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Empowering self‐care ability – a follow‐up study of clinical‐based perimenopausal women personal health counselling
Author(s) -
An Chi,
Yu YenYen,
Chou BeeChin,
Szu LiYun,
Tsao LeeIng
Publication year - 2016
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.13406
Subject(s) - medicine , intervention (counseling) , scale (ratio) , health education , health care , family medicine , health belief model , menopause , clinical psychology , nursing , gerontology , public health , physics , quantum mechanics , economics , economic growth
Aims and objectives This study aimed to evaluate the longitudinal effects of a personal counselling intervention for perimenopausal women in northern Taiwan. Background Women face a variety of physical changes during menopause. Counselling intervention could enrich individual health education for menopausal women. Design Quasi‐experimental design. Methods The study used one‐on‐one personal health counselling with a ‘menopausal health passport’ for perimenopausal women. The Perceived Perimenopausal Disturbances scale, the Practice of Health Behavior scale and the Perceived Uncertainty scale were used to measure the intervention effects. Results were estimated by a Generalized Estimating Equation procedure at one and a half months, three months and six months post intervention. In addition, data regarding perceived health changes were collected qualitatively through interviews in the experimental group at the sixth month. Results A total of 34 women were included in the experimental group, while 33 were in the control group. Interaction effect results showed that personal health counselling significantly increased the practice of health behaviours at one and a half months and extended to three months post intervention. Additionally, content categories, including ‘relief of symptoms’, ‘establishment of health behaviors’, ‘interaction with others’ and ‘consideration from others’ were identified in quantitative analysis. Conclusions The results suggest that perimenopausal personal health counselling can effectively improve healthy behaviours. This study can also serve as a future reference for effective perimenopausal counselling. Relevance to clinical practice It is crucial to set up personal health counselling for perimenopausal women in clinics and develop information technology systems to support menopausal women in the technological era.