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Coping with menopause – Measures that women can take
Carlo Bryan C. Borricoa,b,
Corresponding author
, Corazon C. Borricob, Leonardo P. Borricob
a Assistant Professor, Angeles University Foundation, Angeles city, Pampanga, Philippines
b Alumnus, Holy Angel University, Angeles city, Pampanga, Philippines
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">According to the World Health Organization&#44; the average age of menopause is 50 years&#46; Menopausal symptoms affect 70&#37; of women&#46; During menopause&#44; there is a hormonal imbalance that would lead to variety of menopausal symptoms such as hot flashes&#44; weight gain&#44; changes in the body shape&#44; hair loss&#44; hair becomes grayer and coarse&#44; decreased elasticity of the skin&#44; thinning of lining and dryness in the vagina&#44; breast discomfort and urinary incontinence&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#8211;4</span></a> Menopausal woman have also increases the risks to certain medical condition such as osteoporosis&#44; cardiovascular disease&#44; diabetes and arthritis&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3&#44;5&#8211;7</span></a> Some women view it as positive and some view it as negative&#46;<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5&#44;6</span></a> Some women feel a sense of loss because their reproductive years are ending&#46; Some also feel very uncomfortable because of symptoms&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">A woman can associate menopause positively by appreciating it as a period of reflection&#44; a new beginning and a redirection of her life&#39;s goal&#46; She may also depict that it is a sense of freedom from the responsibility of bearing and nurturing children&#46; Consequently&#44; a woman can relate menopause to sickness that must be heal&#44; an alteration in her physical dimension&#44; a period where more discomforts appear and regret over the loss of reproductive capacity and the end of sexual repression&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The changing demographics of a country&#39;s population are affecting how midlife is view&#46; Experiences from limited opportunities for jobs&#44; divorces&#44; a period of aging and health concerns leaves little time for personal care and nurturing&#46; Women&#39;s health and wellness often neglected due to multiple roles that needs attention&#46; Women with higher level of education and those employed had higher quality of life and report to have fewer symptoms compare to younger women&#44; low education&#44; and overweight&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Understanding menopausal symptoms helps midlife women to cope and know how to deal it&#46; Encouraging them to express their concerns and share their experience is essential&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> As nurse&#44; we need to support these individual in their effort of coping these age related changes&#46; Nurses are instrumental in offering holistic care and comprehensive support and providing them reliable up-to-date&#44; evidenced-based information&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Hence&#44; the purpose of the study is to extend knowledge regarding women&#39;s perception and outlook on their sense of body during their menopausal women years&#46; This study can present an opportunity for personal introspection to assess a women&#39;s health status&#44; identify certain health risk and acknowledge areas where there is a need for health promotion and disease prevention&#46; It can help the women under this study to view midlife as a normal function of life and should be perceive in a positive way further enhance their confidence and well-being&#46; It is also to explore how these women cope with these physiological and psychological changes&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">These symptoms are very crucial that must be aware because it can lead to negative attitude toward menopause&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> This study helps them identify the best coping strategy they can use to perceive these changes in a positive and productive ways&#46;<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5&#8211;7</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">This study promotes better understanding to the women-experiencing menopause&#46; It helps these women to gain more knowledge&#44; identify best coping strategy and help them perceive these changes in a positive aspect&#46;<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5&#8211;7</span></a> This phenomenological study aimed to describe the women&#39;s sense of body during their menopausal years at Angeles City&#46; To gain an understanding of their common experience&#44; the following broad questions asked&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">a&#46;</span><p id="par0040" class="elsevierStylePara elsevierViewall">What are your experiences during midlife&#63;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">b&#46;</span><p id="par0045" class="elsevierStylePara elsevierViewall">How did those experiences happen&#63;</p></li></ul></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Methods</span><p