A STUDY TO ASSESS THE EFFECTIVENESS OF SOYA MILK IN REDUCING

MENOPAUSAL SYMPTOMS AMONG MENOPAUSAL WOMEN

IN SELECTED RURAL AREAS,
HYDERABAD,TELANGANA”.

BY
NOOLU TANMAI
Dissertation submitted to the
Dr. KNR UNIVERSITY OF HEALTH SCIENCES,WARANGAL
TELANGANA
In partial fulfillment of the requirement for the degree of
MASTER OF SCIENCE IN NURSING
IN
OBSTETRICS & GYNECOLOGICAL NURSING
Under the guidance of
Mrs. M. SHAHNAZ, M.Sc (N), MDHM
Principal
HOD of Obstetrics &Gynecological Nursing

OWAISI COLLEGE OF NURSING, HYDERABAD, TELANGANA

2019
 CERTIFICATE BY THE PRINCIPAL

Certified that this is the bonafide work of MRS NOOLU TANMAI at Owaisi College of
Nursing, Hyderabad, submitted in partial fulfillment of the requirement for the Degree of
MASTER OF SCIENCE IN NURSING from DR K.N.R university of health sciences
Warangal T.S..

Place :
Date : Mrs. M.SHAHNAZ,
M.S.c (N), MDHM
HODof Obstetrics and
Gynecological Nursing,
Owaisi College of Nursing,
Hyderabad, T.S.
 CERTIFICATE BY THE GUIDE

Certified that this is the dissertation entitled “Effectiveness of soya milk in reducing
menopausal symptoms among menopausal women in selected rural areas, Hyderabad,
Telangana. “is a bonafide research work done by Mrs. Noolu Tanmai in partial fulfillment
of requirement for the Degree of Master of Science in Nursing.

Place: Hyderabad Signature of the guide

Date: Mrs. M.SHAHNAZ,
M.S.c (N), MDHM
principal,
HODof Obstetrics and
Gynecological Nursing,
Owaisi College of Nursing,
Hyderabad, T.S.
 DECLARATION BY THE CANDIDATE

I hereby declare that this Dissertation entitled “A study to Assess the Effectiveness of soya
milk in reducing menopausal symptoms among menopausal women in selected rural
areas , Hyderabad, Telangana. “is a bonafide and genuine research work carried out by me,
under the guidance of Mrs. M. Shahnaz, Principal, Department of Obstetrics and
Gynecological Nursing, Owaisi college of Nursing, Hyderabad, Telangana.

Regd No

Place: Hyderabad Signature of the candidate

Date: NOOLU TANMAI
 ENDORSEMENT BY THE EXAMINERS

This is to certify that the dissertation entitled, “A study to Assess the Effectiveness of soya
milk in reducing menopausal symptoms among menopausal women in selected rural
areas , Hyderabad, Telangana.”is a bonafide research work done by Mrs. Noolu Tanmai
M.Sc (N) II year, under the guidance of Mrs. M.Shahnaz, Principal,Head of the
Department of Obstetrics and Gynecological Nursing, Owaisi College of Nursing,
Hyderabad, Telangana.

INTERNAL EXAMINER: EXTERNAL EXAMINER:

Name : Name :

Signature : Signature :
 ACKNOWLEDGEMENT
I raise my heart with profound gratitude to Lord Almighty for guidance ,strength and wisdom
which was bestowed upon me at every step throughout this endeavour and for the successful
completion of this study.

I am immensely thankful to Management of Owaisi College of Nursing Hyderabad,

for giving me an opportunity to undertake the post graduation course in this esteemed
institution and to conduct the study.
My sincere and whole heartfelt gratitude is expressed to respected principal and
guide Mrs.Shahnaz . M.Sc. (N), professor, Head of Department of Obstetrics and
Gynaecological Nursing, for her valuable guidance and enlightening ideas and unceasing
motivation, willingness to help at all times with unlimited patience, encouragement, and
empathy for the successful completion of my research work.

My Heartfelt Thanks to Mrs. Kaurna kumari M.S.C (N), associate professor obstetrics
and gynaecological nursing, for her valuable suggestions, timely help, constant guidance,
and her willingness to help all the time.

I extent my deep sense of gratitude to all faculty members of owaisi college of

nursing Hyderabad, for their constant guidance, valuable suggestions and helpful support
during the study.
I would like to extend my gratitude to all experts, who have validated the
questionnaire for their judgment, constructive criticism and enlightening suggestions.

I extend my sincere thanks to Mr. D Krishna Kishore, M.Sc., Assistant Professorof Bio-
Statistics, Osmania university , for his guidance and suggestions in validating the tool
and statistical analysis of data.

I extend my sincere thanks to Dr. fawad m shah Medical Officer Rural Health center ,
Hassan agar Hyderabad , for their co-operation and support
With folded hands i extended my deep sense of gratitude to my parents Mr. Noolu uday
bhasker rao, Mrs. Noolu Nirmala whose loving arms, care comforts support, guidance,
unending reward less love, pampers in each and every step of my life, which has brought me
to this stage.

My deepest gratitude goes to my husband Mr. P. Srikanth and My family members

for their unflagging love and support, throughout my life. I will be grateful for having them.

It is my privilege to salute my esteemed institution owaisi college, of nursing for grooming

me into post graduate nurse.

I wish to extend my thanks to All My Friends and Classmates for their help and continuous
support.
 ABSTRACT

BACKGROUND OF THE STUDY

Menopause may be viewed as transition from middle age to old age. Although menopause is
a universal experience for women. There is no fixed pattern and no chains of events, the onset
and end are unpredictable. The most common and Noticeable symptoms of menopause is hot
flush and sweating are the hall mark of the Cliecmteric in 85% of women other symptoms
include severe sweating head ache disturbed sleep Angina pain, lack of concentration,
phobia, dry vagina loss of libido urinary symptoms like Dysuria,. stress Incontinence,
recurrent infection etc. The conventional treatment for menopause is Hormone replacement
therapy. While hormone therapy (HT) can effectively address many of the symptoms of
menopause, women who are unwilling or unable to take hormonal therapy need nonhormonal
alternatives for treatment of menopausal symptoms. When symptoms appear in menopause,
many women look to the natural world for help .Soya is considered as “super food” for
relieving menopausal symptoms because soya bean contains hormones phytoestrogen (phyto
means plant) that mimics the action of natural female oestrogen

.
The aim of the study is to assess the effectiveness of milk consumption in reducing
menopausal symptoms among menopausal women.
Hence the investigator taken up a study on “A study to assess the effectiveness of soya milk
in reducing menopausal symptoms among menopausal women in selected rural areas,
Hyderabad, TS.”

