Maryam Shahraeini, Nahid Jahani Shoorab, Roghayeh Javan, Mohammad Taghi Shakeri,
Volume 25, Issue 4 (1-2020)
Abstract
Background & Aim: Menopause is a period in women’s lives with complications and consequences that can reduce the quality of life. The most common complications are vasomotor disorders which can affect sleep, life enjoyment, social activities and work. The usual treatment for these effects is hormone therapy but due to its side effects, most people tend to have complication-free treatments. One of these strategies is nutritional measures. The aim of this study was to determine the effect of group counseling about the nutritional measures of Iranian traditional medicine on vasomotor disorders in postmenopausal women.
Methods & Materials: This clinical trial study with multistage sampling was performed in 2018-2019 on 62 postmenopausal women referred to health center number 2 in Mashhad. Two health centers were selected as control or intervention group by Heads or Tails method in order to prevent the dissemination of the material. The intervention group received three sessions of the group counseling about the nutritional measures of Iranian traditional medicine. There was no intervention for the control group. The data collection tool was a questionnaire on the quality of life in menopause that was completed two months before and after the intervention. Data were analyzed on the SPSS software version 24 using independent t-test, Chi-square, Mann-Whitney, and Wilcoxon tests.
Results: There was no significant difference in the mean score of vasomotor between the two groups before the intervention (P>0.05) but after the intervention, the difference between the mean score of vasomotor before and after the intervention was -2.18±4.08 for the intervention group and 0.59±3.30 for the control group. A significant decrease in the vasomotor score was observed in the intervention group compared to the control group (P<0.001).
Conclusion: Group counseling about the nutritional measures of Iranian traditional medicine can help reduce vasomotor disorders.
Clinical trial registry: IRCT20180626040239N1
Mansoureh Refaei, Farideh Kazemi, Rafat Bakht, Soraya Mardanpour, Molod Hoseini,
Volume 26, Issue 4 (1-2021)
Abstract
Background & Aim: Perimenopause is associated with severe changes in reproduction and hormones. The aim of this study was to determine the effect of group counseling on the severity of menopausal symptoms in the transition to menopause.
Methods & Materials: This clinical trial study was performed on ninety perimenopausal women in Javanrood city in 2019. Women were randomly assigned into the intervention or control groups using the block randomization method. Counseling was conducted for the intervention group in groups of 11 to 12 people in four 60-minute sessions for four consecutive weeks. After 8 weeks, the severity of menopausal symptoms was measured using the Menopause Symptoms Scale. Data were analyzed using the SPSS software version 21.
Results: There was no statistically significant difference between the two groups in terms of menopausal symptoms scores before the intervention (P=0.86). After the group counseling, the median (Q1, Q3) of menopausal symptoms, physical, mental and genitourinary symptoms in the intervention and control groups were 17.0 (15.0, 21.5) and 21.0 (17.0, 30.5) (P<0.001), 6.0 (5.0, 8.0) and 9.0 (6.5, 11.0) (P<0.001), 6.0 (5.0, 8.0) and 8.0 (5.0, 10.0) (P=0.004), and 5.0 (4.0, 6.0) and 6.0 (5.0, 8.5) (P<0.001), respectively. These values for the intervention group were significantly lower than those in the control group.
Conclusion: Providing group counseling for four sessions was effective in reducing the severity of menopausal symptoms in perimenopausal women. Therefore, it is suggested that this strategy be used to promote women's health in the premenopausal period.
Clinical trial registry: IRCT20120215009014N320