id="par0050" class="elsevierStylePara elsevierViewall">Descriptive phenomenology is the qualitative research design chosen for the study to gain understanding of women experiencing menopausal symptoms&#46; Purposive sampling was selected in which the researcher selects the informants who aged at least 50 years who currently experienced menopausal symptoms&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">At the vicinity of Mabalacat City&#44; Philippines&#44; the researcher employed Maximum variation sampling where the number of informants depends on the achievement of data saturation&#46; When the information gathered&#44; become repetitive and redundant&#44; such that no new information can be get&#44; data collection will stop&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Focus interviews chosen to explore the ideas and perception of women experiencing menopause&#46; The researcher used an interview guide to ensure all question addressed&#46; Interview data recorded on audio tape with the permission of the informants&#46; As with observations&#44; detailed recording is a necessary component of interviews since it forms the basis for analyzing the data&#46; Informants asked to elaborate on any aspect that considered relevant to the general topic&#46; Follow-up interviews done if the data gathered will not suffice since this study involves a whole inquiry of the lived experiences and the perceptions to which the topic gives rise&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">In addition&#44; Moustaka method was adapted for chunking and managing the data collected since the study necessitates a structured guidance for the completion of this stage &#40;Creswell&#44; 1998&#41;&#46; The data analyzed according to Moustakas&#8217; Method &#40;1994&#41;&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Step 1</span>&#58; Listing and preliminary grouping &#40;horizonalization&#41;&#46; The researcher used the verbatim transcripts from each interview and separates out each statement&#44; which describes an element&#44; or horizon&#44; of the experience&#46; The researcher names the horizons based on statements from the participants&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Step 2</span>&#58; Reduction and elimination&#58; Each horizon of the experience tested for two requirements&#58; a&#41; does it contain an element of the experience&#44; which is necessary to understanding the experience&#63; b&#41; is it possible to separate it and label it&#63; If the statement does not meet both these criteria&#44; eliminated&#46; Horizons that remain from this elimination process are the invariant constituents of the experience&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Step 3</span>&#58; Clustering and thematizing the invariant constituents&#46; The invariant constituents of the experiences grouped into similar themes&#44; which develop from scrutiny of the horizons&#46; These are then the core themes of the experience&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Step 4</span>&#58; Final identification of the invariant constituents and themes by application&#58; Validation&#46; The invariant constituents and their themes checked against interview transcript to check for discrepancies and inconsistencies&#46; Any horizons or themes&#44; which are inconsistent with the participant&#39;s description of the experience&#44; then deleted&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Step 5</span>&#58; Construct an Individual Textural Description for each research participant&#46; The Individual Textural Description allows for a description of &#8220;what&#8221; happened in the experience&#46; In the textural description of an experience&#44; nothing omitted&#59; every dimension or phase granted equal attention and is included&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Step 6</span>&#58; Construct an Individual Structural Description for each research participant&#46; Shifting from the &#8220;what happened&#8221; emphasis of the textural description&#44; the structural description describes how the event took place&#46; In this step&#44; the researcher uses reflection and imaginative variation to compose a description from a different point of view&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Step 7</span>&#58; Construct a Textural-Structural Description of the meaning and essences of the experience for each of the research participants&#46; This Textural-Structural Description relies on the preceding steps to create an individual description of the essences of the experience&#44; which will serve to represent the whole&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Step 8</span>&#58; Develop a Composite Description of the meanings and essences of the experience&#44; which represents the group as a whole&#46; The Composite Description&#44; as the final step in the data analysis process&#44; provides the culmination of the data analysis in a description of the shared essences of the experience&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Result</span><p id="par0110" class="elsevierStylePara elsevierViewall">After a thorough data collection&#44; interviews were fully transcribed&#44; word-for-word from the videotaped