Therapeutic Value of Adjustment Practices and Copining with Grand Children for Menopausal Women in Nigeria

By Saka, Mohammed Jimoh; Saka, Aishat Oluwatoyin et al. | Gender & Behaviour, December 2011 | Go to article overview

Therapeutic Value of Adjustment Practices and Copining with Grand Children for Menopausal Women in Nigeria


Saka, Mohammed Jimoh, Saka, Aishat Oluwatoyin, Olajide, Latinowo Whaeed, Raji, H O, Gender & Behaviour


Abstract

Menopause is one of the stages of human development and is full of encounters, tasks and challenges; it could be different from the encounter of the preceding stages of life. This study examined the therapeutic value of adjustment practices toward menopause and evaluates the effectiveness of health education on coping methods among menopausal Nigeria women.

Women aged 40 years and above who had stopped menstruating for twelve consecutive months prospectively studied in Nigeria across geo political zone over a three years period (February 2007 to march 2010).

The mean ages of study and control groups were 57.2±1.2 and 58.2±1.9 years, respectively, There was a statistically significant increase in the study respondents' adjustment practices towards menopause from 56 (31.5%) to 150 (86.7%) post-intervention (p value = 0.000001), At both pre- and post-intervention studies, menopausal women with post- secondary education ranked first in their adjustment practices towards menopause

A significant percentage of the respondents in the study group are better adjusted to menopause after health education intervention on coping methods as compared with control group. At pre-interventions all other respondents had poor adjustment practices except for those with post secondary education who had mean score above 40.0. This showed the impact of health education intervention on the sample population. This corroborated Giwa-Osaige's findings that women generally irrespective of educational status had poor reproductive health seeking behaviors. However, health education intervention on coping and adjustment practices had a significant impact on menopausal women.

In conclusion; the respondents had poor adjustment practices towards menopause with mixed feelings about religious obligation and cohabitation. Menopausal women in Nigeria expressed significant good adjustment practice after serial adjustment intervention. Whereas there was more adjustment needs for the control group

Key words; coping with grand children, adjustment practices, menopausal women

Introduction

Menopause is the time in a woman's life when menstruation ceases and natural reproductive stage ends. It is a natural part of the ageing process in females and usually occurs within the age range of 40-55 years. NPHCDA, (1999). However, according to Okonofua F. E, (1990), the average age for the final menstrual period is 48.4 years.

Since menopause is one of the stages of human development and is full of encounters, tasks and challenges, it could be different from the encounter of the preceding stages of life. Therefore, there are some adjustment practices that must be met in order not to cause a breakdown in the individual menopausal life cycle. Many menopausal women engage themselves in business, or revive some interesting activity in which they showed talent, or had some training in their youth before the business of making a home took up all their time. Giwa-Osagie O.F (2003)

Some women take on masculine characteristics of a physical nature and their mental behaviour follows the masculine pattern, thus engage in business, politics and become active in social leadership. Many women even take up careers after menopause since their ability to reproduce is lost, while some others who would not find such new outlets become greatly interested in their married sons and daughters. Johson B.C (1982)

Primary focus of existing health care and expenditure of government resources is on maternal and child health, while the use of scarce resources for the treatment of non-life threatening conditions, such as the menopause, has low priority. In settings where private medical services exist, medical care for menopause-related complaints may be available, but at a cost which few women can afford. This study examined adjustment practices toward menopause and evaluates the effectiveness of treatment/ interventions methods among menopausal Nigeria women. …

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