| Summary: | Background: Physical and psychological changes during climacterium phase
could influence quality of life in climacteric women. It is necessary for the process
of adaptation to a variety of problems and changes during the climacteric period
so as to improve the quality of life of climacteric women.
Purpose: The purpose of the study was determine the effect of health education
program on changes quality of life in climacteric women.
Methods: The study was quasy experimental which used pretest and posttest
nonequivalent control group design. The study was done at Gamping Kidul
Village Ambarketawang Gamping Sleman in Desember 2013-April 2014. The
sample consisted of 44 subjects as an intervention group and a control group of
44 subjects. The intervention group received health education in the form of
lectures and discussions 4 session and 1 sessions small group practices yoga
exercises. The control group was given only the booklet . Data collection used
questionnaires level of knowledge about menopause, Menopause Rating Scale
(MRS) and the WHOQOL-BREF. The analysis used is Paired t-test, Independent
Samples t-test, Spearman rank correlation test and contingency coefficient.
Result: The most frequent symptoms of 11 composing the MRS (n-88) was muscle
and joint problems (78.6%). The quality of life scores in intervenstion group
significantly improved from a mean pretest value of 51,9±6,8 to posttest value of
66,5±4,4 (mean±standard deviation) But in the control group, quality of life
scores is not significantly improved from a mean pretest value of 53,7±6,4 to
posttest value of 54±6,1. The Results of paired t-test showed that there was
significantly difference in quality of life scores before and after the health
education in intervention group with p 0.000 <0.05 and t count (14,436)>t table
(2,021). But not in the control group p 0.0295> 0.05 and t count (1,059)<t table
(2,021). The results of the independent test samples t-test showed the difference
change quality of life between the intervention group and the control group in the
physical domain, psychological domain, social domain, and domain environments with p
value of 0.000 (p <0.05) and t count>t table (1.980). There is a significant
relationship between parity and employment status with quality of life (p<0,05)
and x2count>x2table , but not to the variables of age, duration of menopause,
marital status, education level, income, and health insurance.
Discussion: According to the result, health education program about menopause
can lead improved quality of life in climacteric women.
Keyword : menopause, health education, quality of life, climacteric women
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