Comparisons of Menopausal Symptom, Attitudes towards Menopause and Depression among Taiwanese Menopausal Women with Osteoporosis and Cardiovascular Disease

Tuesday, 13 July 2010

Hui-Ling Wang, RN
Institute of Allied Health Science, College of Medicine, National Cheng Kung University, Tainan, Taiwan
Chung-Hey Chen, PhD
Institute of Allied Health Sciences & Department of Nursing, Cheng Kung University, Tainan, Taiwan

Learning Objective 1: The learner will be able to understand the women’s menopausal symptom, attitudes towards menopause and depression between cardiovascular disease (CVD)and comparison groups.

Learning Objective 2: The learner will be able to understand the women’s menopausal symptom, attitudes towards menopause and depression between osteoporosis (Os) and comparison groups.

PURPOSE: The purpose of this study was to compare the women’s menopausal symptom, attitudes towards menopause and depression among cardiovascular disease (CVD), osteoporosis (Os) and comparison groups.
Methods: The study used a cross-sectional method. Subjects were purposively sampled from a medical center hospital and community in Southern Taiwan. A total of 477 women, aged between 45 to 60 years participated in the study. Four instruments were used to collect data: demographic and health habits questionnaire, Women’s Health Initiative Symptom Scale, Attitudes Towards Menopause Scale, and Center for Epidemiological Study Depression Scale.
Results: The significant difference was found in the age, number of children, education level, employment status, smoking behavior and years of smoking among the three groups. After adjusting for the difference in demographic variables, the results showed that (1) Subjects in the CVD group had more menopausal symptoms than those in the comparison group. (2) The major menopausal symptom in the CVD group was shoulder and neck pain, while fatigue was reported to be the most frequent in the other two groups. (3) Subjects in the CVD group reported higher depression than those in the Os group.
CONCLUSION: We observed a number of differences in the menopausal symptoms and depression among the three groups. Results from our study suggested that it is important to provide unique care for menopausal women with different chronic diseases. Our findings may help healthcare professionals to understand the diversity of menopausal experiences and devise strategies of appropriate care.