Document Type : Original Article

Authors

1 Departments of Health Services and Health Education, School of Health, Iran University of Medical Sciences, Tehran, Iran,

2 Autoimmune Diseases Research Center, Kashan University of Medical Sciences, 3 Department of Biostatistics and Epidemiology, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran

Abstract

BACKGROUND: Through self‑care, people can solve their health‑related problems through increasing
their awareness and correcting their lifestyles.
OBJECTIVES: To determine the association of self‑care status with some relevant factors in
Kashanian middle‑aged women in their early menopausal stage.
METHODS: This is a cross‑sectional study on 351 women in the age range of 45–60 years. Women
were selected based on cluster sampling method from the individuals at health‑care centers in
Kashan, Iran. Researcher‑constructed questionnaire on self‑care was used. The validity and the
reliability of the questionnaire were calculated. The information gathering method was questionnaire
completion by the study participants or interview with them. Collected data were analyzed with SPSS
16 software. T‑test, ANOVA, Spearman correlation, and linear regression analysis were applied.
RESULTS: The mean (±standard deviation) of the self‑care score was 108.14 ± 20.43. Self‑care
scores were weak in 13.92%, intermediate in 71.02%, and good in 15.06%. Regression analysis
showed that the mean of self‑care was significantly higher in those with higher educational level of
women’s (P = 0.045) and their spouses (P = 0.001). Women who were covered by insurance also
showed higher self‑care; in addition, there was no significant relationship between self‑care and
participants’ job, spouses’ jobs, marital status, marital satisfaction, economic satisfaction, number
of children, number of households, and type of accommodation (P > 0.05).
CONCLUSION: The results indicate that self‑care is inadequate and that the level of education of
couples and insurance coverage has a positive effect on the level of self‑care in postmenopausal
women. To promote self‑care in old age, education and empowerment can be considered.

Keywords

1. Trudeau KJ, Ainscough JL, Trant M, Starker J, Cousineau TM.
Identifying the educational needs of menopausal women:
A feasibility study. Womens Health Issues 2011;21:145‑52.
2. Nateri NS, Beigi M, Kazemi A, Shirinkam F. Women coping
strategies towards menopause and its relationship with sexual
dysfunction. Iran J Nurs Midwifery Res 2017;22:343‑7.
3. Golyan Tehrani S, Ghobadzadeh M, Arastou M. Promoting health
status of menopausal women by educating self care strategies.
Hayat 2007;13:67‑75.
4. Yuecel C, Erolu K. Sexual problems in postmenopausal women
and coping methods. Sex Disabil 2013;31:217‑28.
5. Kopiczko A. Assessment of intake of calcium and Vitamin D
and sun exposure in the context of osteoporosis risk in a study
conducted on perimenopausal women. Prz Menopauzalny
2014;13:79‑83.
6. Firooznia R, Hosseini M, Karbord A, Yazdani S. A public educational guideline development to relieve post menopausal
hot flashes symptoms in women between 45‑60 years old based
on proper diet and exercise. Knowl Health 2014;9:52‑7.
7. Solhi M, Kazemi S, Haghni H. Relationship between general
health and self‑efficacy in women referred to health center No. 2
in Chaloos (2012). RJMS 2013;20:72‑9.
8. Reisi M, Javadzade SH, Sharifirad G. Knowledge, attitudes, and
practice of breast self‑examination among female health workers
in Isfahan, Iran. J Educ Health Promot 2013;2:46.
9. Yanikkerem E, Koltan SO, Tamay AG, Dikayak Ş. Relationship
between women’s attitude towards menopause and quality of
life. Climacteric 2012;15:552‑62.
10. Hammoudeh D, Coast E, Lewis D, van der Meulen Y, Leone T,
Giacaman R. Age of despair or age of hope? Palestinian women’s
perspectives on midlife health. Soc Sci Med 2017;184:108‑15.
11. Doubova SV, Infante‑Castañeda C, Martinez‑Vega I,
Pérez‑Cuevas R. Toward healthy aging through empowering
self‑care during the climacteric stage. Climacteric 2012;
15:563‑72.
12. Hongwei W, Fang Yu, Kolanowski A. Caring for aging Chinese:
Lessons learned from the United States. J Transcult Nurs
2008;19:114‑20.
13. Chan CW, Choi KC, Wong RS, Chow KM, So WK, Leung DY, et al.
Examining the cervical screening behaviour of women aged 50
or above and its predicting factors: A population‑based survey.
Int J Environ Res Public Health 2016;13. pii: E1195.
14. Abdullah NN, Daud S, Al‑Kubaisy W, Saari IS, Saad SR. Cervical
cancer screening after 50: Near extinction? Eur J Obstet Gynecol
Reprod Biol 2016;206:136‑40.
15. Sarrafzadegan N, Khosravi‑Boroujeni H, Esmaillzadeh A,
Sadeghi M, Rafieian‑Kopaei M, Asgary S. The association
between hypertriglyceridemic waist phenotype, menopause, and
cardiovascular risk factors. Arch Iran Med 2013;16:161‑6.
16. Arthur FK, Adu‑Frimpong M, Osei‑Yeboah J, Mensah FO,
Owusu L. The prevalence of metabolic syndrome and its
predominant components among pre‑and postmenopausal
Ghanaian women. BMC Res Notes 2013;6:446.
17. Dhillon HK, Singh HJ, Mahmood NM, Ghaffar NA. Self‑care
actions taken for vasomotor symptoms by some postmenopausal
kelantanese women. Climacteric 2008;11:518‑24.
18. Diniz TA, Neves LM, Rossi FE, Fortaleza AC, Rosa CS, Tebar WR,
et al. Weekly time spent in the standing position is independently
related to a better quality of life in postmenopausal women. Eur
J Obstet Gynecol Reprod Biol 2016;199:150‑5.
19. Baker A, Sirois‑Leclerc H, Tulloch H. The impact of long‑term
physical activity interventions for overweight/obese
postmenopausal women on adiposity indicators, physical
capacity, and mental health outcomes: A systematic review. J Obes
2016;2016:6169890.
20. Akinpetide GO. Osteoporosis Knowledge, Beliefs, and Bone
Promotion Behaviors of Postmenopausal African American (AA)
Women. [Cited 3619306; 153], [Ph.D. Disertation]; 2014.
Available from: https://search.proquest.com/dissertations/
docview/1536392390/BB668C8679774CD2PQ/1?account
id=35041 20, [Last accessed on 2018‑06‑30].
21. Mirghafourvand M, Mohammad‑Alizadeh‑Charandabi S,
Asghari M, Malakouti J, Nedjat S, Mohammadi A. Effect
of education on nutritional behavior and hot flashes in
perimenopausal and menopausal Women. J Babol Univ Med Sci
2014;16:59‑67.
22. Haardörfer R, Alcantara I, Addison A, Glanz K, Kegler MC. The
impact of home, work, and church environments on fat intake
over time among rural residents: A longitudinal observational
study health behavior, health promotion and society. BMC Public
Health 2016;16:2‑12.
23. Politano CA, Valadares AL, Pinto‑Neto A, Costa‑Paiva L. The
metabolic syndrome and sexual function in climacteric women:
A cross‑sectional study. J Sex Med 2015;12:455‑62.
24. Krychman M, Graham S, Bernick B, Mirkin S, Kingsberg SA.
The women’s EMPOWER survey: Women’s knowledge and
awareness of treatment options for vulvar and vaginal atrophy
remains inadequate. J Sex Med 2017;14:425‑33.