Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause
Yıl: 2020 Cilt: 7 Sayı: 3 Sayfa Aralığı: 207 - 213 Metin Dili: İngilizce DOI: 10.4274/jtsm.galenos.2020.84803 İndeks Tarihi: 08-05-2021
Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause
Öz: Objective: One of the most common complaints observed during the menopausal period is sleep disorders, affecting 40%-60% women. In this study, we aimed to determine complementary and clternative medicine (CAM) for menopausal women experiencing sleep disturbances, and the prevalence and influencing factors of sleep disturbance.Materials and Methods: In this descriptive cross-sectional study, we included menopausal women experiencing sleeplessness [≥4 degree of discomfort according to the Visual Analog Scale (VAS)] (n=201). A questionnaire and the CAM Scale were used to collect data. The necessary institutional and ethical committee permissions were obtained.Results: The mean age of the menopausal women was 47.23±4.53 [minimum (min)- maximum (max), 30-60] years, and their mean VAS for insomnia was 5.20±1.12 (min-max, 4-9). The following methods were used by the women to overcome insomnia: herbal supplements (96.6%), dietary supplements (98.8%), religious practices (95.7%), and mind-body practices (76.9%). The most common methods were fruits and vegetables, milk and dairy products, honey, linden tea, rosehip, prayer, pray, and music. Approximately 70.5% women expressed that the method they used was effective.Conclusion: Almost all menopausal women used any method of CAM. Further studies on the effectiveness of these methods as well as the training to be provided and the information dissemination by healthcare professionals are recommended.
Anahtar Kelime: Menopozda Görülen Uyku Sorunlarında Kullanılan Tamamlayıcı ve Alternatif Tedavi Yöntemleri
Öz: Amaç: Menopozal dönemde görülen en sık şikayetlerden biri deuyku bozukluklarıdır ve kadınların %40-60’ını etkilemektedir. Çalışmamenopoz döneminde olan kadınların uyku sorunlarına yönelik kullanmışoldukları tamamlayıcı ve alternatif tedavileri (TAT), yaygınlığını veetkileyen faktörleri belirlemek için planlandı.Gereç ve Yöntem: Çalışma tanımlayıcı ve kesitsel niteliktedir.Örneklemini menopoz döneminde olan ve uykusuzluk problemi VisualAnalog Skalasına (VAS) göre 4 ve üstü derecede rahatsızlık hisseden)yaşayan kadınlar oluşturmaktadır (n=201). Verilerin toplanmasında,kadınların sosyo-demografik özellikleri, menopozal döneme ait bilgilerive uyku sorunlarını içeren anket formu ile TAT Ölçeği kullanıldı. Gereklikurum ve etik kurul izinleri alındı. Verilerin analizlerinde yüzde, ortalama,ki-kare, Mann-Whitney U ve Kruskal-Wallis testleri yapıldı. Bulgular: Kadınların menopoz yaş ortalaması 47,23±4,53 [minimum(min)-maksimum (maks)= 35-65), VAS’a göre kadınların uykusuzlukşikayetleri ortalaması 5,20±1,12 (min-maks= 4-9)’dir. Kadınlarınuykusuzluk problemi için kullanmış oldukları yöntemler; bitkiselyaklaşımlar (%96,6), diyet takviyesi (%98,8), dini yaklaşımlar (%95,7)ve zihin-beden uygulamalarıdır (%76,9). En sık kullanılan yöntemler;meyve-sebzeler, süt ve süt ürünleri, bal, ıhlamur, kuşburnu, namaz, duaetmek ve müzik gibi uygulamalardır. Kadınların %70,5’i ise kullandıklarıyöntemin etkili olduğunu ifade etti. Sonuç: Menopozal dönemde olan kadınların hemen hemen hepsiherhangi bir TAT yöntemi kullanmaktadır. Kadınların çoğunluğu buyöntemleri sağlık profesyonellerinden eğitim almadan uygulamaktadır.Bu yöntemlerin etkinliklerinin daha geniş kapsamlı olarak araştırılması,eğitimlerin sağlık profesyonelleri tarafından verilmesi ve yaygınlaştırılmasıönerilmektedir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Marlatt K, Beyl RA, Redman LM. A qualitative assessment of health behaviors and experiences during menopause: a cross-sectional, observational study. Maturitas 2018;116:36-42.
- 2. Baker FC, Lampio L, Saaresranta T, Polo-Kantola P. Sleep and Sleep Disorders in the Menopausal Transition. Sleep Med Clin 2018;13:443-56.
- 3. Nelson HD. Menopause. Lancet 2008;371:760-70.
