A menopausal transition model based on transition theory

Purpose The purpose of this study was to construct a hypothetical model based on Meleis and colleagues' Transition Theory and a literature review to explain women’s menopausal transition, constructing a modified model considering previous studies and model fit and testing the effects between va...

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Main Authors: Jisoon Kim, Sukhee Ahn
Format: Article
Language:English
Published: Korean Society of Women Health Nursing 2022-09-01
Series:Korean Journal of Women Health Nursing
Subjects:
Online Access:http://kjwhn.org/upload/pdf/kjwhn-2022-08-16.pdf
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author Jisoon Kim
Sukhee Ahn
author_facet Jisoon Kim
Sukhee Ahn
author_sort Jisoon Kim
collection DOAJ
description Purpose The purpose of this study was to construct a hypothetical model based on Meleis and colleagues' Transition Theory and a literature review to explain women’s menopausal transition, constructing a modified model considering previous studies and model fit and testing the effects between variables. Methods With a correlational survey design, middle-aged Korean women aged 40 to 64 years who had experienced menopausal symptoms were recruited and filled out a self-administered study questionnaire. Measures included menopausal symptoms, resilience, social support, menopause management, menopause adaptation, and quality of life. The data were analyzed using SPSS 24.0 and AMOS 24.0. Results The model fit indices were considered acceptable: χ2/degree of freedom=2.93, standardized root mean residual=.07, comparative fit index=.90, and parsimonious normed fit index=.73. All eight direct-effect paths—from menopausal symptoms to support and adaptation, from support to adaptation and resilience, from resilience to adaptation and management, from management to quality of life, and from adaptation to quality of life—were significant. The explanatory power of the menopause transition model was 63.6%. Conclusion Women who experience menopausal symptoms may be able to maintain and improve their quality of life if menopause management and menopause adaptation are successful through resilience and social support. Future research is needed to confirm whether strengthening facilitation as a nursing intervention strategy may promote healthy response patterns.
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spelling doaj.art-89f74caa363e46bdb0a720735b0785452022-12-22T04:15:46ZengKorean Society of Women Health NursingKorean Journal of Women Health Nursing2287-16402093-76952022-09-0128321022110.4069/kjwhn.2022.08.16968A menopausal transition model based on transition theoryJisoon Kim0Sukhee Ahn1Department of Nursing, College of Health and Welfare, Woosong University, Daejeon, KoreaCollege of Nursing, Chungnam National University, Daejeon, KoreaPurpose The purpose of this study was to construct a hypothetical model based on Meleis and colleagues' Transition Theory and a literature review to explain women’s menopausal transition, constructing a modified model considering previous studies and model fit and testing the effects between variables. Methods With a correlational survey design, middle-aged Korean women aged 40 to 64 years who had experienced menopausal symptoms were recruited and filled out a self-administered study questionnaire. Measures included menopausal symptoms, resilience, social support, menopause management, menopause adaptation, and quality of life. The data were analyzed using SPSS 24.0 and AMOS 24.0. Results The model fit indices were considered acceptable: χ2/degree of freedom=2.93, standardized root mean residual=.07, comparative fit index=.90, and parsimonious normed fit index=.73. All eight direct-effect paths—from menopausal symptoms to support and adaptation, from support to adaptation and resilience, from resilience to adaptation and management, from management to quality of life, and from adaptation to quality of life—were significant. The explanatory power of the menopause transition model was 63.6%. Conclusion Women who experience menopausal symptoms may be able to maintain and improve their quality of life if menopause management and menopause adaptation are successful through resilience and social support. Future research is needed to confirm whether strengthening facilitation as a nursing intervention strategy may promote healthy response patterns.http://kjwhn.org/upload/pdf/kjwhn-2022-08-16.pdfmiddle-agedpsychological adaptationpsychological resiliencequality of lifesocial support
spellingShingle Jisoon Kim
Sukhee Ahn
A menopausal transition model based on transition theory
Korean Journal of Women Health Nursing
middle-aged
psychological adaptation
psychological resilience
quality of life
social support
title A menopausal transition model based on transition theory
title_full A menopausal transition model based on transition theory
title_fullStr A menopausal transition model based on transition theory
title_full_unstemmed A menopausal transition model based on transition theory
title_short A menopausal transition model based on transition theory
title_sort menopausal transition model based on transition theory
topic middle-aged
psychological adaptation
psychological resilience
quality of life
social support
url http://kjwhn.org/upload/pdf/kjwhn-2022-08-16.pdf
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