Effect of health promoting lifestyle education on health promoting behaviors of postmenopausal women: A clinical trial study

authors:

avatar mousavi mousavi , avatar Mohammad Ali Soleimani , avatar Nasim Bahrami , * , avatar Mehdi Ranjbaran ORCID


how to cite: mousavi M, Soleimani M A, Bahrami N, Ranjbaran M. Effect of health promoting lifestyle education on health promoting behaviors of postmenopausal women: A clinical trial study. koomesh. 2021;23(2):e153256. 

Abstract

Introduction: Physiological changes in menopause can affect women;#39s health. Women;#39s lifestyle is one of the most important factors affecting their health at this time. However, women do not have sufficient knowledge of health-promoting behaviors and do not receive the necessary training in this area. The purpose of this study was to investigate the effect of health promoting lifestyle training on health promoting behaviors in postmenopausal women. Materials and Methods: The present study was a randomized controlled clinical trial. 84 women referred to health centers of Qazvin (Iran) were selected by convenience sampling and were randomly divided into two groups of 42 intervention and control groups. Data collection tools included demographic questionnaire and HPLP II questionnaire. Both groups before intervention completed questionnaires. Intervention consisted of 4 sessions of lecture-based group training with presentation of slides, booklets, pamphlets and six areas of health promoting lifestyle questionnaire. The Health Promoting Lifestyle Questionnaire was evaluated in two groups one month, two months and three months after the intervention. Results: There was no significant difference between the intervention and control groups regarding the distribution of individual variables. According to the results of the three follow-up periods, it was found that the difference between the groups was significant in terms of changes in mean life style. Mean score of health promoting lifestyle in the experimental group (2.72 ± 0.37 before intervention), (one month after intervention 3.12 ± 0.45), (two months after intervention 3.43 ± 0.068), (3 months after intervention 3.45± 0.7). This result indicated the positive impact of the intervention mentioned. Mean score of health promoting lifestyle in control group (2.7 ± 0.43 before intervention), (one month after intervention 2.9 ± 0.46), (two months after intervention 2.76 ±.069), (three months after the intervention was 2.75 ± 0.71). This indicates that mean life style scores increased significantly in the experimental group during the measurement times but remained unchanged in the control group (P

References

  • 1.

    Nasreen SZA. Symptoms of Menopause. Hormone Therapy and Replacement in Cancer and Aging-related Diseases: IntechOpen; 2019.

  • 2.

    Direkvand-Moghadam A, Delpisheh A, Mozafari M. Infertility experience in postmenopausal women: A phenomenological study. Koomesh 2015; 16: 555-562. (Persian).

  • 3.

    Sadat-Hahsmi SM, Ghorbani R, Askari Majdabadi H, Khalajabadi Farahani F, Kavehie B. Analyzing the methodologies to estimate age at natural menopause and its effective factors. Koomesh 2007; 8: 177-186. (Persian).

  • 4.

    Rindner L, Strmme G, Nordeman L, Hange D, Gunnarsson R, Rembeck G. Reducing menopausal symptoms for women during the menopause transition using group education in a primary health care setting-a randomized controlled trial. Maturitas 2017; 98: 14-19.

  • 5.

    Ghorbani M, Azhari S, Esmaili H, Ghanbari Hashemabadi B. The relationship between life style with vasomotor symptoms in postmenopausal women referred to Women's training health centers in Mashhad in 2011. Iran J Obstet Gynecol Infert 2013; 15: 23-30. (Persian).

  • 6.

    da Silva Andrade DC, Carmona F, Angelucci MA, Martinez EZ, Pereira AM. Efficacy of a homeopathic medicine of Capsicum frutescens L. (Solanaceae) in the treatment of hot flashes in menopausal women: a phase-2 randomized controlled trial. Homeopathy 2019; 108: 102-107.

  • 7.