- 4. Santoro N. Perimenopause: from research to practice. J Womens Health (Larchmt) 2016;25:332-9.
- 5. Xu Q, Lang CP. Examining the relationship between subjective sleep disturbance and menopause: a systematic review and meta-analysis. Menopause 2014;21:1301-18.
- 6. Cheng MH, Hsu CY, Wang SJ, Lee SJ, Wang PH, Fuh JL. The relationship of self-reported sleep disturbance, mood, and menopause in a community study. Menopause 2008;15:958-62.
- 7. Cuadros JL, Fernández-Alonso AM, Cuadros-Celorrio AM, FernándezLuzón N, Guadix-Peinado MJ, del Cid-Martín N, Chedraui P, PérezLópez FR; MenopAuse Risk Assessment (MARIA) Research Group. Perceived stress, insomnia and related factors in women around the menopause. Maturitas 2012;72:367-72.
- 8. Kravitz HM, Zhao X, Bromberger JT, Gold EB, Hall MH, Matthews KA, Sowers MR. Sleep disturbance during the menopausal transition in a multi-ethnic community sample of women. Sleep 2008;31:979-90.
- 9. Shaver JL, Woods NF. Sleep and menopause: A narrative review. Menopause 2015;22:899-915.
- 10. Kim MJ, Yim G, Park HY. Vasomotor and physical menopausal symptoms are associated with sleep quality. PLoS ONE 2018;13:e0192934.
- 11. Unni J. Third consensus meeting of Indian Menopause Society 2008: A summary. J Midlife Health 2010;1:43-7.
- 12. Mishra N, Mishra VN, Devanshi. Quinquagenarian women and Hormone Therapy-The Changing Scenario. Int J Gynaecol Obstet India 2011;14:91-6.
- 13. Hulley S, Grady D, Bush T, Furberg C, Herrington D, Riggs B, Vittinghoff E. Randomized trial of estrogen plus progestin for secondary prevention of coronary heart disease in post menopausal women. JAMA 2002;280:605-13.
- 14. Rossouw JE, Anderson GL, Prentice RL, LaCroix AZ, Kooperberg C, Stefanick ML, Jackson RD, Beresford SA, Howard BV, Johnson KC, Kotchen JM, Ockene J; Writing Group for the Women’s Health Initiative Investigators. Risks and benefits of estrogen plus progestin in healthy postmenopausal women; principal results from the Women’s Health Initiative randomized controlled trial. JAMA 2002;288:321-33.
- 15. Beral V; Million Women Study Collaborators. Breast cancer and hormone-replacement therapy in the Million Women Study. Lancet 2003;362:419-27. 16. Tal JZ, Suh SA, Dowdle CL, Nowakowski S. Treatment of Insomnia, Insomnia Symptoms, and Obstructive Sleep Apnea During and After Menopause: Therapeutic Approaches. Curr Psychiatry Rev 2015;11:63-83.
- 17. Durmus B, Yurtkori S, Cinko M. Data Analysis with SPSS in Social Sciences. Istanbul, Beta Publishing 2013;80.
- 18. Can G, Erol O, Aydiner A, Topuz E. Quality of life and complementary and alternative medicine use among cancer patients in Turkey. Eur J Oncol Nurs 2009;13:287-94.
- 19. Gharaibeh M, Al-Obeisat S, Hattab J. Severity of menopausal symptoms of Jordanian women. Climacteric 2010;13:385-94.
- 20. Özcan H, Oskay Ü. Evidence based symptoms management in menopause. Göztepe Medical Journal 2013;26:157-63.
- 21. Shifren JL, Gass ML; NAMS Recommendations for Clinical Care of Midlife Women Working Group. The North American Menopause Society recommendations for clinical care of midlife women. Manopause 2014;21:1038-62.
- 22. Baker FC, Wolfson AR, Lee KA. Association of sociodemographic, lifestyle, and health factors with sleep quality and daytime sleepiness in women: findings from the 2007 National Sleep Foundation “Sleep in America Poll”. J Womens Health (Larchmt) 2009;18:841-9.
- 23. Nowakowski S, Meers J, Heimbach E. Sleep and Women’s Health. Sleep Med Res 2013;4:1-22.
- 24. Jehan S, Masters-Isarilov A, Salifu I, Zizi F, Jean-Louis G, PandiPerumal SR, Gupta R, Brzezinski A, McFarlane SI. Sleep disorders in postmenopausal women. J Sleep Disord Ther 2015;4:1-7.