As partial fulfillment of the requirement for the degree of masters of sciences in Nursing at
Owaisi College of Nursing, affiliated to KNR University of the Health Sciences, during the
year 2017-2019.
OBJECTIVES O F THE STUDY

 To assess the pre test level of menopausal symptoms among menopausal women in
experimental and control group.
 To administer soya milk to the menopausal women in the experimental group.
 To assess the effectiveness of soya milk in reducing menopausal symptoms among
experimental group
  To find out the association between pretest and posttest level of symptoms with selected
demographic variable

Methodology
The conceptual framework of the study was developed on the basis of Kenny’s open
system model. The study variable was administration of Soya milk and Hypotheses were
formulated. The research approach was quantitave approach, experimental study pretest post
test control group design was used to achieve the objectives of the study. the data collection
was done for the period of three weeks. The ethical clearance was obtained from the research
committee of the owaisi college of Nursing, Hyderabad and the formal permission to conduct
the study was obtained from Medical officer, primary health centre of Hassan agar,
Hyderabad
The investigator has used non probability convenient sampling technique to select the samples from
the total population. 60 menopausal women who satisfied the inclusion and exclusion criteria were
assigned in 30 in experimental group and 30 in control group. pretest was collected by using green
clicemetric menopausal rating scale for both the groups. Experimental groups received intervention
of 100ml soya milk twice daily for three weeks. no intervention was given to control group .post test
was conducted by the researcher for both groups by using same menopausal rating scale on first day
of fourth week.

Results

 The pre assessment mean value of menopausal symptom score for experimental group
is 69.33 and in control group is 70. 3000.
 The post assessment mean value of menopausal score for experimental
group 41.7667 and in control group score 66.70 respectively.
 The level of menopausal symptoms in experimental group is 86.7 % had moderate
level of symptoms and 13.3% are having severe symptoms.
 The level of pre assessment menopausal symptoms score in control group
was 83.3% of women had mild menopausal symptoms and 16.7% had
moderate symptoms.
 The level of post assessment menopausal symptom in experimental group,
73.3% of the women had mild menopausal symptom and 26.7% had moderate
menopausal symptoms.
  The level of post assessment menopausal symptom in control group was
90.0% of the women had moderate menopausal symptoms and 10.0% had severe
symptoms

 The obtained t value 21.206 is very much higher than the tabulated value 2.05 at
degree of freedom of 29 and with 0,05 level of significance This shows that there is
highly significant difference between the symptom levels of pre test and post test
which indicates the administration of soya milk in reducing menopausal symptoms
was effective

Conclusion:
The findings of the study showed that the effectiveness of soya milk upon menopausal
symptoms in experimental group were better than those in the control group. Hence it could
be concluded that there is an association between the menopausal symptoms and
administration of soya milk. Soya milk is easy to administer and a natural supplement for
menopausal women, which can also be prepared at home and consumed.
 TABLE OF CONTENTS

CHAPTER CONTENT
NO
I INTRODUCTION 1-2
 Need for the study 3-4
 Conceptual frame work 5-6
 Problem Statement -8-
 Objectives -8-
 Operational Definitions -8-
 Hypothesis -9-
 Assumptions -9-
 limitations -9-

II REVIEW OF LITERATURE
 Literature related to prevalence of menopausal -11-
symptoms.
-12-
 Literature related to incidence of management of
menopausal symptoms
12-13
 Literature related to effect of soya foods in reducing
menopausal symptoms. 13-14

RESEARCH METHODOLOGY
14-16
III  Research Approach
 Research Design 16-17
 Description of Variables
 Settings
 Population -19-
 Sample and Sampling techniques -19-
 Criteria for Sample Selection -22-
 Method of Data Collection -22-
  Development and Description of Tool -23-
 Validity of the Tool -23-
 Reliability of the Tool 23-24
 Pilot Study -24-
 Data collection procedure -24-
 Plan for Data Analysis -26-
 Epilogue -26-
-26-
ANALYSIS AND INTERPRETATION
-27-
IV  Sample Characteristics
27-28
 Mean and Standard Deviation of menopausal
-28-
symptoms with pretest and post test
 Chi-Square value association between menopausal
30-70
symptoms of women with selected Demographic
Variables
 Comparison of pre-test and post-test menopausal
symptoms

EPILOGUE FINDINGS, CONCLUSION,

V DISCUSSION, IMPLICATIONS, LIMITATIONS &
RECOMMENDATIONS
 Epilogue findings
72-75
 Conclusion
-75-
 Discussion
-75-
 Implications
76-78
 Recommendations
-78-
 Limitations

VI BIBLIOGRAPHY
79--
VII ANNEXURES
 List of tables

TABLE TITLE PAGE NO

NO

Frequency and percentage distribution of menopausal women

according to Age

II Frequency and percentage distribution of menopausal women

according to religion

III Frequency and percentage distribution of menopausal women

according to educational status

IV Frequency and percentage distribution of menopausal women

according to age at menarche

V Frequency and percentage distribution of menopausal women

according to age at menopause

VI Frequency and percentage distribution of menopausal women

according to age at marriage

VII Frequency and percentage distribution of menopausal women

according to marital status
VIII Frequency and percentage distribution of menopausal women
according to no of children

