الفهرس 
MenopausalOnly 14 pages are availabe for public view
 |  | from | 210 |  |  |
| | | from | 210 | | |
Abstract
Diabetes and menopause may team up for varied effects on the body including: 1) changes in blood sugar level, whereas after menopause hormonal changes can trigger fluctuations in blood sugar level. 2) Weight gains which increase the need for insulin or oral diabetes medication. 3) Infections whereas the DROP in estrogen makes the bacteria and yeast to thrive easier in the urinary tract and vagina. 4) Sleep problems, where as hot flashes and night sweats keep women up at night (Greenblum et al., 2017).
Quality of life (QOL) defined as an individual’s perception of their position in the context of culture and values system in which they live and in relation to their goal, expectation, standard and concerns. It is increasing to become an important issue in the treatment of diabetes mellitus, because of the significant role of it in women’s menopause. Women experience physical or psychological symptoms in the year approaching menopause, have various distress in their lives leading to decrease in the QOL, so assessment of it deserves special attention as with increase in the life expectancy (Ham, 2015).
So, the current study aimed to assess the menopausal symptoms which affect quality of life among diabetic women
Descriptive research design was used to carry out this study. This study was conducted in the Diabetic Clinics of Maternity Hospital, affiliated to Aim Shams University. A Purposive sample of 200 adult diabetic women with menopausal symptoms disturbances was involved in this study from the above mentioned setting. They selected according to the sensitive analysis in relation to the number of diabetic women with menopausal symptoms within the year 2017 in Maternity Hospital according to the statistical department which affiliated to the setting they are representing 10% of the total estimated number (2030). Data collection for the current study was collected using two different tools namely, an interviewing questioner, and Menopause specific quality of life questionnaire (MENQOL).
Data Collection Procedure:
Data collection for this study was carried out throughout, (6) months in the period from the beginning of August 2018 till the end of March 2019 ,attending2 days per week (Saturday, and Thursday) from 10.00 am to 1.00 pm to interview attended menopausal diabetic women under inclusion criteria. Verbal approval of women to participate in the study was obtained before history taking and after explaining the purpose of the study.
Introducing oneself and explain the purpose of the study to the subjects and consent from every by participates to share in the study were done, listed tool assessed and interview the menopausal diabetic women in outpatient clinic. The researchers meet every woman individually. The researcher started to fill the interview questionnaire sheet to assess menopausal diabetic women, their knowledge regarding to menopausal and document all the data in the questionnaire sheet and ensure confidentiality of data. It took from 10 to 15 minutes.
The present study revealed the following main results:
o Majority of menopausal, diabetic women answered correctly about complications of menopause.
o While majority of them answered incorrectly about definition, causes, and stages before menopause.
o Majority of menopausal, diabetic women had adequate practice regarding open all windows in the house, wear lightweight clothing, and wear cotton clothes.
o While slightly less than three quarters of them had inadequate practice regarding finding out how to maintain a healthy weight.
o Slightly less than two thirds of menopausal, diabetic women had sleep disturbance problems; minority had muscles, joint pain, and heart disease.
o Slightly more than one quarter of them hadn’t any quality of life problems.
o Majority of menopausal, diabetic women had psychological problems in the form of anxiety, feeling tens, tension, and sense of willingness to engage and join with others.
Conclusion:
This study supported the research hypothesis that most menopausal diabetic women had incomplete correct answers about menopause and diabetes, while majority of menopausal diabetic women had satisfactory practice regarding physical problems. While less than half of them had satisfactory practice regarding social and sexual problems.
Recommendation:
In the light of results of this study, the following recommendations were suggested:
• Provide educational programs to increase women’s knowledge and awareness regarding menopausal symptoms among diabetic.
• More utilization of Media as an essential source of knowledge to improve awareness among the community regarding menopausal symptoms affects quality of life.
• Improve women’s practice regarding menopausal symptoms, which affect quality of life.
• Further study Enhance women’s practice regarding menopausal symptoms which affect quality of life among diabetic.