recorder&#46; The raw data from the interview used as the basis for data analysis&#44; thus the researchers arrived at an understanding of the essences of the experience since evidence from phenomenological research derived from first-person reports of life experiences &#40;Marek&#44; 1999&#41;&#46; The data analyzed according to Moustakas modification of the van Kaam data analysis method&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">There are six key themes identified in the study&#58;<ul class="elsevierStyleList" id="lis0010"><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">&#40;1&#41;</span><p id="par0120" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">&#8220;I&#8217;ve changed&#8230;&#8221;</span> This is the physical&#44; emotional&#44; social&#44; psychological&#44; and spiritual changes reported by informants&#46;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">&#40;2&#41;</span><p id="par0125" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">&#8220;What is bothering me&#63;&#8221;</span> This denotes the fears &#40;fear that children will get married&#59; fear of getting sick&#59; fear of death&#59; fear of losing her children&#41; and problems &#40;financial problem&#59; problem on family&#59; loss of love one&#59; loss of self-worth due to retirement&#41; currently experiences by informants&#46;</p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">&#40;3&#41;</span><p id="par0130" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Looking back into the windows of the past</span>&#46; This denotes Informants&#8217; comparison before and during midlife &#40;Comparison of Social life before and during menopause&#59; things that she cannot do now but can do before&#41;&#44; and regret of the things they did not do during earlier years&#46;</p></li><li class="elsevierStyleListItem" id="lsti0030"><span class="elsevierStyleLabel">&#40;4&#41;</span><p id="par0135" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">My weapons for my battle&#46;</span> Coping strategies the women do to combat menopausal symptoms &#40;Religion as a coping strategy&#59; support system from significant others&#59; diversion activities&#41;&#46;</p></li><li class="elsevierStyleListItem" id="lsti0035"><span class="elsevierStyleLabel">&#40;5&#41;</span><p id="par0140" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Metamorphosis</span>&#58; A new conquest&#46; This involves menopausal women life realization&#44; acceptance of being menopause&#44; contentment in life&#44; and giving advice to younger generation&#46;</p></li><li class="elsevierStyleListItem" id="lsti0040"><span class="elsevierStyleLabel">&#40;6&#41;</span><p id="par0145" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Dreams</span>&#58; The paramount of my life&#46; This involves menopausal women dream for oneself and their family&#44; and giving wisdom to younger generation&#46;</p></li></ul></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Discussion</span><p id="par0150" class="elsevierStylePara elsevierViewall">Women have viewed this period of a life as a potential downward spiral of fading productivity&#44; usefulness&#44; influence&#44; power&#44; and beauty&#46; Women must not view this as a stressor but rather turn this midlife crisis to an advantage&#46; They can make this as a time for renewal of their body and mind rather to stand by helplessly&#46; Each woman is unique and will have her own specific opinions&#44; feelings and reactions about getting older&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">The menopausal experience provides an opening to psychological and spiritual growth that allows an individual to change their perception positively&#46; However&#44; they cannot take this journey without a certain amount of suffering&#46; They must suffer the loss&#44; change&#44; and let go of what they bring into midlife&#46; They think that it is a time to recapture lost youth&#46; This is a common but a great misunderstanding&#46; Information is need to enhance and understand more of what known about this major life transition&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">There are six key themes identified in the study&#58; &#40;1&#41; &#8220;I&#8217;ve changed&#8230;&#8221; &#40;2&#41; &#8220;What is bothering me&#63;&#8221; &#40;3&#41; Looking back into the windows of the past &#40;4&#41; my weapons for my battle &#40;5&#41; Metamorphosis&#58; A new conquest &#40;6&#41; Dreams&#58; The paramount of my life&#46; These key themes developed from scrutiny of the horizons as well as the invariant constituents from the experience of the informants&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">Most of informants reported weight preoccupation and concern on their physical changes&#46; Most of them experienced weight gain&#44; fat distribution in their body especially in the abdomen&#44; and reported decrease libido&#46; In addition&#44; most of the informants reported coping with illness of their love one&#44; death of their husband&#44; divorce&#44; loss of self-worth due to retirement&#44; and new role&#46; Most of them reported religion&#59; support system from significant others&#59; diversion activities as their coping strategy&#46; Lastly&#44; most of them expressed