨在确定健康指导对减轻绝经和围绝经期女性更年期症状的影响。
这是一项随机对照研究，共纳入 94 名 45 至 55 岁的绝经和围绝经期女性。参与者被随机分为干预组和对照组。在干预组中，由一名助产士教练进行 5 次每两周一次的健康指导（每次 30-45 分钟）。本研究的主要结局是在随机分组后 4 个月时基于改良 Kupperman 指数的更年期评分。还评估了抑郁（基于 Zung 的自评抑郁量表）、身体活动（基于国际身体活动问卷）、生活质量（基于 12 项简短健康调查问卷）、吸烟、饮酒和人体测量指数作为次要结局。
从基线（T0）到干预后 4 个月（T1），指导组和对照组的更年期症状评分变化存在显著的平均差异（-12.51；95%置信区间 [CI]，-10.59 至-14.42；P=0.001）。此外，两组在 T0 到 T1 时抑郁症状的变化（-5.72；95%CI，-7.61 至-3.83；P<0.001）和生活质量的变化（4.13；95%CI，2.95 至 5.31；P<0.001）方面也存在显著的平均差异。然而，健康指导对参与者的身体活动没有影响。
根据本研究结果，指导干预是一种通过减轻体重、腰围、体重指数、抑郁和更年期症状来改善生活质量的合适方法。它对开发以减少更年期症状为目的的促进健康计划具有重要意义，这些计划可以在更年期诊所中实施。
