Experiences of women in menopause: contributions to understanding nursing care
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Abstract
Menopause is a period in a woman’s life that needs all the attention of health professionals, especially the nurse specialist in Maternal and Obstetric Health Nursing. Thus, the objective was to understand the experiences of women during the menopause period, the meaning attributed by the woman to the nursing interventions developed by the Nurse Specialist in Maternal and Obstetric Health Nursing during the menopause and post-menopause period. A qualitative study was carried out, using the phenomenological-hermeneutic method, using the phenomenological interview as an instrument for data collection. The 13 participants resorted to consultations at a Gynecological Day Hospital and the Gynecology Service of a Central Hospital in the Central Region of Portugal. Qualitative data analysis was supported by Nvivo12. From the verbatim analysis of the interviews, five categories emerged: “Meaning attributed to menopause” , with the most prominent subcategories being “Positive experience”,“Not having experienced changes with menopause” and “A bad / uncomfortable phase”; “Changesfelt during menopauseand post menopause”, with moreemphasis on thesubcategory“Organic changes”, “namely the“ Heat waves ”; “Strategies used in the face of constraints”, where the most prominent subcategories were “Seeking professional help” and “Adopting an attitude of resilience”; “Expectations regarding nursing care”, with the most referred subcategory “Expectations corresponded to what was expected”; “Nursing care received during menopause”, with emphasis on the subcategories “Help”, “Clarification of doubts” and “Training of women to experience menopause”. Some women viewed menopause positively. For others, it was marked as a phase of discomfort, with changes in vaginal, emotional, organic conditions and changes in sexual activity. Women consider, above all, that the nursing care corresponded to their expectations, as doubts were clarified and they were trained to experience menopause in a positive and healthy way.
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References
Beck, V., Brewis, J., & Davies, A. (2019). Women’s experiences of menopause at work and performance management. Organization. Doi:10.1177/1350508419883386
Bernardes, M. (2014). Transição para a menopausa: das condições aos fatores sensíveis aos cuidados de enfermagem. (Dissertação de Mestrado). Escola Superior de Enfermagem de Coimbra. Coimbra. Acedido em http://repositorio.esenfc.pt/?url=I1dXABiQ
Bogdan, R. C., & Biklen, S. K. (2007). Chapter 4: Qualitative Data. Qualitative research for education: An introduction to theories and methods (5th ed.) (pp. 133-142 ONLY). Boston: Allyn and Bacon.
Chae, H.D., Choi, S.Y., Cho, E.J., Cho, Y.M., Lee, S.R., Lee, E.S. et al. (2014). Awareness and experience of menopausal symptom and hormone therapy in korean postmenopausal women. J Menopausal Med.; 20, 7-13. doi: 10.6118/jmm.2014.20.1.7.
Dicionário Etimológico. Menopausa. Origem da palavra menopausa. Acedido em https://www.dicionarioetimologico.com.br/menopausa/
Dillaway, H. (2020). Living in Uncertain Times: Experiences of Menopause and Reproductive Aging (Capítulo 21). C. Bobel et al. (eds.). The Palgrave Handbook of Critical Menstruation Studies (pp. 253-268). https://doi.org/10.1007/978-981-15-0614-7_21
Gass, M.L., Cochrane, B.B., Larson, J.C. et al. (2011). Patterns and predictors of sexual activity among women in the Hormone Therapy trials of the Women’s Health Initiative. Menopause; 18(11), 1160–1171. doi:10.1097/gme.0b013e3182227ebd.Acedido em https://www.ncbi.nlm.nih.gov/pubmed/21983008
Gault, A.M. (2015). Health by numbers: Menopause. Quality Health Medical Ctr. Acedido em http://www.qualityhealth.com/menopause-articles/health-numbers-menopause
Hoga, L., Rodolpho, J., Gonçalves, B. & Quirino, B. (2015). Women`s experience of menopause: a systematic review of qualitative evidence. JBI Database of Systematic Reviews and Implementation Reports; Vol. 13(8), 250-337. Doi: 10.11124/jbisrir-2015-1948.