IX Frequency and percentage distribution of menopausal women

according to family income

X Frequency and percentage distribution of menopausal women

according to marital status

XI Frequency and percentage distribution of menopausal women

according to type of family

XII Frequency and percentage distribution of menopausal women

according to dietary habits

XIII Frequency and percentage distribution of menopausal women

according to reason of menopause

XIV Frequency and percentage distribution of menopausal women

according to history of hysterectomy

XV Pre test and post test frequency and percentage distribution of

menopausal symptoms

XVI comparison of mean and standard deviation of menopausal

symptoms among women before and after intervention in control
and experimental group
XVII Chi square association of pre test level of symptoms with selected
demographic variables in experimental group

XVIII

Chi square association of pre test level of symptoms with selected

demographic variables in control group

XIX Chi square association of post test level of symptoms with

selected demographic variables in experimental grou

XX Chi square association of post test level of symptoms with

selected demographic variables in control group

Association of pre test and post test level of symptoms with

demographic variable age in experimental and control group

Association of pre test and post test level of symptoms with

demographic variable religion in experimental and control group

Association of pre test and post test level of symptoms with

demographic variable educational status in experimental and
control group

Association of pre test and post test level of symptoms with

demographic variable age at menarche in experimental and
control group

Association of pre test and post test level of symptoms with

demographic variable age at menopause in experimental and
control group

Association of pre test and post test level of symptoms with

demographic variable marital status in experimental and
control group

Association of pre test and post test level of symptoms with

demographic variable age at marriage in experimental and
control group

Association of pre test and post test level of symptoms with

demographic variable no of children in experimental and
control group

Association of pre test and post test level of symptoms with

demographic variable family income in experimental and
control group

Association of pre test and post test level of symptoms with

demographic variable occupation in experimental and control
group
Association of pre test and post test level of symptoms with
demographic variable type of family in experimental and
control group

Association of pre test and post test level of symptoms with

demographic variable dietary habits in experimental and
control group

Association of pre test and post test level of symptoms with

demographic variable reason for menopause in experimental
and control group

Association of pre test and post test level of symptoms with

demographic variable history of hysterectomy in experimental
and control group
Conceptual framework based on Kenny’s open system
model.

Schematic Representation of the Research design

Percentage distribution of occupation of women with

Menopausal symptoms.

Percentage distribution of type of family of women with

Menopausal symptoms

Percentage distribution of dietary pattern of women with

Menopausal symptoms
Percentage distribution of marital status of women with
Menopausal symptoms

Frequency and Percentage distribution of severity of

Menopausal symptoms in control and Experimental group
before soya milk consumption

Frequency and Percentage distribution of severity of

Menopausal symptoms in control and Experimental group
after soya milk consumption
Letter seeking experts opinion for Content Validity

List of experts

Certificate of Content Validity of the tool

Letter seeking permission for conducting Pilot study

Letter seeking permission for conducting Main study

Certificate for English Editing

Certificate for Hindi editing

Certificate for Telugu editing

Certificate from Statistician

Research Participants Consent Form

Tool in English

Tool in Hindi

Tool in telugu

Data code sheet

Master code sheet

 Chapter I
INTRODUCTION

INTRODUCTION

Being a women is very special. Nature takes her through a series of transition in their life
starting from birth to death Changes in health illness of individuals create a process of
transition. The women experiences the process of transition mainly in their reproductive age,
the years of life between menarche and menopause roughly from 12to 49.
 Adolescence is a transition period from child hood to adult hood and is characterized by
spurt in physical endocrinal and emotional and mental growth. one of the major
physiological change is onset of menarche, the first menstrual period. It usually starts
between the age of 11to14years of age. The onset of menstruation follows a cycle for every
28 days and the duration lasts from 3-5days. In these days may feel tense, gain weight ,feel
bloated ,pain in the abdomen ,back or legs that lasts for few hours to days.

Menopause may be viewed as transition from middle age to old age. Although menopause is
a universal experience for women. There is no fixed pattern and no chains of events, the onset
and end are unpredictable. .

The word menopause is derived from a Greek word ‘men’ which means ‘month’ and
‘Pause’s’ which means ‘cessation (Leon 1990). Menopause means permanent cessation of
menstruation at the end of reproductive life due to loss of ovarian follicular inactivity. it is the
point of time when last and final menstruation occurs .

The age of menopause ranges between 45-55 years’ average being 50 years. In developed
world, life expectancy for women since 1990 has increased from 51 to 81 years the life
expectancy of the population around the world the life expectancy of the population around
the world is estimated to be 75- 80 years. There are about 37.5 million women reducing or
currently at menopause. There is average of menopause is 5 years, however their wide age
distribution ranges from 45- 58 years, around the world, studies have shown that about 75%
of women experiencing menopause will hot flushes. In India already crossed the billion mark
with 71millon people over 60 years of age and the number of menopausal women about 43
million. Average age of menopause 47.5 years in Indian women with an average life
expectancy of 71 years.

The most common and Noticeable symptoms of menopause is hot flush and sweating are the
hall mark of the Cliecmteric in 85% of women other symptoms include severe sweating head
ache disturbed sleep ANgina pain, lack of concentration, phobia, dry vagina loss of libido
urinary symptoms like Dysuria,. stress Incontinence, recurrent infection etc.
 Soya bean is a species of legume native to east Asia widely grown for its edible bean,
which has numerous uses. Soya bean is a primary high source of protein fats carbohydrates
vitamins and minerals it contains 43gms of protein per 100gm which is the highest among
pulses soya bean also contain a family of chemical compounds called Phyto estrogens have
chemical structure, similar to the estrogen produced in the body and it is believed that eating
foods rich in Pyhto estrogens can help alleviate low estrogen production. I so flavones are the
active ingredient in soy bean which have estrogen like properties eating 10gm of soya protein
provides 200mg of soy Iso flavones. A target range 80-160 mg of Is flavones per day is
needed for menopausal symptoms.

Researchers have founded that women in Japan and the other Asian countries who eat
35 to 45 milligrams of plant estrogen a day in the form of tofu soya milk and other soy
products seems to experience fewer hot flash, the study revealed by the department of family
medicine and community health at university school of medicine in Boston.