    Makvandi S, Zargar Shushtari S, Yazdizadeh H, Zaker Hoseini V, Bastami A. Frequency and severity of menopausal symptoms and its relationship with demographic factors in pre-and postmenopausal women of Ahvaz, Iran. Iran J Obstet Gynecol Infert 2013; 16: 7-15. (Persian).

  • 8.

    Kakkar V, Kaur D, Chopra K, Kaur A, Kaur I. Assessment of the variation in menopausal symptoms with age, education and working/non-working status in north-Indian sub population using menopause rating scale (MRS). Maturitas 2007; 57: 306-314.

  • 9.

    Buttaro TM, Koeniger-Donohue R, Hawkins J. Sexuality and quality of life in aging: Implications for practice. J Nurse Practis 2014; 10: 480-485.

  • 10.

    Wang YX. Menopause as a potential cause for higher prevalence of low back pain in women than in age-matched men. J Orthop Translat 2017; 8: 1-4.

  • 11.

    Boschitsch E. Osteoporosis-diagnostics and therapies. Maturitas 2019; 124: 130-131.

  • 12.

    Lahouti M, Zavoshy R, Rashidkhani B, Rostami R. Association between dietary patterns and depressive symptoms in adult women living in Tehran) 2013. J Qazvin Univ Med Sci 2015. (Persian).

  • 13.

    Dennerstein L, Soares CN. The unique challenges of managing depression in midlife women. World Psychiatry 2008; 7: 137-142.

  • 14.

    Hajhashemkhani MA, Dalvandi A, Kashaninia Z, Javadi M, Biglarian A. The relationship between family health promoting lifestyle and sleep habits in children 6 to 11 years old. J Mazandaran Univ Med Sci 2015; 25: 92-99. (Persian).

  • 15.

    Bakhshi F, Shojaeizadeh D, Sadeghi R, Taghdisi MH, Nedjat S. The relationship between individual empowerment and health-promoting lifestyle among women NGOs in northern Iran. Electron Physician 2017; 9: 3690-3698.

  • 16.

    Currie H, Abernethy K, Gray S, British Menopause Society Medical Advisory Council. British menopause society vision for menopause care in the UK: endorsed by royal college of general practitioners, faculty of sexual and reproductive health, royal college of nursing, and royal college of obstetricians and gynaecologists. Post Reprod Health 2017; 23: 105-109.

  • 17.

    Rezaei B, Hemmati MaslakPak M, Khademvatan K. The effect of group discussion based on healthy lifestyle on control of hypertension. Koomesh 2018; 20: 524-529. (Persian).

  • 18.

    Estebsari F, Bakhshi F, Nemati S, Kazemnejad Leili E, Ramezani H, Sadeghi R. Determinants of health promoting lifestyle behaviors in hospital staff of Guilan university of medical sciences. Health Educ Health Promotion 2019; 7: 71-76. (Persian).

  • 19.

    Ataei J, Kamran A, Shekarchi A, Etebar I, Haghiri E, Gorbani M. Study of health promotion life style (HPLP) of rural primary health-care workers (Behvarzes) in Khalkhal and Kosar counties, 1395. J Health 2019; 9: 530-540. (Persian).

  • 20.

    Walker S, Hill-Polerecky D. Psychometric evaluation of the health-promoting lifestyle profile II. Unpublished manuscript, University of Nebraska Medical Center. 1996;13:120-6.

  • 21.

    Heidari F, Mohammad Khan Kermanshahi S, Vanaki Z. The effect of a supportive health promotion program on the lifestyle of premenopause teachers. KAUMS J (FEYZ). 2013; 17: 14-24. (Persian).

  • 22.

    Berek JS. Berek Novak's gynecology. USA. 2012; 15: 1250-66.

  • 23.

    Sehhatie F, Mirghafourvand M, Momeni K. Health promoting behaviors among postmenopausal women in langroud city, Iran. Int J Women's Health Reprod Sci 2015; 3: 158-162. (Persian).

  • 24.

    Babanejad M, Zarin HK, Sayehmiri K, Delpisheh A. Lifestyle investigation and its associated factors in students of Ilam University of medical sciences. Pajoohandeh J 2012; 17: 252-257. (Persian).

