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KMID : 0367020170290020200
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Journal of Korean Academic of Adult Nursing
2017 Volume.29 No. 2 p.200 ~ p.210
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Menopause Symptoms and Perceived Cognitive Decline in Menopausal Women: The Mediating Effect of Health Promotion Behavior
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Kim Ji-Hyun
Oh Pok-Ja
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Abstract
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Purpose: The purpose of this study was to assess the relationship between menopausal symptoms and decline in cognitive functioning of menopausal women with mediating effects of health promoting behavior.
Methods: Using a convenience sampling, 140 menopausal women were recruited for the cross-sectional survey. Data were collected by using the Menopause Rating Scale, Health Promoting Lifestyle Profile, Everyday Cognition, and Korean Mini-Mental State Examination.
Results: The mean scores for menopausal symptoms, health promotion behavior, and subjective cognitive decline were 14.40, 153.79, and 67.40 respectively. Health promotion behavior was directly affected by menopausal symptom (R2=8%). Cognitive decline was directly affected by menopausal symptom (R2=11%). Menopausal symptom (β=.33, p<.001) and health promotion behavior (β=-.21, p=.014) were found to be predictive factors in subjective cognitive decline and explained 14%. Health promotion behavior had a partial mediating effect in the relationship between menopausal symptom and perceived cognitive decline (Sobel test: Z=2.05, p=.040).
Conclusion: Based on the findings of this study, developing nursing intervention programs focusing on decreasing menopausal symptoms and encouraging health promotion behavior are recommended to improve cognitive decline in menopausal women.
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KEYWORD
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Menopause, Cognitive function, Health promotion
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