The effect of self-care education program on the severity of menopause symptoms and marital satisfaction in postmenopausal women: a randomized controlled clinical trial
Open accessAbstract
BACKGROUND: Physiological and psychological changes during menopause can affect the quality of marital satisfaction. The aim of this study was to evaluate the effect of self-care education program on the severity of menopause symptoms and marital satisfaction in postmenopausal women. METHODS: In this randomized controlled clinical trial, 70 postmenopausal women who referred to the gynecology clinic of Baqiyatallah and 502 Artesh hospitals in Tehran, Iran, and met the all inclusion criteria were randomly allocated into two equal groups (intervention and control groups) using block randomization. The intervention group received self-care training program in physical, psychological, social and sexual dimensions in 5 sessions during a week. The control group also had 5 sessions exactly the same as the intervention group, except that they received only routine care and training. Data were collected pre- and post-intervention using Menopause Symptoms' Severity Inventory (MSSI-38) questionnaire and the Revised Dyadic Adjustment Scale (RDAS) questionnaire. RESULTS: In the control and intervention groups before the intervention, socio-demographic characteristics (P > 0.05), the mean scores of MSSI-38 (P = 0.388) and RADS (P = 0.476) were not statistically significant. However, in the intervention group the mean scores of MSSI-38 (49.88 ± 3.3 vs. 39.33 ± 3.7, P < 0.001) and RADS (35.15 ± 4.3 vs. 49.48 ± 3.2, P < 0.001) after the intervention changed significantly and this change were statistically significant compared to the control group. Significant inverse correlation between severity of menopausal symptoms and marital satisfaction was observed with r = -0.461, P < 0.001. CONCLUSION: Our findings indicate that self-care training has a positive effect on the severity of menopause symptoms and also improves marital satisfaction in postmenopausal women. Therefore, we recommend that more attention be paid to providing self-care educational content to improve the marital satisfaction in postmenopausal women. Clinical trial registration Iranian Registry of Clinical Trials; https://www.irct.ir/trial/49225 (IRCT20200624047910N1), registered (10/11/2020).
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Self-care education program (Karimi et al., 2022) and solution-focused group counseling (Mehrabi et al., 2021) were effective interventions that benefited quality of life.
“Other effective interventions included the self-care education program (Karimi et al., 2022) and solution-focused group counseling (Mehrabi et al., 2021), both which benefited quality of life.”
From The effectiveness of psychosocial interventions on non-physiological symptoms of menopause: A systematic review and meta-analysis (2024) · cites this paper as Karimi et al., 2022
The Results (page unavailable) show that self-care education reduced menopausal symptoms and increased marital satisfaction compared with the control group. The Discussion identifies marital relationships as one aspect of quality of life, and the Conclusions recommend self-care education to improve it. However, the trial did not directly measure quality of life, so the claimed benefit to quality of life is an inference rather than a demonstrated outcome. (LLM, conf=0.84)
Experimental — accuracy not yet measuredA self-care education program led to significantly more improvement in quality of marital life than control in postmenopausal women.
“Self-care education program led to significantly more improvement in quality of marital life than control.”
From The effectiveness of psychosocial interventions on non-physiological symptoms of menopause: A systematic review and meta-analysis (2024) · cites this paper as Karimi et al. (2022)
Karimi et al. (2022) found that quality of marital life was facilitated by a self-care education program.
“Karimi et al. (2022) found that quality of marital life was facilitated by a self-care education program.”
From The effectiveness of psychosocial interventions on non-physiological symptoms of menopause: A systematic review and meta-analysis (2024) · cites this paper as Karimi et al., 2022
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- Authors
- Karimi, L., Mokhtari Seghaleh, M., Khalili, R., & Vahedian-Azimi, A.
- Affiliations
- Baqiyatallah University of Medical Sciences (IR)
- Venue
- BMC Women s Health
- Published
- 2022-03-14
- Volume
- 22
- Issue
- 1
- Pages
- 71-71
- ISSN
- 1472-6874 (ISSN-L)
- PMC
- PMC8919913
- OpenAlex
- W4220802052
- Cited by
- 19
- References
- 38
- Citations by year
- 2026: 5 · 2024: 11 · 2023: 3
- FWCI
- 2.59
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Women s Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- menopause, menopausal symptoms, self-care education, marital satisfaction, postmenopausal women, dyadic adjustment, symptom severity, sexual health, mental health, social health, physical health, health education
- MeSH terms
- Female, Humans, Iran, Menopause, Personal Satisfaction, Self Care, Postmenopause
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