“Evaluate The Impact of Nurse Led Program In Term Of

Knowledge & Quality Of Life Regarding Menopause Transition

& it’s Symptoms Among Women Residing In Selected Rural
Community, At Uttarakhand”

PANNA DHAI MAA SUBHARTI NURSING COLLEGE

SWAMI VIVEKANANDA SUBHARTI UNIVERSITY,
MEERUT

GUIDED BY
DR. BHAWNA PANT
DEPARTMENT OF COMMUNITY MEDICINE

Co-GUIDED BY
DR. GEETA PARWANDHA
DEPARTMENT OF COMMUNITY HEALTH NURSING

SUBMITTED BY
MS. SHAILA PANCHAL
Ph.D. NURSING SCHOLAR

PANNA DHAI MAA SUBHARTI NURSING COLLEGE,

 SUBHARTI UNIVERSITY MEERUT, UTTAR PRADESH
REGISTRATION OF SUBJECT FOR DISSERTATION

NAME OF THE CANDIDATE AND MS. SHAILA PANCHAL

ADDRESS Ph.D NURSING
PANNA DHAI MAA SUBHARTI
NURSING COLLEGE,
SUBHARTI PURAM, MEERUT

NAME AND ADDRESS OF THE GUIDE-: DR. BHAWNA PANT

GUIDE SUBHARTI MEDICAL COLLEGE,
MEERUT.

CO-GUIDE-: DR. GEETA

PARWANDA
PANNA DHAI MAA SUBHARTI
NURSING COLLEGE, MEERUT.

PANNA DHAI MAA SUBHARTI

NAME OF THE INSTITUTION NURSING COLLEGE,
SUBHARTI PURAM, MEERUT

COURSE OF STUDY AND Ph.D NURSING

SUBJECT COMMUNITY HEALTH NURSING

DATE OF ADMISSION TO THE

COURSE

TITLE OF THE TOPIC

“A study to evaluate the impact of Nurse Led Program in term of
knowledge & Quality of life regarding Menopause transition & it’s
symptoms among women residing in Selected Rural Community, At
Uttarakhand”
Table of Content-:

Sr. Content
No.
1. Title of The Study
2. Introduction
3. Need for Study
4. Review of Literature
5. Statement of The Problem
 Objective
 Operational Definition
 Research Hypothesis
 Assumption
 Delimitation
6. Conceptual Framework
7. Research Gaps
8. Material & Methods
 Diagrammatic Presentation
 Research Approach
 Research Design
 Variables Under Study
 Attribute Variable
 Independent Variable
 Dependent Variable
9. Setting of The Study
10. The Sample & The Sampling Technique
 Sampling Criteria
 Inclusion Criteria
 Exclusion Criteria
 Primary Source of Data
 Setting of the Study
 Population
 Sampling Technique
 Sample Size
11. Data Collection Tools & Technique
12. Intervention for Study
13. Tools & Methods of Data Collection
 Tool 1-: Demographic Variables of the Samples.
 Tool 2-: Structured Questionnaire for Menopausal Transition
 Tool 3-: Structured Questionnaire for MENQOL
 Data Collection Method
14. Plan For Data Analysis
15. Ethical Clearance
16. Tentative Periods with Chapters
 BRIEF RESUME OF THE INTENDED WORK

INTRODUCTION

“Changing women’s health-naturally”

Aging is a fact of life and it is a normal process of having brittle bones, sagging skin
and degenerating body functions. In aging women, they may experience a popularly known
condition called menopause. This is characterized by changes that occur in a woman’s life
before and her menstruation ends signalling her infertility years.

Menopause starts gradually and usually signalled by changes in menstruation. The

specific symptoms women experience may varies from woman to woman. In some women,
menstrual flow comes to a sudden halt. The monthly flow may increase, decrease, become
irregular and finally cease. Often interval between period is longer; a lapse of several months
between period is not uncommon.

Menopausal transition symptoms affect about 70% of women approaching

menopause. Typical menopause symptoms, such as hot flashes or night sweats, are caused by
changing hormonal levels in the female reproductive system. Almost all women notice early
symptoms while still having periods. This stage of gradually falling and fluctuating hormone
levels is called perimenopause, which often begins in the early40s.

