Problemas que enfrentan las mujeres en transiciónmenopáusica y apoyo familiar que reciben enPinarayipanchayat, Kerala, India. Un estudio cualitativo

Autores/as

  • Sabitha Nayak Department of Obstetrics and Gynaecological Nursing, Nitte Usha Institute of Nursing Sciences, India https://orcid.org/0000-0003-3073-5131
  • Meena K. Nitte Usha Institute of Nursing Sciences (NUINS), Mangaluru, India https://orcid.org/0000-0003-0242-5144
  • Nalini M. Nitte Usha Institute of Nursing Sciences (NUINS), Department of Mental Health Nursing. Mangalore, India
  • Swapna Jose College of Nursing,Thalassery, India
  • Seethalakshmi Hospital Cooperativo, Thalassery, India

Palabras clave:

problemas biopsicosociales, entrevista en profundidad, menopausia

Resumen

La perimenopausia marca el inicio de la fase de cambio desde el ciclo reproductivo al no reproductivo. A pesar de que se trata de una transición normal de la vida, nuevos estudios han demostrado que los problemas que surgen y el apoyo familiar con que cuenten pueden repercutir sobresu calidad de vida. Casi todo estudio previo analiza la frecuencia, la familiaridad y el conocimiento de la mujer sobre los síntomas de la menopausia, pero no muestran los problemas a los que se enfrentan durante la etapa perimenopáusica. Este estudio tiene como objetivo explorar los problemas biopsicosociales y el nivel de apoyo familiar con el que cuentan. Para este estudio se adoptó un enfoque de investigación cualitativa.  Nuestra muestra estuvo compuesta por 20 mujeres menopáusicas reclutadas mediante la técnica de muestreo intencional bajo ciertos criterios de muestreo. Mediante el uso de una guía de entrevista, se realizaron entrevistas en profundidad entre las mujeres de la muestra hasta que se produjo la saturación de datos. El análisis temático reveló que los problemas biopsicosociales están presentes desde su período de transición, y que la falta de apoyo familiar afecta totalmente su bienestar subjetivo. De ahí la importancia de estrategias de promoción de la salud, especialmente entre mujeres de edad madura. Es urgente motivarlas continuamente con un programa educativo sobre la perimenopausia y las modificaciones de estilo de vida relevantes para prevenirenfermedades cardiovasculares, así como la osteoporosis, que hoy en día es bastante común en las mujeres a partir de los 60 años. 

Citas

Sherman S. Defining the menopausal transition. The American Journal of Medicine. 2005 Dec;118(12):3–7.

Currie H, Moger SJ. Menopause – Understanding the impact on women and their partners. Post Reprod Health. 2019 Dec 1;25(4):183–90.

D Herbert, R J Bell ,K Young, H Brown, J Y Coles, S R Davis . Australian women’s understanding of menopause and its consequences: a qualitative study. Climacteric : the journal of the International Menopause Society [Internet]. 2020 Dec [cited 2022 Nov 3];23(6). Available from: https://pubmed.ncbi.nlm.nih.gov/32705886/

Joseph LA, Varghese AP. Prevalence of menopausal symptoms and perceptions about menopause among postmenopausal women attending Gynaecology OPD at GMC Idukki, India. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2017 Jan 31;6(2):413–6.

Ghazanfarpour M, Khadivzadeh T, LatifnejadRoudsari R, Mehdi Hazavehei SM. Obstacles to the discussion of sexual problems in menopausal women: a qualitative study of healthcare providers. J ObstetGynaecol. 2017 Jul;37(5):660–6.

Normality, Freedom, and Distress: Listening to the Menopausal Experiences of Indian Women of Haryana | SpringerLink [Internet]. [cited 2022 Nov 3]. Available from: https://link.springer.com/chapter/10.1007/978-981-15-0614-7_70

Kalhan M, Singhania K, Choudhary P, Verma S, Kaushal P, Singh T. Prevalence of Menopausal Symptoms and its Effect on Quality of Life among Rural Middle Aged Women (40–60 Years) of Haryana, India. International Journal of Applied and Basic Medical Research. 2020 Sep;10(3):183–8.

Madhukumar S, Gaikwad V. A Community Based Study on Perceptions about Menopausal Symptoms and Quality of Life of Post Menopausal Women in Bangalore Rural. International Journal of Health Sciences. 2012;(3):8

Quiroga A, Larroy C, González-Castro P. Climacteric symptoms and their relation to feminine self-concept. Climacteric. 2017 Jun;20(3):274–9.

Leventhal H, Leventhal EA, Contrada RJ. Self-regulation, health, and behavior: A perceptual-cognitive approach. Psychology & Health. 1998 Jul 1;13(4):717–33.

Pimenta F, Ramos MM, Silva CC, Costa PA, Maroco J, Leal I. Self-regulation model applied to menopause: a mixed-methods study. Climacteric. 2020 Feb;23(1):84–92.

Mohamad Ishak NN, Jamani NA, Mohd Arifin SR, Abdul Hadi A, Abd Aziz KH. Exploring women’s perceptions and experiences of menopause among East Coast Malaysian women. Malays Fam Physician. 2021 Feb 1;16(1):84–92.

Powell RA, Single HM. Focus Groups. Int J Qual Health Care. 1996;8(5):499–504.

Qualitative Research: A Guide to Design and Implementation, 4th Edition | Wiley [Internet]. Wiley.com. [cited 2022 Nov 4]. Available from: https://www.wiley.com/en-

us/Qualitative+Research%3A+A+Guide+to+Design+and+Implementation%2C+4th+ dition-p-9781119003618

Dworkin SL. Sample size policy for qualitative studies using in-depth interviews. Arch Sex Behav. 2012 Dec;41(6):1319–20.

Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006 Jan 1;3(2):77–101.

Ilankoon IMPS, Samarasinghe K, Elgán C. Menopause is a natural stage of aging: a qualitative study. BMC Women’s Health. 2021 Feb 1;21(1):47.

Li L, Wu J, Pu D, Zhao Y, Wan C, Sun L, et al. Factors associated with the age of natural menopause and menopausal symptoms in Chinese women. Maturitas. 2012 Dec;73(4):354–60.

Chuni N, Sreeramareddy CT. Frequency of symptoms, determinants of severe symptoms, validity of and cut-off score for Menopause Rating Scale (MRS) as a screening tool: a cross-sectional survey among midlife Nepalese women. BMC Womens Health. 2011 Jun 14;11:30.

Rahman SASA, Zainudin SR, Mun VLK. Assessment of menopausal symptoms using modified Menopause Rating Scale (MRS) among middle age women in Kuching, Sarawak, Malaysia. Asia Pac Fam Med. 2010 Feb 22;9(1):5.

Zhao D, Liu C, Feng X, Hou F, Xu X, Li P. Menopausal symptoms in different substages of perimenopause and their relationships with social support and resilience. Menopause. 2019 Mar;26(3):233–9.

Refaei M, Mardanpour S, Masoumi Z, Parsa P. Women’s experiences in the transition to menopause: a qualitative research. BMC Women’s Health. 2022 Feb 26;22.

Publicado

2024-06-05

Número

Sección

Investigación Original