NEED FOR THE STUDY

Menopause is a normal stage of life experienced by women all over the world. Menopause
means permanent cessation of menstruation due to the loss of ovarian follicular the clinical
diagnosis is confirmed following stoppage of menstruation for twelve consecutive months
without any other pathology

The stages of menopause have been classified in to premenopausal post-menopausal and peri
menopausal period. Premenopausal is the part of the Clicemetric before menopause, when
the menstrual cycle is likely to irregular. Post menopause is the phase of life that comes after
the menopause

The age of menopause ranges between 45-55yearsaverage being 50 years. The median age at
menopause in Europe ranges from 50.1 t0 52.8 in north America from 50.5 to 5i.4 in Latin
America the prevalence of such symptoms varies widely from geographical area selection of
criteria and method of system of identification.

Menopause is said to be universal reproductive phenomenon which can be perceived as

unpleasant this period is generally associated with un avoidable manifestation of aging
process in women. Menopause may be smooth of Cessation of menstrual flow while others
face one or more of menstrual symptoms like

Vasomotor symptoms: hot flashes, night sweating, heart discomforts

Joint and muscular discomforts, dry and itchy skin, Palpitations interrupted sleeping
problems

Psychological symptoms: depression irritability, lack of concentration memory Disorder

insomnia, mood swings, In ability to concentrate

Urogenital symptoms: vaginal dryness, dyspareunia, atrophic vaginitis genital and urinary
tract infections

Although menopause is a natural process almost all women during and after menopause
suffer from typical symptoms with approximately 40% seeking a medical help for various
symptoms vasomotor urogenital musculoskeletal symptoms. Recent studies failed to show
the protective effect of hormonal therapy in reducing the risk of coronary artery disease and
have revealed an increased risk of heart disease, stroke and invasive breast cancer. Certain
foods which are in estrogen supplements helps in reducing the menopausal symptoms mainly
hot flashes.

The dietary supplement like soya beans, wild yam and vitamin e like green leafy vegetables
nuts and almonds as well as plenty of mineral and fiber rich foods, like whole grains and
fresh vegetables and water helps in reducing menopausal symptoms like, hot flushes soya
contains special chemicals known as phyto chemicals that seems to fight against illness and
diseases. Phyto estrogen, a special kind of Phyto chemical appear Ii high quantities in soya
products. These Phyto estrogens are a weaker form of our own natural estrogen, and seem to
help combat the symptoms of menopause.

A recent study under taken in the areas urban field areas of Osmania medical college of
Hyderabad on postmenopausal women. the aim of the study is to determine the prevalence of
various menopause related health problems and their relationship with socio demographic
biological and life style pattern. The materials methods were 430 postmenopausal women
were interviewed using pre designed and biologic and lifestyle variables. Menopause related
health problems were enumerated using modified menopause rating scale. The prevalence of
any of the somatic problems wer77%, any of the psychological problems were
37.4%urogenital problems were 32.1%. There was statistically significant association of age
parity, duration of menopause. The study concluded menopausal health problems need to be
addressed as it poses a major public health problem and are also amenable for preventive
strategies to reduce menopausal symptoms.

Many studies have recommended the use of hormone replacement therapy for the treatment
of menopausal symptoms. RECENT STUDIES have revealed that hormone replacement therapy
increased the risk of stroke, breast cancer coronary artery disease. so there is need of natural
approaches to relieve symptoms such as use of herbs, lifestyle modifications and dietary
changes. Some of studies recommended use of soya in reducing menopausal symptoms

A pilot study has been conducted among post menopausal women in reducing menopausal
symptoms residing in selected rural community village Bangalore. The aim of the study to
evaluate the effects of soya milk on menopausal symptoms. An evaluative approach with true
experimental pretest post test control group design with random assignment was used. They
were two groups in the study experimental and control group. data was collected using
demographic proforma, menopause rating scale and menopause specific quality of life
questionnaire. Experimental group was given daily supplements of 200 ml of homemade soya
milk for a period of six weeks. control group participants did not receive any intervention.
Data collected was analyzed and study results revealed that the experimental group which
received soya milk showed significant difference in the reduction in MRS score (p<0.001) and
MENQOL scores (p<0.0001)

The researcher has observed that menopausal symptoms affect the quality of life of
menopausal women and felt that there is an effect of soya milk consumption among
menopausal symptoms. considering the above factors, there is a need of study soya milk
consumption among menopausal women.

Conceptual Framework
Conceptual framework deals with abstractions (concepts) that are assembled by virtue of their
relevance to a common theme. Conceptualization is a process of forming ideas which is utilized and
forms conceptual frame for development of research design. It helps the researcher by giving direction
to go about entire research process.

Conceptual frame work facilitates communication and provides for a systematic approach to nursing
research, education, administration & practice.

KENNY’S OPEN SYSTEM MODEL

The study is based on KENNY’S OPEN SYSTEM MODEL. All the living systems are open, in that
there is continuous exchange of matter, energy information.

Open system has changing degree of interaction with the environment from which the System
receives input and gives back out put in the form of matter, energy and information. For survival, all
systems of nursing receive varying type and amount of matter, energy and information.

The main concept of open system model is: Input, Through Put, Output and Feedback

Input: it refers to matter, energy and information that are processed.

Output: it refers to After processing the input the system returns to output (matter, energy and
information to the environment in an altered state).

Feedback: it refers to environment response to the systems output used by the system in adjustment
correction and accommodation to the interaction with the environment.

The study is under taken to determine the effect of soya milk consumption on menopausal symptoms

Pre test conducted to assess the symptoms of menopause like hot flushes, sleeplessness, night sweats
etc.

Input – Providing soya milk for reducing the menopausal symptoms.

Through put – Through put is the process of soya milk consumption on menopausal symptom among
women who consumed soya bean.

Post test – Again assessing the symptoms of menopause.

