Document Type : Original Article
Authors
1 Department of Health Education and Promotion, Faculty of Health, Isfahan University of Medical Sciences, Iran
2 Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
INTRODUCTION: One of the most critical stages of women’s lives is menopause. Meanwhile,
group training can have a significant effect on reducing menopausal symptoms. The aim of this
study was to investigate the effectiveness of group training on reducing menopausal symptoms in
postmenopausal women.
METHODS: This study was a randomized controlled trial. The study population was 96 postmenopausal
women visiting health centers in the city of Shazand (Markazi Province, Iran). Data collection tools
in this study were the Menopausal Rating Scale Questionnaire and the Beck Depression Inventory.
Group training intervention consisted of four training sessions. The duration of each session was
2 h. The questionnaires were completed in two stages of pre‑ and post‑test (8 weeks later) for the
intervention and control groups. Data were analyzed using descriptive statistics (absolute and relative
frequency, mean and standard deviation) and analytical statistics (independent t‑test, paired t‑test,
and analysis of covariance).
RESULTS: The mean age in the intervention group and the control group was 49.93 ± 3.44
and 51.66 ± 2.93 years, respectively. In the intervention group, the mean menstrual time was
2.37 ± 167 years and in the control group, the mean time elapsed from the last menstrual
period was 3.91 ± 2.68 years. The mean scores of menopausal physical symptoms (F = 58.69),
menopausal symptoms (F = 43.45), menopausal urinary and genital symptoms (F = 33.50), and
depression (F = 58.25) had a significant decrease in intervention group, while in the control group,
these changes were not significant (P < 0.001).
CONCLUSION: Regarding the findings of this study, which indicates the effect of group training
program on the improvement of physical, psychological, urinary and genital symptoms, and
menopausal depression, it seems that group training in menopause can be an effective method.
Keywords
Mohammad‑Alizadeh‑Charandabi S, Malakouti J, Nedjat S.
Effect of aerobic exercise and nutrition educationon quality of
life and early menopause symptoms: A randomized controlled
trial. Women Health 2017;57:173‑88.
2. GhorbaniR, Bahramitabar S, Shahbazi A, Alizadeh A. A survey on
the knowledge and practice of 60‑60 year old women in Semnan
city about health related issues in menopause in 2012. IJOGI
2013;73:1‑8.
3. Shifren JL, Gass ML; NAMS Recommendations for Clinical
Care of Midlife Women Working Group. The North American
Menopause Society recommendations for clinical care of midlife
women. Menopause 2014;21:1038‑62.
4. Gohari MR, Ramezani Tehrani F, Chenouri S ,
Solaymani‑Dodaran M, Azizi F. Individualized predictions of
time to menopause using multiple measurements of antimüllerian
hormone. Menopause 2016;23:839‑45.
5. Julian TM. Kistner’s Gynecology: Principles and practice. England
J Med 1990;323:494.
6. Bahre N, Poorali L, Asmaiele H. The application of different
treatment methods for menopausal symptoms and some related
factors. IJOGI 20116;26:1‑8.
7. Hawton K, Gath D, DayA. Sexual function in a community sample
of middle‑aged women with partners: Effects of age, marital,
socioeconomic, psychiatric, gynecological, and menopausal
factors. Arch Sex Behav 1994;23:375‑95.
8. Ensan A, Babazadeh R, Aghamohammadian H, Afzal Aghaei M.
Effect of training based on choice theory on health‑promoting
lifestyle behaviors among menopausal women. J Midwifery Rep
Health 2018;6:1253‑63.
9. Rindner L, Strömme G, Nordeman L, Hange D, Gunnarsson R,
Rembeck G. Reducing menopausal symptoms for women during
the menopause transition using group education in a primary
health care setting‑a randomized controlled trial. Maturitas
2017;98:14‑9.
10. Tootoonchi M, Yamani N, Changiz T, Yousefy A. Research
priorities in medical education: A national study. JRMS
2012;17:83‑91
11. Parsa P, Tabesh RA, Soltani F, Karami M. Effect of Group
Counseling on quality of life among postmenopausal Women in
Hamadan, Iran. J Menopausal Med 2017;23:49‑55.
12. Makvandi S, Zargarshooshtari S, Yazdizadeh H, Zakerhoseini V,
Bastami A. Frequency and severity of menopausal symptoms
and its relationship with demographic factors in pre‑and
postmenopausal women of Ahvaz, Iran. IJOGI 2013;16:7‑15.
13. Stefan‑Dabson K, Mohammadkhani P, Massah‑Choulabi O.
Psychometrics characteristic of beck depression inventory‑II
in patients with magor depressive disorder. Arch Rehabilit
2007;8:82‑10.
14. Najimi A, Azadbakht L, Hassanzadeh A, Sharifirad GH. The effect
of nutrition education on risk factors of cardiovascular diseases in
elderly patients with Type 2 diabetes: A randomized controlled
trial. Iran J Endocrinol Metabolism 2011;13:256‑63.
15. Yazdkhasti M, Simbar M, Abdi F. Empowerment and coping
strategies in menopause women: A review. Iran Red Crescent
Med J 2015;17:e18944.
16. Prairie BA, Wisniewski SR, Luther J, Hess R, Thurston RC,
Wisner KL, et al. Symptoms of depressed mood, disturbed sleep,
and sexual problems in midlife women: Cross‑sectional data from
the Study of Women’s Health Across the Nation. J Women’s
Health 2015;24:119‑26.
17. Makvandi S, Zargarshooshtari S, Yazdizadeh H, Zakerhoseini V,
Bastami A. Frequency and severity of menopausal symptoms
and its relationship with demographic factors in pre‑and
postmenopausal women of Ahvaz, Iran. IJOGI 2013;16:7‑15.
18. Shobeiri F, Jenabi E, Khatiban M, Hazavehei SM, Roshanaei G.
The effect of educational program on quality of life in menopausal
women: a clinical trial. J Menopausal Med 2017;23(2):91‑5.
19. Muhammad Zaidi I, Pakpour Haji Agha A, Mohammad Zaidi B.
Impact of education based on individual empowerment model
on self‑esteem awareness and quality of life in postmenopausal women. Iran J Nurs 2013;26:31‑21.
20. Foruhari S, Safari Rad M, Moattari M, Mohit M, Ghaem H. The
effect of education on the quality of life of women of menopausal
age. J Birjand Univ Med Sci 2010;16:39‑45.
21. Nazari M, Farmani S, Kaveh MH, Ghaem H. The effectiveness of
lifestyle educational program in health promoting behaviors and
menopausal symptoms in 45‑60‑year‑old Women in Marvdasht,
Iran. Glob J Health Sci 2016;8:55414.
)