- 25. Joffe H, Petrillo L, Viguera A, Koukopoulos A, Silver-Heilman K, Farrell A, Yu G, Silver M, Cohen LS. Eszopiclone improves insomnia and depressive and anxious symptoms in perimenopausal and postmenopausal women with hot flashes: a randomized, doubleblinded, placebo-controlled crossover trial. Am J Obstet Gynecol 2010;202:171.
- 26. Vermes G, Banhidy F, Acs N. The effects of remifemin on subjective symptoms of menopause. Adv Ther 2005;22:148-54.
- 27. Cohen LS, Joffe H, Guthrie KA, Ensrud KE, Freeman M, Carpenter JS, Learman LA, Newton KM, Reed SD, Manson JE, Sternfeld B, Caan B, Freeman EW, LaCroix AZ, Tinker LF, Booth-Laforce C, Larson JC, Anderson GL. Efficacy of omega-3 for vasomotor symptoms treatment: a randomized controlled trial. Menopause 2014;21:347-54.
- 28. Taavoni S, Nazem Ekbatani N, Haghani H. Valerian/lemon balm use for sleep disorders during menopause. Complement Ther Clin Pract 2013;19:193-6.
- 29. Hachul H, Brandao LC, D’Almeida V, Bittencourt LR, Baracat EC, Tufik S. Isoflavones decrease insomnia in postmenopause. Menopause 2011;18:178-84. (PubMed: 20729765)
- 30. Carmody JF, Crawford S, Salmoirago-Blotcher E, Leung K, Churchill L, Olendzki N. Mindfulness training for coping with hot flashes: results of a randomized trial. Menopause 2011;18:611-20.
- 31. Asltoghiri M, Ghodsi Z. The effects of Reflexology on sleep disorder in menopausal women. Procedia- Social and Behavioral Sciences 2012;31:242-6
| APA | özcan h, ÇAKMAK S, SALMAN E (2020). Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause. , 207 - 213. 10.4274/jtsm.galenos.2020.84803 |
| Chicago | özcan handan,ÇAKMAK SUZAN,SALMAN EBRU Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause. (2020): 207 - 213. 10.4274/jtsm.galenos.2020.84803 |
| MLA | özcan handan,ÇAKMAK SUZAN,SALMAN EBRU Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause. , 2020, ss.207 - 213. 10.4274/jtsm.galenos.2020.84803 |
| AMA | özcan h,ÇAKMAK S,SALMAN E Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause. . 2020; 207 - 213. 10.4274/jtsm.galenos.2020.84803 |
| Vancouver | özcan h,ÇAKMAK S,SALMAN E Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause. . 2020; 207 - 213. 10.4274/jtsm.galenos.2020.84803 |
| IEEE | özcan h,ÇAKMAK S,SALMAN E "Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause." , ss.207 - 213, 2020. 10.4274/jtsm.galenos.2020.84803 |
| ISNAD | özcan, handan vd. "Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause". (2020), 207-213. https://doi.org/10.4274/jtsm.galenos.2020.84803 |
| APA | özcan h, ÇAKMAK S, SALMAN E (2020). Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause. Türk Uyku Tıbbı Dergisi, 7(3), 207 - 213. 10.4274/jtsm.galenos.2020.84803 |
| Chicago | özcan handan,ÇAKMAK SUZAN,SALMAN EBRU Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause. Türk Uyku Tıbbı Dergisi 7, no.3 (2020): 207 - 213. 10.4274/jtsm.galenos.2020.84803 |
| MLA | özcan handan,ÇAKMAK SUZAN,SALMAN EBRU Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause. Türk Uyku Tıbbı Dergisi, vol.7, no.3, 2020, ss.207 - 213. 10.4274/jtsm.galenos.2020.84803 |
| AMA | özcan h,ÇAKMAK S,SALMAN E Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause. Türk Uyku Tıbbı Dergisi. 2020; 7(3): 207 - 213. 10.4274/jtsm.galenos.2020.84803 |
| Vancouver | özcan h,ÇAKMAK S,SALMAN E Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause. Türk Uyku Tıbbı Dergisi. 2020; 7(3): 207 - 213. 10.4274/jtsm.galenos.2020.84803 |
| IEEE | özcan h,ÇAKMAK S,SALMAN E "Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause." Türk Uyku Tıbbı Dergisi, 7, ss.207 - 213, 2020. 10.4274/jtsm.galenos.2020.84803 |
| ISNAD | özcan, handan vd. "Complementary and Alternative Medicine Methods Usedfor Sleep Disturbance in Menopause". Türk Uyku Tıbbı Dergisi 7/3 (2020), 207-213. https://doi.org/10.4274/jtsm.galenos.2020.84803 |