Output – Refers to effect of soya milk consumption on menopausal symptoms by post test
 INPUT THROUGHPUT OUTPUT

Control group
Assessing the Menopausal
No intervention
menopausal not reduced
P
symptoms
p o
among
r s
menopausal
e t
women
t Process of t
e consumption of e Menopausal
s EXPERIMENTAL s
soya milk symptoms
t GROUP t reduced
Administration of
200ml of soya milk
twice daily for 3
weeks

FEEDBACK
PROBLEM STATEMENT

A STUDY TO ASSESS THE EFFECTIVENESS OF SOYA MILK IN REDUCING

MENOPAUSAL SYMPTOMS AMONG MENOPAUSAL WOMEN IN SELECTED

AREAS AT HYDERABAD T.S.

OBJECTIVES OF THE STUDY

 To assess the pre test level of menopausal symptoms among menopausal women in
experimental and control group.
 To administer soya milk to the menopausal women in the experimental group.
 To assess the effectiveness of soya milk in reducing menopausal symptoms among
experimental and control group
 To find out the association between pretest and post test level of symptoms with selected
demographic variables

OPERATINAL DEFINITIONS

ASSESS: It refers to measuring the level of symptoms among menopausal women

EFFECTIVENES: It refers to the level of reduction of menopausal symptoms after the oral
consumption of soya milk among menopausal women as measured by using modified menopause
rating scale

SOYA MILK; It refers to the solution which is prepared which is prepared from soya bean soaked for
12- 14 hours, blending, straining the milk, and then boiling the milk at 100ocand administered a twice
day per three weeks

MENOPAUSAL SYMPTOMS; IT refers to rating the severity symptoms, night sweats, hot flushes,
sleep disturbances fatigue vaginal dryness, depression, headache, irritability, muscle joint pain, breast
tenderness, nervousness, palpitations and dizziness / fainting

MENOPAUSal women; In this study refers to women who have attained menopause
ASSUMPTIONS

 Menopausal women may experience menopausal symptoms

 Soya milk consumption may reduce menopausal symptoms
 Reduction of menopausal symptoms may improve quality of life

DELIMITATIONS

 The study is limited for 6 weeks

 The study is limited to 60 samples
 The study is limited to menopausal women at selected rural areas Hyderabad.

HYPOTHESIS

H1: THERE will be significant difference between the level of menopausal symptoms and after soya
milk consumption among experimental group.

H2: THERE is a significant difference between the post level of menopausal symptoms among
experimental and control group.

H3: There is a significant association between the pre test level of menopausal symptoms and selected
demographic variables among experimental and control groups
CHAPTER –II
REVIEW
OF
LITERATURE
REVIEW OF LITERATURE

The review of literature has been arranged in the following section

1. Literature related to prevalence of menopausal symptoms

2. Literature related to management of menopausal symptoms
3. Literature related to effect of soya foods on menopausal symptoms

LITERATURE RELATED TO PREVALENCE OF MENOPAUSAL SYMPTOMS

NABAURN KARMKAR ET AL 2017; A descriptive cross sectional study 100 peri

menopausal women (40-60 years) in Dearah village of west Bengal, India during February – march
2014 the menopause specific quality of life questionnaire the study findings were occurrence of
vasomotor symptoms was average with 60%of them reporting hot flashes and 47% sweating. Most
prevalent psychosocial symptoms reported were feeling of anxiety and nervousness (94%) and over
all depression (88%). Physical symptoms were quite varying in occurrence with some symptoms such
as feeling tired 40% reported of avoiding intimacy with a partner and 26% complained vaginal
dryness. The study concluded most of prevalent symptoms are psycho social symptoms

AL DAUGHTER 9(2015); A cross sectional study was conducted on menopausal women. The study
aimed to assessment of women for symptoms. The samples were women aged 45-60 years. the
methods used randomized interview. The menopause rating scale assessed the prevalence and severity
of eleven menopausal symptoms. The study concluded that the most prevalent symptoms were joint
and muscle pain (80.7) physical and mental exhaustion (64.7%)and hot flushes and sweating (47.1)
the mean overall quality of life score was higher in peri menopausal women compared to other
groups.

BRONS LAW 2014; a study was conducted to assess the life style of women during menopause.
The study aims to find the problems occur during menopause and solution to solve the problems. The
material and methods used were diagnostic survey and non standardized questionnaire developed by
authors. The sample were 100 women among the age group 40-60 years. The study concluded that
among menopausal women one can observe hot flashes headaches insomnia irritability. To avoid this
problems during menopause the women can try to assume a proper diet, rest, physical activity
LEENA SOUZA ANITHA C RAO (2011), A study conducted on health problems of menopausal
women in Karnataka. The objective of the study was to determine the presence of health problems
among the menopausal women in selected in selected areas of Udupi, Karnataka, by using a structured
interview the study revealed that majority of menopausal women in urban area joint pains hot flashes
(68%) and psychological problems like forget fullness (25%) in ability to concentrate (27%). the
study concluded that vasomotor symptoms are most prevalent among menopausal women

AARON R MULIYALI (2009); A cross sectional study was conducted on peri menopausal
and post-menopausal women residing in rural areas of south India. The aim of the study is to
determine perceptions regarding menopause and prevalence of menopausal symptoms and association
of family environmental factors with menopausal symptoms. The sample used were 100
postmenopausal and 100 peri menopausal women. The methods used were structured questionnaire.
The study findings revealed that 69% of complained of diminishing abilities after menopause. 23%
felt that sexual life ends with the onset of menopause, 16%reported that their husbands had become
disinterested in them after menopause and 11% were apprehensive about loss of felinity. A higher
proportion of menopausal symptoms reported hot flushes, night sweats, urge incontinence and other
somatic symptoms. The study concluded that there was significant association between multiple
symptoms, vasomotor symptoms, urge incontinence, loss of sexual desire and menopause. Therefore,
it is important to determine the feasibility and impact of alternative therapies in preventive health care
LITERATURE RELATED TO MANAGEMENT OF MENOPAUSAL

SYMPTOMS

JAMES W CARSON. (2009). A study was conducted. the aim of the study is to assess
the effectiveness of yoga intervention on menopausal symptoms in early-stage breast cancer
survivors. Thirty-seven disease-free women experiencing hot flashes underwent the 8-week Yoga
Program (breathing exercises, meditation and gentle yoga poses). The daily report of hot flashes was
gathered at baseline and 3 months after treatment through an interactive telephone system. The results
stated that women who underwent the yoga program shown greater improvements in reduction of hot
flash, joint paint, fatigue and sleep disturbance in early-stage breast cancer survivors.