The symptoms of menopause usually last for the whole menopause transition (until
the mid 50s), but some women may experience them for the rest of their lives. The most
common symptoms are: hot flashes, night sweats, irregular periods, loss of libido, and
vaginal, depression, anxiety, irritability, panic disorder, joint pain, burning tongue, digestive
problems ,muscle tension, tingling extremities and osteoporosis.

Women’s health primarily focuses on women’s psychosocial and physiological well

being, functional abilities, and experiences of symptoms and health problems. The major
health issues of the women are heart disease, cancer, HIV, aging, depression and midlife. In
order to address the women health problems all these factors to be noticed. The women’s
health has pivotal role in ensuring the family’s and community’s health. (Janette Lancaster,
2006)
 Approximately 10% of the women have no symptoms of menopausal other than
cessation of menstruation,70% to 80% are aware of other changes but have no problems and
approximately 10% experiences changed severe enough to interfere with activities of daily
living.

NEED FOR STUDY

Healthy women during their reproductive period will menstruates cyclically and
regularly with normal flow and duration of bleeding. As the age approach the women notices
changes in the menstrual cycle, such as changes in the frequency, duration and flow of
bleeding. These irregularities in the menstrual cycle signal the onset of menopause in the
midlife women. The onset of menopause denotes the gradual decline of fertile period in the
women. The onset natural menopause is signed by the changes in hormonal levels mainly
depletion in the oestrogen.

The prevalence of menopausal symptom varies in geographical region and ethnicity

of the population. Only limited studies are conducted among Asian women to analyse the
severity of premenopausal symptoms. According to The Study of women’s health Across
Nation (SWAN), studies report shows that Japanese and Chinese women manifested less
symptoms than Caucasian women.

According to various studies conducted in various parts of the world, among the
incidence of premenopausal symptoms, most commonly seen are hot flushes, menstrual
irregularity, fatigue, vaginal dryness, urinary incontinence, mood disturbances, depression
and anxiety. Among which most commonly occurring and hindering the daily life of women
are hot flushes (55.80%) and depression (37.30%).

In a study conducted in a selected urban community in India by Sudha Sharma has

found that with age advances the nature and prevalence of premenopausal Symptoms also
varies. The vasomotor symptoms (35%) and psychological disturbances (38%) increases with
increase in age. The occurrence in frequency and severity of symptoms varies among
individuals, population and different cultures of the world. The symptoms of menopause vary
with biological change, psychological factors, socio cultural factors and environmental
influences. According to various studies conducted to measure quality of life of Aged
Women from different socio-cultural background reveals that perception of quality and
menopause status influences the quality of life.
REVIEW OF LITERATURE

Omaima M., et al. 2013, A descriptive study was conducted with descriptive
research design that included 200 married women randomly selected from Faculties of Ain
Shams University in Egypt. An interviewing questionnaire was used to collect data based on
literature review. Main finding 81% and 79% of premenopausal women had physical and
social health complaints, while 74% and 71% of them had sexual and psychological
complaints respectively.

Jennifer Whiteley., et al. (2012) A cross-sectional study that included 8,811women

40– 64 years from USA. Data from the 2005 United States National Health and Wellness
Survey were used. Finding reveals that women experiencing menopausal symptoms reported
significantly lower levels of HRQOL and significantly higher work impairment, and
healthcare utilization than women without menopausal symptoms, depression, anxiety, and
joint stiffness were symptoms with the strongest associations with health outcomes.

Jansirani Natarajan., et al. (2013), A literature review that included 15 studies

published between 2007 and 2013 conducted in 13 different countries. MRS (Modified
Menopausal Symptom), MENQOL (Menopausal quality of life), WHOQOL (World health
organization quality of life), and Self-reported menopausal symptom questionnaire has also
been used. Result of the study It is evident that there is great diversity in symptom
frequencies across the cultures and ways of coping adopted by these women. Based on these
values, the healthcare professionals can use different approaches to educate and treat women
with menopausal symptoms and concerns that are culturally relevant.