  • 25.

    Habib SH, Saha S. Burden of non-communicable disease: global overview. Clin Res Rev 2010; 4: 41-47.

  • 26.

    Oshvandi K, Keshmiri K, Salavati M, Emkanjoo Z, Musavi S. Effectiveness of education based on Orem's self-care model in self-care activity of patients with implantable cardioverter defibrillators. J Hayat 2013; 19: 47-55. (Persian).

  • 27.

    Tamakoshi A, Tamakoshi K, Lin Y, Yagyu K, Kikuchi S, Group JS. Healthy lifestyle and preventable death: findings from the Japan collaborative cohort (JACC) study. Prev Med 2009; 48: 486-492.

  • 28.

    Shakiba M, Rouhbakhsh M, Kermansaravi F, Navidian A. The effect of couple counseling on severity of menopausal symptoms in women. Hayat 2019; 25: 25-38. (Persian).

  • 29.

    Alpar E, enturan L, Karabacak , Sabuncu N. Change in the health promoting lifestyle behaviour of Turkish University nursing students from beginning to end of nurse training. Nurse Educ Pract 2008; 8: 382-388.

  • 30.

    An C, Yu YY, Chou BC, Szu LY, Tsao LI. Empowering selfcare ability-a followup study of clinicalbased perimenopausal women personal health counselling. J Clin Nurs 2016; 25: 2979-2988.

  • 31.

    Sehhatie F, Mirghafourvand M, Momeni K. Health promoting behaviors among postmenopausal women in langroud city, Iran. 2015. (Persian).

  • 32.

    Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. Reliability and validity of Persian version of the health-promoting lifestyle profile. J Mazandaran Univ Med Sci 2012; 21: 102-113. (Persian).

  • 33.

    Parsa P, Ahmadinia Tabesh R, Soltani F, Karami M, Khorami N. Effects of group counseling on self-care behaviors in menopausal women with diabetes. J Menopausal Med 2017; 23: 108-116.

  • 34.

    Abadi AS. Group dynamics and group counseling. 15, editor. Tehran Rooshd 2013. (Persian).

  • 35.

    Yazdkhasti, M., et al. (2015). "Empowerment and coping strategies in menopause women: a review." Iranian Red Crescent Medical Journal 17 (3).

  • 36.

    Golyan Tehrani, S., et al. (2007). "Promoting health status of menopausal women by educating self care strategies." Journal of hayat 13(3): 67-75.

  • 37.

    Hall, L., et al. (2007). "Meanings of menopause: Cultural influences on perception and management of menopause." Journal of Holistic Nursing 25(2): 106-118.

  • 38.

    Bahri N, Yoshany N, Morowatisharifabad MA, Noghabi AD, Sajjadi M. The effects of menopausal health training for spouses on women's quality of life during menopause transitional period. Menopause 2016; 23: 183-188.

  • 39.

    Karimlou V, Charandabi SM, Malakouti J, Mirghafourvand M. Effect of counselling on health-promoting lifestyle and the quality of life in Iranian middle-aged women: a randomised controlled clinical trial. BMC Health Serv Res 2019; 19: 350.

  • 40.

    Park S, Yeom HY, Sok SR. Effects of health promoting education program for Korean middle-aged women. J Phys Ther Sci 2019; 31: 5-11.

  • 41.

    Brojeni SA, Ilali ES, Taraghi Z, Mousavinasab N. Lifestyle and its related factors in elderly. J Nurs Midwifery Sci 2019; 6: 32.

  • 42.

    Rochfort A, Beirne S, Doran G, Patton P, Gensichen J, Kunnamo I, et al. Does patient self-management education of primary care professionals improve patient outcomes: a systematic review. BMC Family Pract 2018; 19: 163.

  • 43.

    Maijala V, Tossavainen K, Turunen H. Health promotion practices delivered by primary health care nurses: Elements for success in Finland. Appl Nurs Res 2016; 30: 45-51.##.