DR R CHATTA (2007); A study was conducted a randomized control study. The aim of the
study is to investigate whether yoga would help women with physical and cognitive symptoms of
menopause. The methods used were randomized control group. They randomly assigned 120
menopausal women 40-55 years old in New York to yoga practice or simple stretching and
strengthening exercise five days a week for eight weeks. Women in the yoga group also listened to
lectures on using yoga to manage stress and other yoga related topics while those in the control group
heard lectures on diet, exercise, the physiology of menopause and stress. After eight weeks’ women in
the yoga group showed a significant reduction in hot flashes, night sweats and sleep disturbances
while the women in the control group do not. The study concluded Both groups showed
improvements in a test of attention and concentration although improvement in the yoga group was
significantly greater.
REVIEW OF LITERATURE RELATED TO EFFECT OF SOYABEAN CONSUMPTION ON
MENOPAUSAL SYMPTOMS

PADMA PRIYA (2017) A pilot study was done. The aim of the study to assess the feasibility and to
evaluate the effects of soya milk on menopausal symptoms and quality life health post menopausal
women residing in rural area. The methods were 2 An evaluative approach with true experimental pre
test post test control group (n=25) and experimental group (n=25). Data was collected using
demographic proforma, menopausal rating scale and menopause specific quality of life questionnaire.
Experimental group was given daily supplements of 200 ml of homemade soya milk for a period of
six weeks. control group participants did not receive any intervention. Data collected was analyzed
based on the objectives and hypothesis of the study. study reveals that experimental group which
received soya milk showed significant reduction of menopause symptoms (p,0.001). The study
concluded there is an effectiveness of soya milk where there is significant reduction of menopausal
symptoms.

REENA WILLIAM FRANK (2015) A study was conducted. The aim of the study to assess the
effectiveness of soya bean consumption in reducing menopausal symptoms. The methods were
nonequivalent control group design was performed in 60 menopausal women selected using
convenient sampling. Data was collected using baseline proforma and menopausal rating scale. The
pretest menopausal symptoms were assessed in both groups. Soya bean consumption was given for 21
days for experimental group and post test was done after 21 days in both groups. In pre test 83.3% oh
had mild symptoms and remaining had moderate menopausal symptoms in both groups. In the post
90% of women had mild symptoms and 10%had no menopausal symptoms were assessed in both
groups there was significant difference between the pretest and post test score of menopausal
symptoms in experimental and control group. Hence the study concluded that there is an effect of
soya bean consumption significant reduction in menopausal symptoms.

ROBINSON ENOW (2013); A prospective multicenter study involved 140 menopausal

women with Clicemetric symptoms (minimum of hot flashes and/or moderate to severe night sweats
per day). The aim of the study is to determine the effect of soya iso flavones in reducing menopausal
symptoms. These patients received 40 mg supplement of soy iso flavone contained in an Inclined
capsule the dose was increased to two capsules per day when there are more than five hot flashes or
when the women could not sleep because of night sweats. The patients were followed up over 4-
month period and the data was analyzed. The results concluded the effectiveness of pharmaceutical
grade of is flavone in reducing vasomotor symptoms in menopausal symptoms.

HANA CHI P GOLKO (2008); A study was conducted. The aim of the study is to assess the
effect of soy phytoestrogens and exercise on lipid profiles and menopause symptoms. The sample
were 37 menopausal women in Iran.37 menopausal women randomly assigned to soymilk (n=15),
exercise and soymilk (n=12) and control group (n=10) which were provided daily for 3 months. The
study findings revealed that exercise and soy supplementation decreased of hot flushes by 83%,
nervousness by 30%, vaginal symptoms by 50% and sexual symptoms by 45%. The study concluded
that the consumption of soymilk and exercise for three months helps for the reduction of menopausal
symptoms.

PA RICHER HANACHI (2007); A recent study was conducted on 37post menopausal

women were randomly assigned to soya milk(n=15), exercise +soya milk (n=100 the daily milk
consisted of 12.5 g of protein with genistien (13mg) and diadzen (4.13mg). Menopausal symptoms
were measured using kupper man index, a standard measure of clicemetric symptoms that has been
validated in menopausal women at baseline and 3 months of daily consumption of soya milk. total
antioxidant status of serum was measured using ferric reducing ability of plasma assay. Result soy
milk supplementation, soya milk and moderate exercise significantly (p<0.05) improved tac level and
tlp activity. Vasomotor symptoms were improved (p<0.05) in the soy milk consumption plus
moderate exercise and soya milk group as compared with control group, this data concluded that
consumption of soya milk for 3 months enhances antioxidant and t a lp status and reduces menopausal
symptoms in post menopausal women

CHENG G WILZECK (2007); A double-blind prospective study was conducted. The aim

of the study is to determine the effect of soya I so flavone treatment for acute menopausal symptoms.
The sample were sixty healthy postmenopausal women who were randomly assigned by computer
into two groups to receive 60 mg soya iso flavones or placebo daily for 3 months. Climacteric
symptoms were recorded before and after treatment, the study results revealed that hot flushes and
night sweats were reduced by 57% and 43%, respectively. The study concluded that soya iso flavones
could be used to relieve acute menopausal symptoms.
 SHETTY J GUPTA (2006) A prospective study was conducted the aim of the
study to evaluate the efficacy of soy iso flavone on menopausal symptoms as an alternative to
Hormone Replacement Therapy. The sample were 46 menopausal women in Karnataka. The samples
were 46 menopausal women requesting treatment for climacteric symptoms and no history of
uncontrolled hypertension. The 12-month program me consisted of supplementation of 75 mg soy is
flavone daily and the Menopausal Kupperman Index was used to assess change in menopausal
symptoms. The study results revealed that menopausal symptoms were significantly lower (P<.001)
than the pre treatment period (P = 0.02). The study concluded that soy is flavone treatment was safe
and effective alternative therapy for menopausal symptoms.
CHAPTER –III
METHODOLOGY
RESEARCH METHODOLOGY
According to Sharma methodology of research study is defined as the way the data are gathered in
order to answer the question to analyze the research problem. The research methodology involves a
systemic procedure by which the researcher starts from initial identification of the problem to its
conclusion.

