건강한 폐경이행 구조모형 = Structural Equation Modeling on Healthy Menopausal Transition

다국어 초록 (Multilingual Abstract)

Purpose: This study was designed to construct and test structural equation modeling on healthy menopausal transition in middle-agedwomen in order to identify variables affecting healthy menopausal transition. Methods: Participants, 276 women, 45 to 60 years of age,with menopausal symptom score higher than 5 on the Korean version of Menopause Rating Scale, were recruited in three cities and onecounty of Gyeongnam Province. Research data were collected via questionnaires and analysed using SPSS version 18.0 and AMOS version20.0. Results: After confirmatory factor analysis, one of the observed variables was excluded due to relatively low factor loading.
The model fit indices for the hypothetical model were suitable for the recommended level: GFI=.93, CFI=.92, RMSEA=0.05. Self-efficacy,self-differentiation, and menopausal symptoms explained 67.7% of variance in menopausal transition, and self-differentiation was themost influential factor for menopausal transition. Self efficacy and menopausal symptoms explained 9.6% of variance in menopausalmanagement, although “menopausal symptoms” was not significant. Conclusion: These results suggest that nursing interventions toimprove self-differentiation, self efficacy, menopausal management and decrease menopausal symptoms are critical for healthy menopausaltransition in middle-aged women. Continued development of a variety of community-based nursing interventions to facilitatehealthy menopausal transition is suggested.

참고문헌 (Reference)

1 윤정화, "폐경기 중년여성이 경험하는 심리적 현상연구" 한국상담학회 14 (14): 2195-2212, 2013

2 홍은영, "폐경 전 · 후기 중년 여교사의 건강증진행위에 영향을 미치는 요인" 한국직업건강간호학회 22 (22): 66-74, 2013

3 송현옥, "청소년의 가정환경, 지각된 사회적 지지, 자기효능감과 자아정체감 간의 관계 분석" 한국청소년학회 17 (17): 109-129, 2010

4 김영혜, "중년여성의 폐경증상과 삶의 질" 한국간호과학회 33 (33): 601-608, 2003

5 박춘화, "중년여성의 폐경에 대한 증상, 지식, 태도 및 관리와의 관계" 한국모자보건학회 16 (16): 89-99, 2012

6 여정희, "중년여성의 폐경관리와 결혼만족도, 삶의 질과의 관계 연구" 한국간호과학회 34 (34): 6-261, 2004

7 변외진, "중년여성의 사회인구학적 변인, 자아분화, 내면체계가 자아정체감에 미치는 영향" 대한가정학회 44 (44): 155-165, 2006

8 정여주, "대학생의 자기효능감과 주관적 삶의 질 관계 연구 -학교생활만족도와 관계만족도의 매개효과를 중심으로-" 한국청소년복지학회 14 (14): 239-257, 2012

9 Schumacher KL, "Transitions : A central concept in nursing" 26 (26): 119-127, 1994

10 Je SB, "The relationship between differentiation of self and dysfunctional behavior" Pusan National University 1989

11 Lothar AJ Heinemann, "The menopause rating scale (MRS) as outcome measure for hormone treatment? A validation study" Springer Nature 2 (2): 67-, 2004

12 Kim JT, "The main characteristics of Bowen’s psychodynamic family therapy in the context of self-differentiation" 1 (1): 31-45, 1993

13 Kim KS, "The effects of ego-identity and crisis on quality of life in midlife married women" 39 (39): 105-120, 2001

14 Kim SG, "The 2009 national survey on fertility, family health and welfare in Korea" The Korea Institute for Health and Social Affairs 2009

15 Lee KH, "Relationships between role adaptations and identity formation of married mid-life women" Keimyung University 1998

16 Royal College of Nursing, "Menopause: Lifestyle and therapeutic approaches:RCN guidance for nurses, midwives and health visitors"

17 Lee KH, "Korean urban woman’s experience of menopause : New life" 2 (2): 70-86, 1992

18 Lee YM, "Korean adaptation of the general self-efficacy scale"

19 Lothar AJ Heinemann, "International versions of the menopause rating scale (MRS)" Springer Nature 1 (1): 28-, 2003

20 Kim MJ, "How long do menopausal hot flushes really last?" 15 (15): 73-78, 2009

21 Breheny M, "Healthy living and keeping busy: A discourse analysis of mid-aged women’s attributions for menopausal experience" 22 (22): 169-189, 2003

22 Bowen M., "Family therapy: Theory and practice" Gardner Press 42-90, 1976

23 Meleis AI, "Experiencing transitions : An emerging middle-range theory" 23 (23): 12-28, 2000

24 Siobán D. Harlow, "Executive summary of the Stages of Reproductive Aging Workshop + 10: addressing the unfinished agenda of staging reproductive aging" Elsevier BV 97 (97): 843-851, 2012

25 Song AR, "Development of and educational program for the management of menopause and it's effect" 28 (28): 280-290, 1998

26 Kim GS, "Analysis structural equation modeling" Hannarae Publishing Co 2010

27 Ro YJ, "An analytical study on the quality of life of the middle-aged in Seoul" Yonsei University 1988

28 Lee SS, "A study on the relationship between married adult’s level of self differentiation and their life satisfaction" 5 (5): 23-43, 2000

29 Im EO, "A situation-specific theory of Korean immigrant women’s menopausal transition" 31 (31): 333-338, 1999

30 Statistics Korea, "2012 life tables for Korea"