Subject(s)
Humans , Female , Menopause , Metabolic Syndrome , Heart Disease Risk Factors , Quality of LifeABSTRACT
Objective: The study's goal has been to analyze the main alternative therapies that might reduce the menopause symptoms, as well as to present the challenges faced by nursing professionals dealing with it. Methods: It is an integrative literature review, having a descriptive and exploratory approach. There were used the following databases: the Scientific Electronic Library Online (SciELO) and the Literatura Latino-americana e do Caribe em Ciências da Saúde (LILACS) [Latin-American and Caribbean Literature in Health Sciences]. There were found 145 studies, of which 11 met the inclusion criteria according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyzes) stages. Results: The main alternative therapies identified were as follows: physical exercise, acupuncture, hydrotherapy, medicinal plants, yoga and guided imagery. Each of the indicated modalities of therapy has positive benefits in reducing the menopause symptoms. Nurses play a significant role towards adherence and fulfilment of alternative therapies, but there is still excessive unawareness about how to carry out such practices. Conclusion: It is important to include teaching and qualification in alternative therapies within university education and programs of permanent education in collective health
Objetivo: Analisar as principais terapias alternativas que podem diminuir os sintomas da menopausa e apresentar os desafios enfrentados pela enfermagem diante desta prática. Métodos: Revisão Integrativa da literatura, com abordagem exploratória descritiva. Foram utilizados os bancos de dados Scientific Eletronic Library Online e Literatura Latino-Americana em Ciências da Saúde. Obtiveram-se 145 estudos dos quais 11 atenderam aos critérios de inclusão, conforme as etapas do PRISMA. Resultados: As principais terapias alternativas identificadas foram: prática de exercício físico, acupuntura, hidroterapia, plantas medicinais, yoga e imaginação guiada. Cada uma das modalidades de terapias apontadas possui benefícios positivos em relação à redução dos sintomas da menopausa. Os enfermeiros têm contribuição direta para a adesão e realização das terapias alternativas, porém ainda existe grande desconhecimento sobre como realizar tais práticas. Conclusão: Torna-se importante a inclusão do ensino e qualificação em terapias alternativas dentro do ensino universitário e dos programas de educação permanente em saúde coletiva
Objetivo: Analizar las principales terapias alternativas que pueden disminuir los síntomas de la menopausia y presentar los desafíos enfrentados por la enfermería ante esta práctica. Métodos: Revisión Integrativa de la literatura, con abordaje exploratorio descriptivo. Se utilizaron los bancos de datos Scientific Eletronic Library Online y Literatura Latinoamericana en Ciencias de la Salud. Se obtuvieron 145 estudios, de los cuales 11 atendieron a los criterios de inclusión, conforme a las etapas del PRISMA. Resultados: Las principales terapias alternativas identificadas fueron: práctica de ejercicio físico, acupuntura, hidroterapia, plantas medicinales, yoga e imaginación guiada. Cada una de las modalidades de terapias apuntadas tiene beneficios positivos en relación a la reducción de los síntomas de la menopausia. Los enfermeros tienen una contribución directa a la adhesión y realización de las terapias alternativas, pero todavía existe gran desconocimiento sobre cómo realizar tales prácticas. Conclusión: Es importante la inclusión de la enseñanza y la calificación en terapias alternativas dentro de la enseñanza universitaria y de los programas de educación permanente en salud colectiva
Subject(s)
Humans , Female , Adult , Middle Aged , Complementary Therapies/nursing , Menopause , Nursing Care , Plants, Medicinal , Signs and Symptoms , Yoga , Imagery, Psychotherapy , Acupuncture , HydrotherapyABSTRACT
