Abstract
Abstract: Approximately 70% of women in the peri period and post menopause experience vasomotor complaints, depression, psychological and somatic complaints. The severity of the symptoms will be different for each woman. This research was conducted to find out whether the clinical symptoms that appear in menopausal women will cause disruption to quality of life. This study was conducted on menopausal women at Geriatric Poly at Simomulyo Health Center Surabaya in March - April 2019 using cross sectional method. Questionnaire was used to measure clinical symptoms in menopausal women and the QOLWHO-BREF questionnaire to assess the quality of life of menopausal women. Menopausal women in this study were at the age of 60.89 + 6.55 years. Menarche at the age of 12.49 + 1.74 years and Menopause at 49.41 + 4.88 years. For the BMI category mean at 24.33 + 4.02 kg / m2. Based on contraception used, it was found that most of women used combination pills (36.8%). Menopausal complaints consist of physical complaints and psychological complaints, for the major complaints from physical are complaints regarding bone and joint pain (86.5%) and for major complaints from psychological factor is a decrease in sexual desire (72.9%). The category of the amount of variety clinical symptoms that appear in each woman, it was found that at most of menopausal women felt 3 complaints (67.6%; 13.24 + 1.76). For the quality of life (WHOQOL) results, the overall quality of life criteria is in the very bad and bad category with the environmental domain being the lowest (3.04 + 10.93) and the better category compare than the other is the social relations domain (29.82 + 4.74) . The results of data analysis through the Spearman correlation test showed that there was a relationship between the number of complaints with a decrease in quality of life (Z = 3.15433; p = 0.00164) and it was found that menopausal women with complaints of menopause affected the decrease quality of life (Z = -4.30769; p <0.00001). Based on this study it was found that the factors that significantly influence the quality of life of a menopausal woman are clinical symptoms that appear both from physical symptoms and psychological symptoms. appears also has a significant effect on decreasing the quality of life of a menopausal woman Keyword: Menopause, clinical symtoms, quality of life
Highlights
Climacterium is a transition period from reproductive phase toward senile period owing to the decline in both generative and endocrine function of the ovarium
The study began with constructing the appropriate questionnaire addressing the symptoms experienced during the menopausal period as well as preparing the questionnaire for quality of life assessment adapted from the WHOQOL scoring system
We perfomed a comparative analysis addressing the relationship between each sympotm perceived and quality of life among menoupause women suggesting that better QOL was found in subjects reporting sleeping disorder (25.14 ± 37.45) this shows that in this study sleep disorders in menopausal women slightly affect a woman's quality of life and the QOL being the lowest in patients who complained of having no interest in sexual intercourse (13.04 ± 1.62)
Summary
Climacterium is a transition period from reproductive phase toward senile period owing to the decline in both generative and endocrine function of the ovarium. A comprehensive assessment was performed for all the symptoms encountered during the post-menopausal period followed by subject categorization based on their respective complaints and its association with quality of life. The study began with constructing the appropriate questionnaire addressing the symptoms experienced during the menopausal period as well as preparing the questionnaire for quality of life assessment adapted from the WHOQOL scoring system. These questionnaires were subsequently distributed to all the menopausal women who visited the geriatric outpatient clinic of Simomulyo Primary Healthcare Center. The results were interpreted as follow: 0-20 (very poor); 2140 (poor); 41-60 (moderate); 61-80 (good); 81-100 (very good)
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