Postmenopozal dönemde olan ve olmayan kadınların yorgunluk düzeyi ve sağlık profili

Amaç: Çalışmamızın amacı postmenopozal dönemde olan ve olmayan kadınların yorgunluk düzeyi ve sağlık profillerinin karşılaştırılmasıdır. Gereç ve Yöntem: Çalışmaya 40-65 yaş aralığında olan 80 olgu dahil edildi. Olgular postmenopozal dönemde olan (çalışma grubu) ve postmenopozal dönemde olmayan (kontrol grubu) kadınlar olacak şekilde 40’ar kişilik iki gruba ayrıldı. Olguların değerlendirilmeleri demografik bilgi formu, Yorgunluk Şiddet Ölçeği ve Nottingham Sağlık Profili anketi ile yapıldı. Bulgular: Yorgunluk Şiddet Ölçeği değerlendirmesi sonucu iki grup arası anlamlı bir fark bulunmadı (p>0.05), ancak yorgunluk değerlendirme sonuçlarına göre postmenopozal kadınlar daha yorgun bulundu. İki grup arasında sağlık profilleri toplam skoru ve alt parametreleri karşılaştırıldığında, Nottingham Sağlık Profili toplam skoru ve alt parametrelerinden olan fiziksel aktivite, uyku ve emosyonel reaksiyonlar skorları arasında anlamlı farklar bulundu (p0.05). Yorgunluk Şiddet Ölçeği ile Nottingham Sağlık Profili toplam skoru, Nottingham Sağlık Profili’nin alt parametrelerinden olan sosyal izolasyon ve emosyonel reaksiyonlar arasında istatistiksel olarak pozitif yönde anlamlı ilişki bulundu. Sonuç: Postmenopozal kadınlarda yorgunluk meydana gelmekte ve sağlık profil düzeyleri azalmaktadır. Bu dönemde yorgunluk düzeyinin artması kişinin sağlık profilinin bozulmasında etkilidir.

Objective: Comparison of fatigue level and health profiles of women with and without postmenopausal. Material and Methods: Eighty patients between 40 and 65 years of age were experimented on in the research. Postmenopausal women (experimental group) and non-postmenopausal women (control group) were divided into two groups of 40 women. Assessment of the cases was made with the demographic information form, the Fatigue Severity Scale and the Nottingham Health Profile questionnaire. Results: Based on Fatigue Severity Scale results, there was no significant difference between the two groups (p>0.05), but the results of fatigue evaluation showed that postmenopausal women were more fatigue. When the total score of Nottingham Health Profile and subparameters were compared between the two groups, there were significant differences between the Nottingham Health Profile total scores and the subscale scores of physical activity, sleep and emotional reactions (p0.05). There was a statistically significant positive correlation between Fatigue Severity Scale score and the total score of Nottingham Health Profile and the subparameters of Nottingham Health Profile social isolation and emotional reactions. Conclusion: Postmenopausal women become fatigued and their health profiles levels decreases. The increase in fatigue severity in this period is related to health profiles levels.

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Sherman S. Defining the Menopausal Transition. Am J Med 2005; 118.12: 3-7.

Elavsky S. Physical activity, menopause, and quality of life: the role of affect and self-worth across time. Menopause 2009; 16: 265-71.

da Silva RT, da Câmara SMA, Moreira MA, et al. Correlation of menopausal symptoms and quality of life with physical performance in middle-aged women. Rev Bras Ginecol Obstet 2016; 38: 266-72.

ughaither A, AlMutairy H, AlAteeq M. Menopausal symptoms and quality of life among Saudi women visiting primary care clinics in Riyadh, Saudi Arabia. Int J Womens Health 2015; 7: 645-53.

Zervas IM, Lambrinoudaki I, Spyropoulou AC, et al. Additive Effect Of Depressed Mood And Vasomotor Symptoms On Postmenopausal Insomnia. Menopause 2009; 16: 837- 42.

Kravitz HM, Ganz PA, Bromberger J, et al. Sleep difficulty in women at midlife: a community survey of sleep and the menopausal transition. Menopause 2003; 10: 19-28.

Sayın A, Candansayar S. Yorgunluk kavramı ve yorgun hastalara klinik yaklaşım. Gazi Medical J 2007; 18.

Abdi F, Mobedi H, Roozbeh N. Hops for menopausal vasomotor symptoms: Mechanisms of Action. J Menopausal Med 2016; 22: 62-4.

Krupp LB, Alvarez LA, La Rocca NG, Scheinberg LC. The fatigue severity scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol 1989; 46: 1121-3.

Armutlu K, Korkmaz NC, Keser I, et al. The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. Int J Rehabil Res 2007; 30: 81-5.

Hunt SM, McKenna SP, McEwen J, Williams J, Papp E. The Nottingham Health Profile: subjective health status and medical consultations. Soc Sci Med 1981; 15: 221-9.

Kücükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res 2000; 23: 31-8.

Sharifi N, Jalili L, Khazaeian S, Nayebi A. The Relationship between Physical Activity and General Health among Menopausal Women in Ahvaz, Iran. Electron Physician 2017; 9: 3639-45.

Zhang, JP, Wang YQ, Yan MQ, et al. Menopausal symptoms and sleep quality during menopausal transition and postmenopause. Chin Med J 2016; 129: 771-7.

Yazdi Z, Sadeghniiat-Haghighi K, Ziaee A, Elmizadeh K, Ziaeeha M. Influence of sleep disturbances on quality of life of Iranian menopausal women. Psychiatry J 2013;2013:907068.

Bener A, Saleh NM, Bakir A, Bhugra D. Depression, Anxiety, and Stress Symptoms in Menopausal Arab Women: Shedding More Light on a Complex Relationship. Ann Med Health Sci Res 2016; 6: 224–1.

Jing MJ, Wang JJ, Lin WQ, Lei YX, Wang PX. A community-based crosssectional study of fatigue in middle-aged and elderly women. J Psychosom Res 2015; 79: 288-94.

Shuman-Paretsky MJ, Belser-Ehrlich J, Holtzer R. Psychometric properties of the brief fatigue inventory in community-dwelling older adults. Arch Phys Med Rehabil 2014; 95:1533-9.

Terauchi M, Hirose A, Akiyoshi M, et al. Subgrouping of Japanese middle-aged women attending a menopause clinic using physical and psychological symptom profiles: a cross-sectional study. BMC Womens Health 2014; 14: 148- 54.

Munsterman T, Takken T, Wittink H. Low aerobic capacity and physical activity not associated with fatigue in patients with rheumatoid arthritis: a cross-sectional study. J Rehabil Med 2013; 45: 164-9.

Choi H, Irwin MR, Cho HJ. Impact of social isolation on behavioral health in elderly: Systematic review. World J Psychiatry 2015; 5: 432-8.

Direkvand-Moghadam A, Delpisheh A, Montazeri A, Sayehmiri K. Quality of Life among Iranian Infertile Women in Postmenopausal Period: A Cross-sectional Study. J Menopausal Med 2016; 22: 108-13.

Güngör ANÇ, Uludağ A, Coşar E, Şahin EM, Gencer M. Another period of women’s life: menopause and its impact on quality of life. Jour Turk Fam Phy 2014; 18: 25-30.

Shobeiri F, Jenabi E, Hazavehei SMM, Roshanaei G. Quality of life in postmenopausal women in Iran: a population-based study. J Menopausal Med 2016; 22: 31-8.