Nabarun Karmakar., et al. (2017) Descriptive cross-sectional study 100 peri and
postmenopausal women (40–60 years) in Dearah village of West Bengal, India during
February–March 2014. The Menopause-Specific Quality of Life Questionnaire MENQOL.
Result reveals that Occurrence of vasomotor symptoms was average with 60% of them
reporting hot flushes and 47% sweating. Most prevalent psychosocial symptoms reported
were feeling of anxiety and nervousness (94%) and overall depression (88%). Physical
symptoms were quite varying in occurrence with some symptoms such as feeling tired 49%
reported of avoiding intimacy with a partner and 26% complained of vaginal dryness.

Miranda Hajdini., et al. (2017), a study was conducted in Tirana and some rural
areas around in 2016. Sample included 1207 women aged 45-64 years old and for data
collection we used a self administered questionnaire. As all around the world, in Albania
women report various symptoms that can influence the quality of life, but with a lower
prevalence. The most frequently reported symptoms include forgetfulness (26.3%), hot
flushes (25.9%), frequent headaches (23.3%), aching joints (21.6%) and stomach bloating
(21.0%).

T. Bhurosy, R. Jeewon, (2013) conducted a cross-sectional survey in different

workplaces located in the nine districts of Mauritius. Mauritian women (n = 400; 215
premenopausal, 185 post-menopausal) were recruited using stratified random sampling.
Participants completed a self-reported questionnaire comprising a food frequency
questionnaire previously constructed and to assess the intake of vegetables, fruits, dairy
products, cereals, high- and low-fat protein sources, fats and sweetened beverages, as well as
questions aiming to elicit socioeconomic profile, menopausal status, physical activity level
and demographic data. Height, weight, waist and hip circumferences were measured. The
mean dietary guideline score was significantly higher for post-menopausal than
premenopausal women, (P = 0.017). Each socioeconomic status (SES) category of post-
menopausal women also demonstrated a higher dietary guideline score than that of
premenopausal women (P > 0.05). A high BMI was significantly associated with a low SES
of participants (P = 0.042) and post-menopausal stage (P = 0.001).

STATEMENT OF THE PROBLEM

“A study to evaluate the impact of Nurse Led Program in term of knowledge & Quality
of life regarding menopause transition & it’s symptoms among women residing in selected
Rural Community, At Dehradun”

OBJECTIVES

 To assess the Knowledge regarding menopause transition & it’s symptoms among
women residing in rural community at Dehradun.
 To assess the Quality of life regarding menopause transition & it’s symptoms among
women residing in rural community at Dehradun.
 To determine the effectiveness of Nurse Led Program regarding menopause transition
symptoms among women residing in rural community at Dehradun.
  To find out the relationship between level of knowledge and Quality of life regarding
menopause transition & it’s symptoms among women residing in rural community at
Dehradun.
OPERATIONAL DEFINITION

1. Evaluate: - It refers to determining the effectiveness of Nurse led program and it is

measured in terms of significant knowledge gain in the post test knowledge score.

2. Nurse Led Program: - In this study Nurse Led Program refers to the intervention
(Yoga, Deep Breathing Exercise & One Structured Habit Class (Dietary Habit))
which is used to provide knowledge about Menopause transition & it’s symptoms &
which will improve the knowledge and quality of life of women.

3. Knowledge: - It refers to the appropriate response by the Women on knowledge

regarding Menopausal transition & it’s symptoms and its management before and
after intervention as measured by structured knowledge questionnaire.

4. Quality of Life: - It refers to transition into menopause is related to different

physical and mental changes that may affect women’s health. That the physical,
psychological, social, and sexual changes in menopause have an adverse effect on
women’s quality of life. 

5. Menopause transition:- In this study the menopausal transition (perimenopause) is

the period that links a woman’s reproductive (childbearing) years and menopause.
A woman is said to be in menopause if she has had no menstrual periods for 1 year.
Once in menopause, the ovaries essentially stop making hormones and women lose
their ability to become pregnant. The average age for menopause is 51 years.

6. Menopause transition symptoms: - The physical and psychological changes in

women such as hot flushes, menstrual irregularity, weight gain, palpitation, urinary
incontinence, vaginal dryness, fatigue, anxiety, mood swings, depression and panic
disorders experienced by the women in the period just before the menopause.

