Journal of Qualitative Research in Health Sciences

Document Type : Original Article

Authors

1 Associated Professor of Nursing, School of Nursing and Midwifery, Jiroft University of Medical Sciences, Jiroft, Iran

2 PhD Student in Medical Informatics, Kerman University of Medical Sciences, Kerman, Iran

3 MSc, Lecturer, Department of Midwifery, Nursing and Midwifery School, Jiroft University of Medical Sciences, Jiroft, Iran

10.34172/jqr.2022.15

Abstract

Background: Menopause is a natural change that almost all women experience in middle age. Just like puberty, menopause is considered a turning point in a woman’s life. Postmenopausal women experience a wide range of symptoms that may affect their health and well-being, but in most cases, they are unaware of the postmenopausal symptoms they are experiencing or will experience. This study aimed to investigate the perceived educational needs of postmenopausal women in southern Iran.
Methods: This study was conducted using a conventional qualitative content analysis approach in 2021 in Jiroft (southern Iran). The main research question was, ‘What educational needs do postmenopausal women experience?’ To answer this question, 15 participants were selected using purposive sampling (seven postmenopausal women, four gynecologists, three midwifery experts, and one nutritionist). The data were collected using semi-structured interviews, which continued until data saturation. The collected data were analyzed using the method proposed by Graneheim and Lundman. The MAXQDA 12 software was used to manage qualitative data analysis.
Results: Data analysis revealed one main theme (perceived educational needs) with two categories and five subcategories: (a) Perceived information and medical needs (the need to know about the healthy transition to menopause, the need for support and advice in health-related decisions, and health-promoting educational needs) and (b) The need for self-control (the need for self-management of physical symptoms and the need for self-management of psychological symptoms).
Conclusion: This study showed that postmenopausal women face many physical and psychological challenges and need more education to better meet these challenges. Thus, officials and experts in charge of women’s health such as gynecologists, midwives, nurses, and care providers need to pay special attention to problems and issues of postmenopausal women and plan to promote their awareness and knowledge.

Keywords

  1.  

