Women are the vital set up and heart of the family. When women have been tired, family function would be altered. Women are facing lot more problems through their life. One of most common problem they are facing is menopause and hormonal changes during their middle adulthood. The menopausal problems of women always make them so tired. So they need menopausal care and prevention of problems 2. Menopause is the permanent cessation of menstruation resulting in the loss of ovarian follicle development and it is the normal developmental period experienced by women in mid life.
It happened in critical period of women’s life where there is a to of social transition and it coincides with empty Nest syndrome, when children leave home and women find their selves alone with increased incidence of psychosomatic symptoms 2. The psychological problems of menopause tends to be insidious and each impair a women ability to her domestic and her work environment they can destroy self confidence, self esteem and are incomprehensible low points in the lives of previously well adjusted and competent women from the menopause.
A woman between the age of 40 and 60 find they became moody unable to concentrate and very tired. Many of the psychological problems of the menopause re due to night sweats causing disturbed sleeps and will resolve themselves once broken nights come to an end. Other is more directly to the loss of estrogen. Part of the brain contains many estrogen is replace by HURT, most women find their confidence and self esteem and their problems with mood swings forgetfulness and anxiety considerably alleviated 3.
Problems of elderly women age often more discussed than problems of the middle aged women, however, the problems whether it is physical social or psychological took birth in middle age which may emerge in old age essential care and some repetitive step if not taken in middle age may results in the serious problems with the onset of old age. The present works has been done to focus on the problem of middle aged women like psychological, physical, familial, social and work place environmental which may affect their overall health status. The aim of the present work was to assess the psychological status of middle age 40-55 years’ women 4.
People are now demanding a better quality of life. Therefore governments all over the World are increasingly concerned about improving the quality of life of their people by reducing morbidity and mortality, providing primary health care and enhancing physical, mental and social well being. It is conceded that a rise in the standard of living of the people is not enough to achieve satisfaction or happiness. Improvement of quality of life must also be added and this means increased emphasis on societal policy reformulation of societal goals to make life more livable for all those who survive.
To improve the quality of life during old age the health professionals can improve the knowledge of menopausal women by variety of educational techniques. Need for Study In the United States, 1. 3 million women reach menopause annually. Although most or – 01 omen transition to menopause without experiencing psychiatric pr estimated 20% have depression at some point during menopause. In Kingdom, the mean age for the menopause is rays, 9 months. The the pre menopause is between 45. 5 and 47. 5 years. Scottish survey 6096 women aged 45-54 years found that 85% had experienced at eel psychological menopausal symptom and 45% had one or more sump 5.
A total of 130 million Indian women are expected to leave beyond the the old age by 2015. The menopause is emerged has an issue owing globalization, arbitration awareness of increased longevity in urban Indian women who are evolving has a homogeneous group. Improve condition and education may cause the attitude of rural women to b towards the menopause 6. Menopause is not a marker of life stage, it also present biological an challenge unique to women. It may come as a sense of freedom for fact many women report an enhanced sense of wellbeing and enjoy to pursue postponed goal.
However it may be associated with new o symptom or may exacerbate or heighten preexisting psychiatric prop As menopause occurs at a strategic time in life, preventive health ca major impact 7. WHO Statistic drew samples from 100,000 women across 26 states the that Indian women fare abysmally with regard to their menopause h regenerate of menopausal women was higher in Andorra Pradesh 31 21 . 7%, and Karakas 20. 2% were no better. Kraal 1 1. 6% was a beet Bengal 12. 8 percent and Restaurants 13-1 percent was Just a rung low percentage of women hit by menopause is marginally lower in urban against rural 18. 3 percent 8.
A study was conducted to determining the prevalence of depression menopausal and post menopausal women at the factors that influence development of depression. A study includes sample of 685 women who were living in Malay was recruited in this cross sectional stud depression inventory was administered to each woman in the sample elect through personal interviews with women at their home Bette 2008. The result shows that the mean age of the respondent was 50. Prevalence of depression syndrome among the peer menopausal and menopausal women was 41. 8%. Of all women 22. 3% were pre mono were post menopausal.
The study results shown that pre menopausal women with no life time history of major depression who enter their peer menopause were twice as like to developed significant depressive symptoms as women who remained pre menopausal, after adjustment for age at study enrolment and history of negative life events the increased risk for depression for somewhat greater in women with self ports vasomotor symptoms 10. A study was conducted to examine the relationship between menopausal transition status and self reported sleep difficulty. This assessment was done among women between ages 48 and 54 yr.
A study result shows that menopause transition status was related to severe self reported sleep difficulty and odds of reporting severe self reported self difficulty where increased approximately by 2 to 3-5 fold for women in most menopausal transition status compared with women who remained pre menopausal. The study concluded that there is a modest relationship between menopausal transition status and moderate leap difficulty may be related in this group of women will assist in the decision to address current health symptoms versus sleep itself.
Women without prior health problems may experience severe self repotted sleeping difficulty during the menopause transition and require tailored care from health professional 1 1 . A study was conducted to assess the night time awakening and early morning awakening across the menopausal transition (MET) and early post menopausal (PM) and their relationship to age menopausal transition factors, symptoms, stress, relate factors and health related factors.