7. Women: - The term “women” refer to Menopausal transition females aged between
45-55 years (according to WHO).
 8. Rural Community: - A rural community or a countryside is a geographic
community that is located outside towns and cities.

RESEARCH HYPOTHESIS
The hypothesis mentioned below will be tested at 0.05 level of significance.

 H1:- There will be significant relationship between the knowledge & quality of life of
rural women regarding menopausal transition & it’s symptoms.

NULL HYPOTHESIS
The null hypothesis mentioned below will be tested at 0.05 level of not significance.

 H01-: There will be not significant relationship between the knowledge & quality of
life of rural women regarding menopausal transition & it’s symptoms.

ASSUMPTIONS

The study will be based on the following assumptions:

 Women may have inadequate knowledge regarding menopausal transition symptoms.
 Women may gain knowledge about menopausal transition symptoms from Nurse Led
Program which will prepare to educate them.

DELIMITATIONS

 The subjects are limited to those women aged between 45-55 years.
 The sample size was limited to only 400 women from rural community so that
findings can be generalized.

CONCEPTUAL FRAMEWORK

Conceptual framework is a theoretical approach to the study of a problem that is scientifically

based and which lays emphasis on the selection, arrangement and classification of concepts. The
conceptual framework formalizes the thinking process, so that others may read and understand the
basis of the research problem. Polit and Hungler (1999), stated that a conceptual framework is a
cohesive, supportive linkage of selected, interrelated objects, observations, events experience. It
serves as a guide to research and a spring board for the generation of a research hypothesis.
 The present study aims at assessing the effectiveness of Nurse Led Program regarding
Menopause transition in terms of knowledge and Quality of Life among rural women. For the
purpose, the conceptual framework of the study is based on CIPP model by Daniel Stufflebeam. It
is a simple systems model applied to program evaluation. A basic open system
includes input, process, and output. Stufflebeam added context, included input and process, and
relabeled output with the term product. Hence, CIPP stands for context evaluation, input
evaluation, process evaluation, and product evaluation. It is a four step model of program
evaluation developed for obtaining useful information for taking decisions. It provides a
comprehensive, systematic and continuous ongoing framework for the program evaluation.

Context evaluation includes examining and describing the context of the program that is
being evaluated, conducting a needs and goals assessment, determining the objectives of the
program, and determining whether the proposed objectives will be sufficiently responsive to the
identified needs.  It helps in making program planning decisions. For planning decisions, it
describes the environment in which the proposed program exists and to collect data to provide a
rationale for the determination of objectives.

The context of the development and introduction of Nurse Led Program (e.g. regular walking,
pelvic floor muscles training exercise, diet modification, practice of yoga) regarding menopausal
transition is based on the needs of the rural women. The present study carried out the formulation
of objectives i.e. development and validation of Nurse Led Program on menopausal transition &
it’s Symptoms knowledge and quality of life of rural area women.

Input evaluation includes activities such as a description of the program inputs and

resources, a comparison of how the program might perform compared to other programs, a
prospective benefit/cost assessment (i.e., decide whether you think the benefits will outweigh the
costs of the program, before the program is actually implemented), an evaluation of the proposed
design of the program, and an examination of what alternative strategies and procedures for the
program should be considered and recommended. In short, this type of evaluation examines what
the program plans on doing. It helps in making program structuring decisions. It specifies
resources, strategies and designs to meet program goals and objectives. Here input refers to
following:

 Development of Nurse Led Program regarding Menopause transition symptoms.

 Development of tools- structured interview schedule
 Establishment of validity and reliability of tools.
Process evaluation includes examining how a program is being implemented, monitoring
how the program is performing, auditing the program to make sure it is following required legal
and ethical guidelines, and identifying defects in the procedural design or in the implementation of
the program. It is here that evaluators provide information about what is actually occurring in the
program. Evaluators typically provide this kind of feedback to program personnel because it can be
helpful in making formative evaluation decisions (i.e., decisions about how to modify or improve
the program). In general, process evaluation helps in making implementing decisions.

 Pilot study.
 Final study activities like:
 Assess knowledge before administration of Nurse Led Program in groups.
 Assess knowledge and Quality of Life, post administration of Nurse Led
Program.

