助産師主導の教育プログラムが更年期症状の重症度と更年期特異的QOLに及ぼす影響：ランダム化比較縦断研究

This study aimed to evaluate the impact of a structured midwife-led education program on the severity of menopausal symptoms and menopause-specific quality of life, and to assess the sustainability of this effect over time.

This randomized controlled longitudinal study included 101 women (intervention=51, control=50) aged 45-55 who were in the natural menopausal process. Participants in the intervention group received a structured education program over four weeks, whereas the control group received only routine follow-up. Data were collected using a Personal Information Form and the Menopause-Specific Quality of Life (MENQOL) questionnaire. Evaluations were performed at three time points: before the intervention, immediately after the education program, and at a 6-month follow-up.

After the program, the intervention group had a mean MENQOL posttest score of 111.25±32.51, compared with 173.06±3.31 in the control group, showing a significant difference (P<0.001). The intervention group's posttest mean scores for all MENQOL subscales were also significantly lower than those of the control group (P<0.001). In addition, MENQOL scores in the intervention group decreased over time, indicating an improvement in quality of life (P<0.05).

The structured menopause education program delivered under midwife guidance was identified as an effective and sustainable intervention for reducing the severity of menopausal symptoms and enhancing women's quality of life.