they accepted of being menopause&#46; They want to spend their remaining years giving advice and wisdom to younger generation to guide them&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Thus&#44; understanding these changes help midlife women to cope and know how to deal it&#46; Encouraging them to express their concerns and share their experience is essential&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> As nurse&#44; we need to support these individual in their effort of coping these age related changes&#46; We need to provide health teaching and health promotion such as exercise&#44; maintaining weight and good eating habit are essential to enhance their wellbeing&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Conclusion</span><p id="par0175" class="elsevierStylePara elsevierViewall">The study reflected the entirety of the participant&#39;s experiences&#46; Understanding changes help midlife women to cope and know how to deal it&#46; Encouraging them to express their concerns and share their experience is essential&#46; As nurse&#44; we need to support these individual in their effort of coping these age related changes&#46; We need to provide health teaching and health promotion such as exercise&#44; maintaining weight and good eating habit are essential to enhance their wellbeing&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Conflict of interest</span><p id="par0180" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest&#46;</p></span></span>"
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          "titulo" => "Conclusion"
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          "titulo" => "Conflict of interest"
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          "titulo" => "References"
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            0 => "Menopause"
            1 => "Age-related changes"
            2 => "Midlife"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">During menopause&#44; there is a hormonal imbalance that would lead to variety of menopausal symptoms such as hot flashes&#44; weight gain&#44; changes in the body shape&#44; hair loss&#44; hair becomes grayer and coarse&#44; decreased elasticity of the skin&#44; thinning of lining and dryness in the vagina&#44; breast discomfort and urinary incontinence&#46; These menopausal symptoms cause concern and discomfort for these women&#46; It also affects their quality of life&#46; The study aimed to explore the women&#39;s sense of body during their midlife years&#46; A phenomenological-heuristic research design used in the study&#46; Eight informants willingly participated in the study under an informal&#44; semi-structured interview with the main question&#44; &#8220;What are your experiences during midlife&#63;&#8221; and &#8220;How did those experiences happened&#63;&#8221; The transcribed verbatim were analyzed through the use of Moustakas method&#46; The study revealed 7 main themes&#58; &#40;1&#41; &#8220;I&#8217;ve changed&#8230;&#8221; &#40;2&#41; &#8220;What is bothering me&#63;&#8221; &#40;3&#41; Looking back into the windows of the past &#40;4&#41; my weapons for my battle &#40;5&#41; Metamorphosis&#58; A new conquest &#40;6&#41; Dreams&#58; The paramount of my life&#46; The study reflected the entirety of the participant&#39;s experiences&#46; This study has shown that living the experience of wellness at menopause can accommodate the experience of change or symptoms&#46; In this way the experience of menopausal change is not disruptive to the woman&#39;s continuity of experience&#44; she continues to feel well and to do all the things she wants to do&#46; Further recommendations are needed to enhance the understanding of the lived experience of women regarding their sense of body at midlife&#46;</p></span>"
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                      "titulo" => "Menopause sucks&#58; what to do when hot flashes make you and everyone else miserable"
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                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Kimes"
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                        "tituloSerie" => "Adams Media"
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                            0 => "K&#46;B&#46; Kalb"
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                      "titulo" => "Is it hot in here or is it me&#63; The complete guide to menopause"
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                          "autores" => array:5 [
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                      "doi" => "10.1080/13697130400012163"
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                  "referenciaCompleta" => "Anderson D&#44; Graham K&#46; 2002&#46; The menopause made simple program&#58; maximise your lifestyle by minimising your symptoms&#46; Allen &#38; Unwin&#46; <a target="_blank" href="http://172.16.159.10:2051/toc.aspx?bookid=22567">http&#58;&#47;&#47;172&#46;16&#46;159&#46;10&#58;2051&#47;toc&#46;aspx&#63;bookid&#61;22567</a>&#46;"
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ISSN: 11308621
Original language: English
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