Product evaluation includes determining and examining the general and

specific outcomes of the program (i.e., which requires using impact or outcome assessment
techniques), measuring anticipated outcomes, attempting to identify unanticipated outcomes,
assessing the merit of the program, conducting a retrospective benefit/cost assessment (to
establish the actual worth or value of the program), and/or conducting a cost effectiveness
assessment. Product evaluation is very helpful in making summative evaluation
decisions (e.g., What is the merit and worth of the program?

RESEARCH GAP
 Research gap is an unanswered question or unresolved problem in a field, which reflects a
lack of existing research in that space.
The Society for Women's Health Research Menopause Working Group identified
gaps in clinical care, policy, and patient and provider education. Limited understanding of
menopause by patients and clinicians contributes to delays in recognizing the menopause
transition and engaging in symptom management. Recent studies on hormone therapy and
alternative treatment options provide evidence to inform updates on existing policy
recommendations and coverage.
To promote health and wellness during the menopausal transition and postmenopause,
healthcare providers should initiate conversations with patients before this midlife transition
begins. Successful implementation of this approach requires addressing knowledge gaps
among healthcare providers concerning menopause.
Training in menopause is not a routine part of medical school curricula or residency
training, and the negative consequences of this educational gap on women have been
recognized for some time. Provider training could help to limit the use of custom
compounded hormone products that are not regulated by the FDA and that lack evidence of
safety or efficacy.
 Improved medical curriculum on menopause is needed not only for obstetricians and
gynaecologists, but also for the spectrum of healthcare providers who see women in midlife,
including primary care and mental health professionals. Without menopause-specific
education, providers can easily misunderstand or dismiss menopause symptoms related to
irregular menstrual cycles or heavy bleeding, mood, vaginal symptoms, and disordered sleep.
A patient's age, gender identity, and type and stage of menopause are all integral
factors that affect how symptoms present and the associated risk for additional health
conditions. Providers must understand how to treat symptoms across diverse populations and
develop a personalized care plan for each individual.

RESEARCH SCOPE
 Menopausal transition related research scope improves the knowledge of Health care
providers, and do the research with psychomotor domain, vasomotor domain.

MATERIALS AND METHODS

RESEARCH APPROACH

An evaluative approach was considered to be most appropriate keeping in the view

the nature of the problem and objectives of the study. According to the (Polit and
Hungler 1999), evaluative research is applied research that involves finding out how
well a programme, practice, procedure or policy is working. It also helps to answer
broader questions regarding effectiveness of the strategies in terms of various entities.

In the view of accomplishing the objectives and developing a nurse led program for
improving the knowledge & quality of life regarding menopausal transition & it’s
symptoms among women of rural area an evaluative research approach is considered
to be the most appropriate.

Research Design

To assess the validity of the Nurse Led Program and to evaluate the knowledge &
quality of life of menopausal transition & it’s symptoms, by the Quasi experimental
research design (Non- Randomized control group design) (Experimental
quantitative research design) was adopted for the study.

Experimental
Pre-test Treatment Post-test
Group
 Pre-test Post-test

VARIABLE UNDER STUDY

A variable is an attribute to which numerical or values are assigned. According to Polit

And Hungler (1999). “a variable is, as the name implies, something that varies. A
variable is any quality of an organism, group or situation that takes different values.
Variability in the dependent variable is presumed to depend on the variability in the
independent variable. The present study had following variables:

Attribute variable-: These are the variables which describes the sample characteristics
and are included in research findings (Suresh Sharma 2011).

The demographic variables included in the study are: age group, education, occupation,
marital status, types of family, income, personal history, source of information about
menopause, living with children, dietary pattern, and family history of medical illness.
etc.

Independent variable: - The independent variable is the variable that stands alone and
not dependent on any other. It is the cause of action.

In this study the Nurse Led Program regarding Menopausal transition & it’s symptoms
is the independent variable.

Dependent variable: - Dependent variable is the effect of the action of independent

variable and cannot exist by itself.

Knowledge and Quality of Life levels are the dependent variable under in this study.

