山間地域における更年期女性の健康支援に関する検討  [in Japanese] Study on the health support for the menopausal women in rural areas  [in Japanese]

Author(s)

    • 池田 智子 IKEDA Tomoko
    • 鳥取大学医学部保健学科 Department of Women's & Children's Family Nursing, School of Health Science, Tottori University Faculty of Medicine
    • 前田 隆子 MAEDA Takako
    • 鳥取大学医学部保健学科 Department of Women's & Children's Family Nursing, School of Health Science, Tottori University Faculty of Medicine

Abstract

地域特性をふまえた更年期女性を対象とする健康支援プログラムの有効性を検討するため,研究協力の得られた山間地域をモデル地区とし,4回の健康教室を開催した。対象はモデル地区在住の40〜59歳女性に健康教室参加を呼びかけ,50名の応募があった。健康教室内容は実態調査結果をふまえ,女性特有の生活習慣病対策,ストレス解消法,美容対策で構成した。健康教室前後で,簡略更年期指数,健康度・生活習慣診断,自己効力感,更年期のイメージについて比較検討し,以下の結果を得た。1)健康教室参加者の平均年齢は48.8±5.1歳で,有職者70.0%であった。2)更年期症状でなんらかの健康支援を必要とする人は約6割みられた。3)月経が不規則および閉経者のうち,骨量低下が疑われた人は半数であった。4)健康教室参加後,更年期症状および生活習慣の改善がみられた。

Objective: As hormonal balance in perimenopausal woman changes greatly, various symptoms appear and may need medical management. A health-support program for perimenopausal woman was created considering rural area characteristics. The purpose of this research was to ascertain the effectiveness of the program. Methods: The area for the study was a valley and a health support program was held there. One of the target conditions was that the women should be 40 to 59 years old and reside in that valley. We made an appeal to that age group for participation and received fifty applications. The program for these classes, held four times, was composed of teaching about life-style related disease, stress management and cosmetic treatment. Effects from the study, baseline to 4-month follow-up, were estimated using four instruments: (1) the Simplified Menopausal Index (SMI); (2) the Diagnostic Inventory of Health and Life Habits; (3) physical activity and diet self-efficacy; and (4) attitude toward menopause. Results: Average age of the participants was 48.8±5.1 years. They had various menopausal symptoms and 60% reported that they appreciate help from healthcare providers. Among the women with irregular menstruation or menopause, the number of those who were suspect for bone density decline was 50%. After 4 months, their scores on the SMI had significantly reduced and an increase in the practice of health behaviors was reported. Conclusion: Overall, the health support program for perimenopausal women had positive effects in reducing menopausal symptoms and improving health promotion.

Journal

  • Japanese journal of maternal health.

    Japanese journal of maternal health. 50(4), 656-664, 2010-01-01

    Japan Society of Maternal Health

References:  18

Codes

  • NII Article ID (NAID)
    110007521282
  • NII NACSIS-CAT ID (NCID)
    AN0022863X
  • Text Lang
    JPN
  • Article Type
    ART
  • ISSN
    03881512
  • NDL Article ID
    10553148
  • NDL Source Classification
    ZS38(科学技術--医学--産婦人科学) // ZE5(社会・労働--社会問題・社会保障)
  • NDL Call No.
    Z19-1016
  • Data Source
    CJP  NDL  NII-ELS 
Page Top