Assessment of Menopause Related Quality of Life Among Health Professionals in University Hospitals of UMC in Nur-Sultan

Study Overview
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Brief Summary
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This study aims to investigate the quality of life of menopausal health-care providers in University Medical Center (UMC) hospitals in Nur-Sultan and identify whether there is a difference in the quality of life between two major groups of women health-care professionals: physicians and nurses, and to explore factors influencing on it.

Detailed Description
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Quality of life has turned into a reference for the so-called state of wellbeing that includes six domains: physical health, social relationships, psychological state, spiritual concerns, environmental features, and level of independence. Quality of life is perceived as a major health component, especially for menopausal women, and has become an essential research topic that has been discussed widely in the literature. Therefore, from the HRQoL perspective, the consequences of the climacterium should be considered as a specific aspect of health-related quality of life in studies that include this segment of the population. The increased life expectancy of the general population and of women in particular, has turned women's health care in this phase of life into a priority; the way this should be accomplished, however, represents one of the main sources of public health debate. Quality of work life is a comprehensive and general schema, which is essential in improving specialized personnel's satisfaction and attracting and preserving personnel. It also results in positive theories such as increasing profits and provocation. Nevertheless, although physicians and nurses are expected to provide patient care and improve their quality of life, their own needs and their own quality of life have been either largely underestimated or ignored. Providing care in these cases is very demanding in physical, emotional, and spiritual terms. Their work requires certain qualities, such as empathy, compassion, and closeness to the individuals and families they care for. Therefore, daily work may be significantly influenced by the menopausal transition, especially in nurses and physicians Work is beneficial for menopausal women by providing fulfilment, self-esteem, identity and social needs. But working environments like those with lack of temperature control, cramped conditions, some uniforms and stress can also make menopause symptoms worse. Menopause refers to the time when a woman's menstrual period stops for 12 consecutive months after the last period and is characterized by a decline in the production of the ovarian hormones, mainly estrogen and progesterone. The lack of these hormones makes some women prone to experiencing common symptoms that include, but are not limited to, sleep disorders, mood alterations, hot flashes, depression, urinary tract infections, vaginal infections, and increased risk for osteoporosis and cardiovascular diseases. Providing up-to-date information to women about menopause, its management, and the use of menopausal hormone therapy (MHT) may serve as an important step towards treating postmenopausal symptoms thereby improving the QOL of postmenopausal women. According to a recent study, the level of awareness and knowledge of women about the menopause is directly proportional to their ability to control their symptoms as menopausal symptoms can have a negative impact on work but menopause in the workplace still remains a taboo. This study aims to investigate the QoL of menopausal health-care providers in UMC hospitals in Nur-Sultan and identify whether there is a difference in the quality of life between two major groups of women health-care professionals: physicians and nurses, and to explore factors influencing on it.

Official Title
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Assessment of Menopause Related Quality of Life Among Health Professionals in University Hospitals of UMC in Nur-Sultan

Conditions
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Menopause

Intervention / Treatment
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* Other: Survey


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: We will include all menopausal health-care providers working in CAD of Women's Health and Pediatric CAD UMC, NCCR, and RDC, Nur-Sultan Kazakhstan. In order to get the highest possible response rate as well as evaluate the non-response bias, there is a need to follow-up to those who did not responded. Exclusion Criteria: Women with serious health problems, such as severe chronic diseases, including psychological/psychiatric comorbidities, and use of specific drugs for them, will not be included in the study

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 64 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Study group<br>Female health-care givers aged 45 to 64 years. The study participants will be recruited from UMC (Clinical Academic Department (CAD) of Women's Health, Pediatric Clinical Academic Department, Republic Diagnostic Center (RDC) and National Center for Children's Rehabilitation (NCCR)), Nur-Sultan, Kazakhstan. | Other: Survey<br>* The first part will assess the sociodemographic variables and reproductive characteristics, and the second part contain the Menopause-Specific Quality of Life (MENQOL) questionnaire The 29 questions of the MENQOL are divided into four domains: vasomotor (items 1-3), psychosocial (items 4-10), physical (items 11-26), and sexual (items 27-29).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Menopause Quality of Life Measurement | The participants will be asked to indicate whether they had experienced symptoms or problems within the past month and, if so, to rate how bothersome they were on a seven-point Likert scale from 0 to 6: with 0 indicating that they were not at all bothered and 6 indicating that they were extremely bothered. The 29 questions of the MENQOL (supported by NCBI and NHI) are divided into four domains: vasomotor (items 1-3), psychosocial (items 4-10), physical (items 11-26), and sexual (items 27-29). | 36 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Menopause, Quality of life, Healthcare providers