SETTINGS OF THE STUDY

Setting is the physical location and condition in which the data collection takes place in
a study. The researcher should carefully select an appropriate setting because it can
influence the way people behave or feel and how they respond. “The researcher needs
to decide where the interventions will be implemented and when the data will be
collected.”
 The present study was conducted in the selected rural communities of Dehradun
(Laxmipur, Bharotiwala, Badripur, Charba, Horawala, Langha, Rudrapur, Bharotiwala,
Jamankhata, Vikasnagar, Rampur, Koti, Kheda, Pritipur). These communities were
selected as they were convenient setting to the researcher.

THE SAMPLING AND THE SAMPLING TECHNIQUE

A sample is a subset of population selected to participate in a research study. A sample

is a small proportion of a population selected for the observation and analysis.
Sampling refers to the process of selecting a portion of the population to represent the
entire population (Pilot And Hungler, 1999). Sampling is necessary because it is more
economical and efficient to work with a small group of elements.

In the present study, the women will select to use sampling. The study population
included all women in the age group of 45-55 years residing in rural communities.
According to (Pilot And Hungler, 1999), a random sample technique, is one that is
selected based on the knowledge of a population and the purpose of the study. The
subjects are selected because of some characteristic.

SAMPLING CRITERIA

INCLUSION CRITERIA:-

 Women aged 45-55 years present during the time of the study.
 Women who are willing to participate in the study.
 Women who could understand and speak in Hindi language.

EXCLUSION CRITERIA:-

 Women already treated with Hysterectomy.

 Women already had gynaecological problem.

Primary source of data-

The knowledge and quality of life will assess with the help of structured
knowledge questionnaire regarding menopausal transition & it’s symptoms among
women of rural area.

Setting of The Study

The study will be conducted in selected rural community area (Sahaspur, Charba,
Mtogi, Langha, Koti, Badripur, Rudrapur, Rampur (Badha & Chota), Lashamipur, etc) ,
at Dehradun.

Population

The population included in the study are 45-55 women of rural community area at
Dehradun.

Sampling Techniques

Random sampling technique (Stratified Random Sampling) will use for collect the
sample, which will fulfil the inclusion criteria.

Sample Size

 Sample size included in the study will 400 Rural women. According to (Cochran’s
formula) in the study will be 384 Women.
S= z2x p* (1-P)/ M2
S = sample size for infinite population
Z = z score (95%= 1.96)
P= population proportion (assumed 50%= 0.5)
M= margin of error (5% =0.05)
S= (1.96)2 x 0.5 (1-0.5)/ (0.05)2
S= 3.8416x 0.25/0.0025
S=384.16

DATA COLLECTION TOOLS AND TECHNIQUE

Data collection tools are the devices that a researcher uses to collect data. The type of
data collection tool required depends upon the nature of the data to be gathered to
answer the research question (Pilot and Hungler, 1999). A search for data collection
literature was made for the purpose of locating an appropriate tool. The instrument
selected for the research should as far as possible be the vehicle that would best obtain
data for drawing conclusion pertinent to the study, and add to the body of knowledge in
a discipline (Treece and Treece 2000). Structured interview schedule was found to be
most appropriate method of data collection, keeping in mind the research question. The
structured interview schedule comprised of two sections.

INTERVENTION FOR THE STUDY-:

 Interventional studies involve making a change – or intervening - in order to study the
outcome of what has been changed. An intervention is introduced immediately after the
baseline period with the aim of affecting an outcome. The intervention itself is the
aspect that is being manipulated in your research.

In this study Nurse Led Program refers to the intervention (Yoga, Deep Breathing
Exercise & One Structured Habit Class (Dietary Habit)) which is used to provide
knowledge about Menopause transition & it’s symptoms & which will improve the
knowledge and quality of life of women.

PILOT STUDY

After taking the formal approval for conducting the pilot study, it was initiated to take
sample in rural community at Laxmipur, Horrawala and Bharotiwala, Jamankhata
villages at Dehradun. The pilot study can conduct to assess the effectiveness of
criterion measures, to find out the feasibility of undertaking the study and decide on the
plan of statistical analysis. It is planned to be conducted in the selected rural community
at Dehradun and the sample size will be 1/4th of the main study. 100 women from each
rural community area will select respectively. Findings of the study revealed that the
criterion measures i.e. knowledge and Quality of life can assess to be effective group. It
was feasible to conduct the pilot study.

