중년여성의 갱년기증상, 대처 및 우울과의 관계연구

Abstract

ABSTRACT

A Study on Relationship among Climateric Symptom, Coping and Depression of Middle-Aged Women.

Choi Kwang-Sim Advisor : Prof. Oh, Hyun-Ei Ph.D. Department of Nursing Graduate School of Chosun University

Purpose: This study examined relationship among climateric symptom, coping and depression of middle-aged women.

Method: The author collected questionnaires from April 18, 2007 to June 20, 2007. The subjects were middle-aged women from 40 years old to 60 years old who lived at one city. The MENSI(Menopause Symptom Index) of Sarrel(1995) as well as the climateric symptom measurement tool of Han Hyun-suk (2004) was used, and the measurement tool of Bae Gyeong-eui (1999) was used to investigate coping with climateric symptom after making correction of the tool, and CES-D(The center for Epidemiological Studies Depression Scale) that was developed by Radloff(1997) and translated by Shin Gyeong-rim (1992) was used to investigate depression of the middle-aged women. SPSS 12.0 for Windows was used, and t-test, ANOVA and Pearson's Correlation, etc were used.

Result: The findings were:

-ⅳ- 1. The scores of climateric symptom were to be climateric symptom of 1.53 of average score of 2, coping with climateric symptom of 0.39 of average score of 1, and depression of 10.74 of total score of 60. 2. The climateric symptom was classified into three, that is to say, physical symptom, spiritual symptom and sexual symptom, etc, and in particular, the physical symptom had 1.56 score to occur the most frequently. 3. The coping with climateric symptom was classified into four, that is to say, remedial coping, alternative coping, preventative coping, and allopathic coping, etc, and in particular, the alternative coping had 0.53 score to use the most. 4. The climateric symptom, coping and depression, etc varied depending upon general characteristics: The climateric symptom had significant difference, for instance, old ages ((F=7.69, p=0.00), long marital period (F=7.79, p=0.0), low income (F=2.96, p=0.02), jobless (F=4.43, p=0.04), much job stress (F=4.53, p=0.00), spending time at home for leisure (F=3.34, p=0.02) and painful impression of life (F=14.86, p=0.0), etc. And, the coping with climateric symptom had significant difference, for instance, Christian (F=4.50, p=0.0), and volunteer activities and social activities at leisure life (F=5.54,p=0.00). The depression had significant difference depending upon general characteristics, for instance, old ages (F=3.69, p=.03), much job stress (F=3.69, p=.03), and painful impression of life (F=3.70, p=.03), etc.

-ⅴ- 5. The climateric symptom, coping and depression, etc had significan difference depending upon sexual characteristics of the subjects: For instance, young ages at menopause (F=3.53, p=0.03), menopause during menstrual period (F=7.48, p=0.00), bad health conditions (F=42.44, p=0.00), being much interested in menopause (F=7.69, p=0.00), the idea that the climateric period is difficult as much as the adolescence (F=7.69, p=0.00), low satisfactions of sexual life (F=9.21, p=0.00). On the other hand, coping with climateric symptom had significant difference, for instance, being much interested in menopause (F=5.37, p=0.01), learning of climateric knowledge at hospitals (F=2.43, p=0.03). And, the depression had significant difference, for instance, menopause during menstrual period (F=3.69, p=.03), bad health (F=3.69, p=.03), the idea that the climateric period is difficult as much as the adolescence (F=3.69, p=.03), and being dissatisfied with sexual life (F=3.69, p=.03), etc. 6. The climateric symptom and coping of middle-aged women (r=.18, p=.00), the climateric symptom and depression (r=.40, p=.00), and the depression and coping (r=.18, p=.00) had significant correlations.

-ⅵ- conclusion: The physical symptom was the highest at the climateric symptom, and the alternative method was used the most at coping with climateric symptom, and the depression was high at higher climateric symptom. Both remedial coping and preventative coping were effective at climateric symptom, and both alternative coping and allopathic coping were effective at the depression.