HUBUNGAN KECEMASAN TERHADAP KELUHAN MENOPAUSE PADA WANITA USIA 45-50 TAHUN DI KECAMATAN TANAH SEREAL KOTA BOGOR

Agustina Agustina, Nawati Nawati
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Abstract

The health problem of women towards elderly is menopause syndrome starting from 40 to 45 years old and it needs attention. It is estimated that one-third of a woman's life span will be in age with a hypoestrogen condition. Women will experience various kinds of disorders both physically and psychologically which negatively impact both in the short and long term.  Factors that can influence complaints during menopause are physiological factors due to decreased ovarian activity, socio-cultural and psychological factors that underlie women's personality.   This study used a cross sectional approach which aims to learn more about the relationship between anxiety levels with menopausal women's complaints. The research was carried out in the working area of the Tanah Sareal Community Health Center, Central Bogor District, starting from Oktober until November 2020 with a questioner via E-form conducted to 107 respondents. Results: The age of the respondents was dominated by 50-55 years with an elementary and high school education background. In general, respondents are married and some have normal nutritional status and tend to be obese, most of them do not smoke. Bivariate analysis showed that there was  a significant relationship between anxiety and menopause complaints. Multivariate analysis confounder test with regression, the variable anxiety was the most closely related to menopausal complaints with p = 0.023 and an OR value of 5.7. It is recommended that Tanah Sereal Puskesmas carry out health promotion to change women's views about menopause as a physiological thing and pay more attention to psychological aspects in providing health services. The results of this study can be taken into consideration in developing a nursing intervention model in the form of more comprehensive health promotion in preventing and overcoming menopausal complaints by involving family members.
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老年妇女的健康问题是40至45岁开始出现的更年期综合症,需要引起重视。据估计,女性一生中有三分之一的时间处于雌激素水平低下的年龄。妇女会经历各种身体和心理上的失调,这些失调会对她们产生短期和长期的负面影响。影响更年期抱怨的因素有卵巢活动减少的生理因素、构成女性个性的社会文化和心理因素。这项研究采用了横断面方法,旨在了解更多关于焦虑水平与更年期妇女抱怨之间的关系。该研究于2020年10月至11月在中央茂物区Tanah Sareal社区卫生中心的工作区域进行,通过电子表格对107名受访者进行了询问。结果:调查对象年龄以50 ~ 55岁为主,具有小学、高中学历。调查对象一般已婚,部分营养状况正常,有肥胖倾向,大部分不吸烟。双变量分析显示,焦虑与更年期症状之间存在显著关系。多因素回归分析混杂检验显示,焦虑变量与绝经期主诉关系最密切,p = 0.023, OR值为5.7。建议Tanah seeal Puskesmas开展健康促进活动,改变女性对更年期的生理认识,在提供健康服务时更多地关注心理方面。本研究的结果可用于制定一种护理干预模式,通过家庭成员参与,以更全面的健康促进形式预防和克服更年期疾病。
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