The present study conducted to assess the effectiveness of soya milk upon menopausal symptoms
among menopausal women. The chapter deals in brief description of different steps undertaken by the
researcher for the study. It includes research design research approach setting of the study sampling
technique, sampling criteria,

Research Approach

According to polit (2008) the research approach refers to a general set of orderly disciplined
procedures used to acquire dependable and useful information.

An experimental research is the most significant part of any research. The appropriate choice of the
research approach depends upon the purpose of the research study which is under taken.

To accomplish the objective of this study an Experimental approach is considered most appropriate
since the researcher wanted to assess the effectiveness of soya milk upon menopausal symptoms
among menopausal women.

Research Design

According to polit (2008) research design is the overall plan for addressing a research question,
including specification for enhancing the study integrity.

The design adopted for this study will be pre test post test control group design. The design uses a
control group in order to determine whether the treatment or intervention will make difference.

Group Pre test Intervention Post test

Experimental er O1 X O2

Control cr 01 02
key

O1 _ Pre assessment of menopausal symptoms

O2 – Post assessment of menopausal symptoms

X _ Intervention (administration of soya milk)

E _ Experimental group

C _ control group

A quasi experimental research design was adopted for conducting this study. It fulfills the criteria
such as manipulation, control,

In this study pretest, posttest control group design was adopted. The researcher assessed the
prevalence of menopausal symptoms among menopausal women using green clicematric menopausal
rating scale.

Then control and experimental group were selected then manipulated the independent variable that is
soya milk which will administered only to the experimental group. Then the menopausal symptoms
were assessed by rating scale for both groups.
SCHEMATIC REPRENTATION OF THE STUDY

QUANTITATIVE APPROACH

QUASI EXPERIMENTAL

RESEARCH DESIGN
PRE TEST POST TEST CONTROL GROUP DESIGN

TARGET POPULATION
MENOPAUSAL WOMEN

ACESSIBLE POPULATION
MENOPAUSAL WOMEN WITH MENOPAUSAL SYMPTOM HASSAN AGAR

PHASE –I SAMPLING TECHNIQUE

NON PROBABILITY CONVIENENT SAMPLING

PHASE –II DATE COLLETION

60 MENOPAUSAL WOMEN WITH MENOPAUSAL SYMPTOMS

DATA COLLECTIN TOOL

STRUCTURED QUESTIONAIRE AND GREEN CLICEMATRIC RATING SCALE

MENOPAUSAL RATING SCALE

EXPERIMENTAL GROUP -30 CONTROL GROUP-30

PRE ASSESSMENT OF PRE ASSESSMENT OF

MENOPAUSAL SYMPTOMS MENOPAUSAL SYMPTOMS

ADMINSTRATION OF ROUTINE CARE OF SYMPTOMS

SOYAMILK -200ML TWICE
DAILY FOR THREE WEEKS

RE ASSESSMENT OF MENOPAUSAL SYMPTOMS

DATA ANALYSIS AND INTERPRETATION THROUGH INFERENTIAL AND DESCRIPTIVE STASTICS

REPORTING FINDINGS
Research variables:

SHARMA

An abstract concept when defined in term that can be measured is called a variable. Variables are
characteristics that vary among the subject being studied.

POLIT (2008)

Description of variables:

Independent variables:

The independent variable is the variable that stands alone and does not depend on any other. It is the
cause of action.

In this study soya milk administered to menopausal women is the independent variable.

Dependent variable:

Polit (2008).

Dependent variable is the effect of the action of independent variables and cannot exist by itself

The level of menopausal symptoms experienced by menopausal women is the dependent variable in
the study.

Setting of the study

According to Polity (2008) setting refers to physical location and condition in which the data
collection takes place in the study. The study was conducted in Hassan agar Rajendra, nagar.
Hassan agar is in Hyderabad in Telangana state India. It is situated from distance of 1 km from owaisi
college of nursing the rural health center covers the population 30.325 and most spoken language are
Urdu Hindi and Telugu.
POPULATION:

SHARMA

The population is the entire set of individual or object having some common characteristics.

The population for the present study comprised of menopausal Women in selected rural Hyderabad

The target population

SHARMA

It is the group of population that the researcher aims to study and to whom the study finding will be
generalized.

In this study the target population for this study comprises of menopausal women

Accessible population

Is the list of population that researcher finds in in the study area. The accessible population in this
study is menopausal women menopausal symptoms residing in Hassan agar.

SAMPLE:

According to Polit (2008) sample is a subset of a population selection, selected to participate in the
research study

In this study the sample refers to, menopausal women with menopausal symptoms in selected rural
area Hassan agar.

Sample Size:

A sample size of 60 menopausal women between at selected rural area in Hassan agar 30samples will
be assigned for the experimental group and 30 for the control group. .

SAMPLING TECHNIQUE:

(polit 2008).

Sampling technique refers to the process of selecting a portion of the population to represent the entire
population
In the present study non probability convenient sampling technique will be used.

(Sharma)

In this method subjects are selected convenient Accessibility and proximity of the researcher

The researcher will select 60 menopausal women, available and accessible at the time of study.

SAMPLING CRITERIA:

The sample selected was based on the following inclusion and exclusion criteria.

Inclusion Criteria:

 Women who have attained menopause.

 Women who are available at the time of study
 Women who can understand Telugu and Hindi
Exclusion criteria:

 women who have not attained menopause

 women who are not willing to participate in the study

METHODS OF DATA COLLECTION

Data collection is a precise systematic gathering of information, relevant to the research purpose. The
investigator will obtain permission concerned authority. informed consent will be obtained from the
subjects. The study participants will be selected by convenient sampling. The sample will be equally
distributed in experimental and control group. The pretest will be conducted by assessing menopausal
symptoms by green clicematric menopausal rating scale. Soy milk 100ml is administered to them for
three weeks twice daily. The post test will be conducted after three weeks.