CRITERIA FOR SAMPLE SELECTION

Tools and methods of data collection

It includes a structured questionnaire of menopausal transition to evaluate the

knowledge & Quality of life of women in selected rural community area at Dehradun.

 Tool-1 Demographic variables of the samples.

It includes Age, religion, education, occupation, marital status, family income, type of
family, source of information, dietary pattern.

 Tool-2 Knowledge & Quality of Life Related Questions.

Self-structured questionnaire of menopausal transition its symptoms.

Tool-3 Quality of Life Related Checklist

Structured Checklist of menopausal transition its symptoms and Domain.

Data Collection Method-:

Structured interview schedule was found to be most appropriate method of data

collection, keeping in mind the research question. The structured interview schedule
comprised of two sections:

Section A-: consisted of items seeking information about demographic characteristics

Section B-: It consist self-structured questionnaire section. These sections containing
set of questions seeking knowledge of the subjects on menopausal transitions & it’s
Symptoms of each item carries one mark for the correct response.

Section C-: It consist Structured question checklist. These sections containing set of
questions to express competency skill of Quality of life of the subjects on menopausal
transitions and it’s symptoms each item carries one mark for the correct response.

Day 1 to Day 40
(Pre-Test)

Day 41 to Day 91
Nurse Led Program
Nurse Led Program refers to the intervention (Yoga, Deep Breathing
Exercise & One Structured Habit Class (Dietary Habit)) which is used to
provide knowledge and assess the daily life activity about Menopause
transition & it’s symptoms & which will improve the knowledge and quality
of life of women.

Day 100 to Day 150

(Post-Test)

PLAN FOR DATA ANALYSIS

Collected data will be organized, tabulated and analysed by descriptive statistics

(Mean, SD, %) and inferential statistics (t-test, p-value, f-test, co-efficient correlations
and chi square test) for evaluating the effectiveness Nurse led Awareness Program on
the knowledge & quality of life regarding menopausal transition symptoms & it’s
Symptoms among rural community women.
 Tool 1-: Collect data and will analyse by descriptive statistics the tabulation on
frequency distribution & Percentage.

Tool 2-: Collect data and will prepare descriptive statistics and inferential statistics
(Mean, Median, Standard deviation & T test, Chi square)

ETHICAL CLEARENCE

1. Ethical clearance can be obtained from the community, Dehradun.

2. Information will be collected from the samples after obtaining the informed
consent.

EXPECTED PERIODS OF CHAPTERS

Sr. Chapters Months

No.
1. Chapter- 1 June-August (2023)
Introduction
2. Chapter-2 September-November
Review of Literature (2023)
3. Chapter-3 December-May (2023-
Methodology 2024)
4. Chapter-4 June-October (2024)
Analysis & Interpretation of Data
5. Chapter-5 November- January
Discussion (2024-2025)
6. Chapter-6 February-April (2025)
Summary, Finding, Conclusions, Implications,
Limitations and Recommendations

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Medical Association, 97(1), 116-120.

2. Ginsberg J et al, “The management of Menopause”, The Millenium Review, 2000,

59-68.
3. Nachtigall L E, Nachtigall m J, “Menopausal changes and Quality of life and
Hormone therapy”, Clinical obstetrics and gynecology, 2004, 47(2), Page no. 485-
488.

4. Utian W, Bogys P, “Menopause and midlife”, Menopause, 6, Page no. 122-128.

5. B Jayabharathi, “Perception of physical and psychological symptoms of

Perimenopause, 2011 september 7(8), Page no. 15-17.

6. Omaima M., et al. “Menopausal Transition and Its Effect on Women’s Health”.
American Journal of Science 9.1 (2013): 369-379.
7. Miranda Hajdini Vanesa Osmani. “Prevalence of symptoms and attitudes towards
menopause in midlife female population in Albania”. International Journal of
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WEBSITES:-
 www,Menopause.org
 www.healthorchid.com
 www.pubmedcentral.nih.gov
 www.boimed central.com
 www.hglo.com
 www.menopause-metamorphosis.com
 www.health.indiatimes.com