Singh Khushboo, Rawat Shalini, Dhutraj Pooja, Gokhe Seema S Bansode
WHO NTEP, Consultant, Jodhpur, Rajasthan, India.
Department of Community Medicine, Government Doon Medical College, Dehradun, Uttarakhand, India.
J Family Med Prim Care. 2024 Aug;13(8):2873-2879. doi: 10.4103/jfmpc.jfmpc_1677_23. Epub 2024 Jul 26.
Menopause is one of the most significant phases in the life of a woman which brings about various physiological changes called postmenopausal syndrome. A health programme catering to the needs of postmenopausal women is lacking in our health system.
A cross-sectional study was conducted in an urban health and training centre. Sample size of 171 was taken by simple random sampling. Women of age more than or equal to 45 and having 12 months of amenorrhea were enrolled in the study after obtaining their consent.
The mean age of menopause was found to be 45.31 years. In the vasomotor domain, the most common postmenopausal symptom was hot flushes (47.95%) followed by sweating (25.73%) while in the psychological domain it was seen that the most common symptom was feeling depressed down or blue (37.43%) followed by being dissatisfied with personal life, feeling anxious or nervous (36.26%) and being impatient with other people and feelings of wanting to be alone (34.50%). In physical domain, the most common symptom was ache in muscles and joints (92.98%) followed by low backache (86.55%), feeling tired or worn out (84.80%), decrease in physical strength (83.63%) and aches in the back of neck or head (81.87%). The other domain was the sexual domain in which the most common symptom was a change in sexual desire (93.57%) followed by avoiding intimacy (92.98%).
It was found that the domain, most severely affecting quality of life was sexual followed by physical and psychological domain. Awareness should be created regarding the psychosocial, physical, nutritional and sexual needs of postmenopausal women.
更年期是女性生命中最重要的阶段之一,会引发各种生理变化,即绝经后综合征。我们的卫生系统缺乏一项满足绝经后女性需求的健康计划。
在一个城市健康与培训中心进行了一项横断面研究。通过简单随机抽样选取了171个样本。年龄大于或等于45岁且闭经12个月的女性在获得同意后被纳入研究。
发现更年期的平均年龄为45.31岁。在血管舒缩领域,最常见的绝经后症状是潮热(47.95%),其次是出汗(25.73%);而在心理领域,最常见的症状是感到沮丧或忧郁(37.43%),其次是对个人生活不满意、感到焦虑或紧张(36.26%)以及对他人不耐烦和想独处(34.50%)。在身体领域,最常见的症状是肌肉和关节疼痛(92.98%),其次是腰痛(86.55%)、感到疲倦或疲惫不堪(84.80%)、体力下降(83.63%)以及颈后部或头部疼痛(81.87%)。另一个领域是性领域,最常见的症状是性欲改变(93.57%),其次是回避亲密行为(92.98%)。
发现对生活质量影响最严重的领域是性领域,其次是身体和心理领域。应提高对绝经后女性心理社会、身体、营养和性需求的认识。