Kaunitz, A. M., & Manson, J. E. (2015). Management of Menopausal Symptoms. Obstetrics and gynecology; 126(4), 859–876. https://doi.org/10.1097/AOG.0000000000001058
Kingsberg, S.A., Wysocki, S., Magnus, L.. et al. (2013). Vulvar and vaginal atrophy in postmenopausal women: findings from the REVIVE (REal Women’s VIews of Treatment Options for Menopausal Vaginal ChangEs) survey. J Sex Med; 10, 1790-1799.
Meleis, A. I., Sawyer, L. M., Im, E. O., Messias, D. K. H. & Shumacher, K. (2000). Experience transitions: An emerging middle-range theory. Advances in Nursing Science; 23 (1), 12-28. Doi: 10.1097/00012272-200009000-00006.
Nappi, R.E., & Kokot-Kierepa, M. (2010). Women’s voices in the menopause: results from an international survey on vaginal atrophy. Maturitas; 67, 233-238. Acedido em https://www.ncbi.nlm.nih.gov/pubmed/20828948
Pedras, C.R.N. (2017). Transição para a menopausa: necessidades e expectativas. (Dissertação de Mestrado). Escola Superior de Saúde de Enfermagem de Lisboa. Acedido em https://comum.rcaap.pt/bitstream/10400.26/20974/1/Disserta%C3%A7%C3%A3o%20C%C3%A9lia%20Pedras.pdf
Probo, A., Soares, N., Silva, V., & Cabral, P. (2016). Níveis dos sintomas climatéricos em mulheres fisicamente ativas e insuficientemente ativas. Revista Brasileira de Atividade Física & Saúde; 21(3), 246–254. https://doi.org/10.12820/rbafs.v.21n3p246-254
Queiróz, A.A., Meireles, M.A., & Cunha, S.R. (2007). Investigar para compreender. Loures: Lusociência, 2007. XI. ISBN 978-972- 8930-38-7.
Samarasiri, D.G.C.N., Rajanayake, I.T., Wattegedara, P.K., Kodituwakku, R.D., Senadheera, A.S.P.L. & Silva, B.S.S. de (2017). Women’s Experiences on Menopause: A Phenomenological Study. OUSL Journal; Vol. 12, 2, 43-62. DOI: http://doi.org/10.4038/ouslj.v12i2.7407
Samarasiri, D.G.C.N., Rajanayake, I.T., Wattegedara, P.K., Kodituwakku, R.D., Senadheera, A.S.P.L. & Silva, B.S.S. de (2017). Women’s Experiences on Menopause: A Phenomenological Study. OUSL Journal; Vol. 12, 2, 43-62. DOI: http://doi.org/10.4038/ouslj.v12i2.7407
Silva, L.D.C., & Mamede, M.V. (2017). Desvelando os sentidos e significados do climatério em mulheres coronarianas. Cienc Cuid Saud; 16(2), 2-8. Doi: 10.4025/cienccuidsaude.v16i2.31719.
The North American Menopause Society. (2014). Clinical Care Recommendations - Chapter 1: Menopause. Acedido em http://www.menopause.org/publications/clinical-care-recommendations/chapter-1- menopause
Vale, E.G., & Pagliuca, L.M.F. (2011) Construção de um conceito de cuidado de enfermagem: Contribuição para o ensino de graduação. Revista Brasileira de Enfermagem; 64, 106-113. http://dx.doi.org/10.1590/S0034-71672011000100016
Van Manen, M. (2017). But is it phenomenology? Qualitative Health Research, 27(6), 775–779. Acedido em https://doi.org/10.1177/1049732317699570
Waheed, K., Khanum, A., Ejaz, S., Butt, A.F., & Randhawa, A. (2016). Quality of Life after Menopause in Pakistani Women. Gynecol Obstet (Sunnyvale); 6, 4, 1-3. DOI; 10.4172/2161-0932.1000367.
Yazdkhasti, M., Simbar, M., & Abdi, F. (2015). Empowerment and Coping Strategies in Menopause Women: A Review. Iran Red Crescent Med J.; 17(3): e18944, 2-5. Doi: 10.5812/ircmj.18944