    1. Ambikairajah A, Walsh E, Cherbuin N. A review of menopause nomenclature. Reprod Health. 2022;19(1):29. doi: 1186/s12978-022-01336-7.
    2. Marlatt KL, Pitynski-Miller DR, Gavin KM, Moreau KL, Melanson EL, Santoro N, et al. Body composition and cardiometabolic health across the menopause transition. Obesity (Silver Spring). 2022;30(1):14-27. doi: 1002/oby.23289.
    3. Gebretatyos H, Ghirmai L, Amanuel S, Gebreyohannes G, Tsighe Z, Tesfamariam EH. Effect of health education on knowledge and attitude of menopause among middle-age teachers. BMC Womens Health. 2020;20(1):232. doi: 1186/s12905-020-01095-2.
    4. Shams Nateri N, Beigi M, Kazemi A, Shirinkam F. Women coping strategies towards menopause and its relationship with sexual dysfunction. Iran J Nurs Midwifery Res. 2017;22(5):343-7. doi: 4103/ijnmr.IJNMR_234_15.
    5. Masjoudi M, Akhavan Amjadi M, Kazem Nezhad Leyli E. Severity and frequency of menopausal symptoms in middle aged women, Rasht, Iran. J Clin Diagn Res. 2017;11(8):QC17-QC21. doi: 7860/jcdr/2017/26994.10515.
    6. Golshiri P, Akbari M, Abdollahzadeh MR. Age at natural menopause and related factors in Isfahan, Iran. J Menopausal Med. 2016;22(2):87-93. doi: 6118/jmm.2016.22.2.87.
    7. Armeni E, Tsitoura A, Aravantinos L, Vakas P, Augoulea A, Rizos D, et al. Ovarian volume is associated with adiposity measures and bone mineral density in postmenopausal women. J Musculoskelet Neuronal Interact. 2018;18(4):501-8.
    8. Lindberg E, Bonsignore MR, Polo-Kantola P. Role of menopause and hormone replacement therapy in sleep-disordered breathing. Sleep Med Rev. 2020;49:101225. doi: 1016/j.smrv.2019.101225.
    9. Yazdkhasti M, Simbar M, Abdi F. Empowerment and coping strategies in menopause women: a review. Iran Red Crescent Med J. 2015;17(3):e18944. doi: 5812/ircmj.18944.
    10. Thomas A, Daley AJ. Women’s views about physical activity as a treatment for vasomotor menopausal symptoms: a qualitative study. BMC Womens Health. 2020;20(1):203. doi: 1186/s12905-020-01063-w.
    11. Brennan A, Brennan D, Rees M, Hickey M. Management of menopausal symptoms and ovarian function preservation in women with gynecological cancer. Int J Gynecol Cancer. 2021;31(3):352-9. doi: 1136/ijgc-2020-002032.
    12. Su J, Jogamoto A, Yoshimura H, Yang LJ. Menopausal symptoms among Chinese and Japanese women: differences and similarities. 2021;29(1):73-81. doi: 10.1097/gme.0000000000001874.
    13. Bondarev D, Sipilä S, Finni T, Kujala UM, Aukee P, Laakkonen EK, et al. The role of physical activity in the link between menopausal status and mental well-being. Menopause. 2020;27(4):398-409. doi: 1097/gme.0000000000001490.
    14. Vellanki K, Hou S. Menopause in CKD. Am J Kidney Dis. 2018;71(5):710-9. doi: 1053/j.ajkd.2017.12.019.
    15. Utian WH, Schiff I. NAMS-gallup survey on women’s knowledge, information sources, and attitudes to menopause and hormone replacement therapy. Menopause. 2018;25(11):1172-9. doi: 1097/gme.0000000000001213.
    16. Herbert D, Bell RJ, Young K, Brown H, Coles JY, Davis SR. Australian women’s understanding of menopause and its consequences: a qualitative study. Climacteric. 2020;23(6):622-8. doi: 1080/13697137.2020.1791072.
    17. Ilankoon I, Samarasinghe K, Elgán C. Menopause is a natural stage of aging: a qualitative study. BMC Womens Health. 2021;21(1):47. doi: 1186/s12905-020-01164-6.
    18. Smail L, Jassim GA, Sharaf KI. Emirati women’s knowledge about the menopause and menopausal hormone therapy. Int J Environ Res Public Health. 2020;17(13):4875. doi: 3390/ijerph17134875.
    19. Husniati Yaacob L, Abdul Mokti S, Muhammad J. Health seeking behaviour of menopausal women with urinary incontinence in north east Malaysia. J Women Aging. 2020;32(5):537-45. doi: 1080/08952841.2019.1593799.
    20. Orabi E. Effect of health education intervention on knowledge, and attitude regarding menopausal period among premenopausal female employees. Egypt J Community Med. 2017;35(3):71-84. doi: 21608/ejcm.2017.4100.
    21. Koyuncu T, Unsal A, Arslantas D. Evaluation of the effectiveness of health education on menopause symptoms and knowledge and attitude in terms of menopause. J Epidemiol Glob Health. 2018;8(1-2):8-12. doi: 2991/j.jegh.2018.08.103.
    22. Ataei P, Gholamrezai S, Movahedi R, Aliabadi V. An analysis of farmers’ intention to use green pesticides: the application of the extended theory of planned behavior and health belief model. J Rural Stud. 2021;81:374-84. doi: 1016/j.jrurstud.2020.11.003.
    23. Hochbaum G, Rosenstock I, Kegels S. Health belief model. United States Public Health Service; 1952.
    24. Abbaszadeh A, Taabi M, Kohan S, Hakdost A. The relationship of health beliefs of Kermanian women and participation in mammography. J Qual Res Health Sci. 2020;10(2):9-17. [Persian].
    25. Kannur D, Itagi S. Menopause: problems and coping strategies of working and non-working women. J Pharmacogn Phytochem. 2019;8(3):2891-6.
    26. Trudeau KJ, Ainscough JL, Trant M, Starker J, Cousineau TM. Identifying the educational needs of menopausal women: a feasibility study. Womens Health Issues. 2011;21(2):145-52. doi: 1016/j.whi.2010.10.001.
    27. Giorgi A. The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure. J Phenomenol Psychol. 1997;28(2):235-60. doi: 1163/156916297x00103.
    28. Peters K, Halcomb E. Interviews in qualitative research. Nurse Res. 2015;22(4):6-7. doi: 7748/nr.22.4.6.s2.
    29. Nouhi E, Seyed Bagher Maddah S, Abbaszadeh A. Collaborative learning experiences of nursing students in the clinical learning setting: a qualitative study. J Qual Res Health Sci. 2021;10(1):300-11. doi: 22062/jqr.2021.91600.
    30. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-12. doi: 1016/j.nedt.2003.10.001.
    31. Lincoln YS, Guba EG. But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. New Directions for Program Evaluation. 1986;1986(30):73-84. doi: 1002/ev.1427.
    32. Stanzel KA, Hammarberg K, Nguyen T, Fisher J. ‘They should come forward with the information’: menopause-related health literacy and health care experiences among Vietnamese-born women in Melbourne, Australia. Ethn Health. 2022;27(3):601-16. doi: 1080/13557858.2020.1740176.
    33. Marlatt KL, Beyl RA, Redman LM. A qualitative assessment of health behaviors and experiences during menopause: a cross-sectional, observational study. Maturitas. 2018;116:36-42. doi: 1016/j.maturitas.2018.07.014.
    34. Movahed M, Hosseini M. The middle-aged women’s experience and perception of age-related physical changes and health, Shiraz city, Iran. J Qual Res Health Sci. 2020;7(2):157-71. [Persian].
    35. Kazemian S, Abbasian ZS. Experience of menopausal women in dealing with menopause: a qualitative study. J Qual Res Health Sci. 2020;5(3):230-9. [Persian].