Objetivo: Avaliar os sintomas climatéricos em mulheres atendidas em Unidades Básicas da Estratégia Saúde da Família. Metodologia: Estudo descritivo, prospectivo, transversal com abordagem quantitativa, cujos dados foram coletados utilizando questionário estruturado com questões contendo variáveis sociodemográficas, reprodutivas e sexuais e o Índice Menopausal de Kupperman. Os resultados foram analisados pelo Teste de Associação pelo Qui-Quadrado. Resultados: Das 80 mulheres entrevistadas, 50% tinham mais de 50 anos de idade; maioria parda; dez anos ou mais de estudo; ocupação remunerada; renda familiar entre um e dois salários mínimos e companheiro fixo. Dentre as variáveis estudadas, verificou-se que a variável ciclo menstrual (p=0,010) foi significativa, apresentando associação com a presença de sintomas do climatério. Não houve associação significativa entre a presença dos sintomas do climatério e as variáveis de tabagismo, número de gestações, presença de relação sexual, exercícios físicos, IMC, idade na menopausa e idade na menarca. Conclusão: as manifestações sintomáticas do climatério estavam presentes, de forma leve, para a maioria das mulheres entrevistadas. Dada a relevância da sintomatologia, é importante que os profissionais da Atenção Primária conheçam os sintomas e repercussões na qualidade de vida das mulheres climatéricas. Além dos aspectos terapêuticos, a assistência deve contemplar a educação em saúde, com o intuito de propiciar conhecimento às mulheres sobre o funcionamento do seu corpo e as implicações dos processos fisiológicos em sua qualidade de vida. Dessa forma, conhecendo seu corpo e as interferências do meio ambiente sobre ele, essas mulheres terão melhores possibilidades de tomar decisões a respeito de sua saúde (AU).
Objective To assess the climacteric symptoms in women attended at Basic Units of the Family Health Strategy. Methodology descriptive, prospective, cross-sectional study with a quantitative approach, the data of which were collected using a structured questionnaire with questions containing sociodemographic, reproductive and sexual variables, and Kupperman Menopausal Index. The results were analyzed by chi-square test Association. Results Of the 80 women interviewed, 50% were over 50 years of age; most were of brown race; had ten years or more of study; had a paid activity; family income was between one and two minimum wages, and had a steady partner. Among the variables studied, it was found that the variable menstrual cycle (p = 0.010) was significant, with association with the presence of climacteric symptoms. There was no significant association between the presence of symptoms of the climacteric period and the variables smoking, number of pregnancies, presence of sexual intercourse, physical exercise, BMI, age of menopause, and age at menarche. Conclusion symptomatic manifestations of the climateric period were slightly present for most of the women interviewed. Given the importance of the symptoms, it is important that professionals of Primary Health know the symptoms and impact on quality of life of menopausal women. In addition to the therapeutic aspects, assistance should include health education, to provide knowledge to women about their bodies functioning, and the implications of physiological processes in their quality of life. Consequently, knowing their body and the interference of the environment on it, these women will have better possibilities to make decisions about their health (AU)
Subject(s)
Humans , Female , Middle Aged , Signs and Symptoms , Climacteric , Women's HealthABSTRACT
Objective The aim of this research is to evaluate the influence of nursing intervention on the compliance of patients with dysfunctional uterine bleeding in climacteric period. Methods We divided 96 patients with dysfunctional uterine bleeding in climacteric period from February to December in 2006 into the intervention group and the control group with 48 cases in each group.The control group was given medication instruction simply by the doctors and no nursing intervention.The intervention group was given health education and follow-up supervision.The general information and medical history of patients were registered at the first visit. The medication, adverse effect and effect of drugs were also registered at every visit. All patients were given follow-up visit 3 months later.The medication and visiting compliance and the treatment effect were observed. Results One patients missed follow-up visit in the intervention group and 11 patients missed in the control group.The medication compliance was 87.2% and the visit compliance was 93.6% in the intervention group,which was superior to those of the control group (67.6%,56.8%).The effect of hormone treatment was also better than that of the control group,P ＜ 0.05. Conclusions Nursing intervention couhl improve the compliance and medication effect of patients with dysfunctional uterine bleeding in climacteric period.