Data collection period:

The study will be conducted for the period of four weeks

DEVELOPMENT & DESCRIPTION OF THE TOOLS:
Development of tool:
A structured interview schedule was developed based on the objectives of the study. Various sources
of literature and opinion from the Subject experts are items in the questionnaire. All these helped
ultimately in developing the tool.

Description of the tool:

The instrument used in this study consists of two sections,

SECTION A-Demographic profile: - educational status, religion of menopausal women, it consists

of questions.

SECTION – B green clicematric menopause rating scale

It was developed to measure the frequency of menopausal symptoms. It was developed by Gerald
Greene. It is like 4-1tem Likert type. It consists of 21 items grouped into 3 domains

a) psychological

b) physical

c) vasomotor

PSYCHOLOGICAL

 Feeling tense or nervous

 Difficulty in sleeping
 Excitable
 Attacks of panic, anxiety
 Difficulty in concentrating
 Feeling tired
 Loss of interest in many things
 Feeling unhappy or depressed
 Crying spells
 Irritability
 Disturbing memory lapses
 Sleeping disorder
 Feeling of dread
PHYSICAL

 Feeling dizzy or faint

  Pressure or tightness of abdomen
 Bloating
 Burning tongue
 Changes in finger nail
 Changes in body order
 Increase in allergies
 Itching and crawly skin
 Reduced skin elasticity
 Increased wrinkling
 Gum problems
 Hair loss
 Increased tension in muscles
 Muscle and joint pains
 Electric shock syndrome
 Weight gain

VASOMOTOR

 Hot flushes
 Sweating at night
 Vaginal dryness
 vaginal itching and irritation
 Loss of interest in sex
 Dyspareunia
 Recurrent urinary tract infection

Each symptom is rated to according to the severity using a four-point rating scale.

Scores are assigned as follows

Not at all =o

A little bit =1

Quite a bit= 2

Extremely = 3
VALIDITY OF THE TOOL:

The validity refers to the degree to which an instrument measures what it is supposed to
measure. The content of the tool was validated by one Medical expert, Five Nursing Experts
and one statistical expert. The expert’s suggestions were incorporated and the tool was
finalized and used by the investigator for the main study.

RELIABILITY:

Reliability is the degree of consistence that the instrument or procedure demonstrate. The
reliability of the tool was elicited by using test – retest method. Six menopausal women were
taken as sample and test – retest method was done. The reliability of the tool is r = 0.79,
which was found reliable for the study.

ETHICAL CONSIDERATION:

The proposal of the study was approved by the experts prior to the pilot study by the
Research and Ethics Committee of Deccan medical college kanchanbagh, Hyderabad

PILOT STUDY

Pilot study is a small scale version or trail run for the major study. Its function is to obtain
information of improving the project or for assessing its feasibility. The principle focus is
assessment of the adequacy of measurement. Pilot study was conducted a rural area
Bhavani nagar Hyderabad. Formal consent was obtained from the participants after
explaining the purpose and nature of the study. The tool was administered to 6 menopausal
women and pretest score were obtained. The soya milk 100ml twice daily is was
administered after the pre-test for Seven days. later post test was conducted with same tool to
the same group of sample. The tool and intervention was found to be reliable and
understandable to the participants.

DATA COLLECTION PROCEDURE

Data collection is a precise systematic gathering of information, relevant to the research

purpose. The main study was conducted at Hassan agar, Hyderabad. The written permission
was obtained from medical officer of PHC after explaining the nature and importance of the
study and duration of data collection. Total 60 women based on what sampling criteria were
selected for study. The purpose of the study was to assess the effectiveness of soya milk in
reducing menopausal symptoms. The procedure was explained confidentiality and consent
was obtained, from the samples The sample were divided equally 30 into experimental group and 30
into control group. Pre- test was conducted for both experimental and control group and then the soya
milk 100ml was administered twice daily was given to experimental group for three weeks. Then post
test was conducted after three weeks with the same tool.

PREPARATION AND ADMINISTRATION OF SOYA Milk

The soya bean (Glycine max) belongs to the legume family. Legumes features phytol . Legumes
features phyto nutrients that lend some unique befits to the women in their menopausal stage. The
soya products are highly rich in iso flavones, the most widely studied class of pyto nutrients. Each
gram of soya bean and traditional soya foods provides approximately 3.5mg of iso flavones.

Purposes

 Soy products are good source of protein and has been consumed by Asian populations
 The effects of soy iso flavones observed on physical and physiological symptoms helps to
reduce hot flashes and night sweats.
50 gm of soya contains:

o Phyto estrogen-20 mg
o Energy-20 mg
o Energy-223 cal
o Carbohydrates-10.45gm
o Fat-9.75gm
o Protein -21.6gm
o Vitamin A-1 moq.
o Vitamin B-0.133mg
o Vitamin c-3mg
o Vitamin k- 2.7mg
o Calcium 120mg
 o Magnesium -140 mg

PROCEDURE FOR PREPARATION OF SOYA MILK

• Soak 5o gm of soya bean in water the previous night.

• The next day morning blends it and extract of 100ml of soya milk soya milk should be taken
by filtering it in cheesecloth.
• The obtained extract must be boiled at 100c
• After the milk is cooled then it s administered

Data entry and data analysis

The data were entered in Excel sheet and completed in two weeks. The data was rechecked and were
analyzed by using SPSS windows. The data were analyzed by using both descriptive and inferential
statistics.

 Organize the data

 Frequency and percentage distribution of the demographic variables.
 Data on menopausal symptoms levels among control and experimental group were analyzed
by t test.
 Association between groups score was analyzed using Pearson chi square
test.

 Difference between groups score was analyzed using student’s independent t-test.
 Difference between pretest and posttest score was analyzed using
Student’s paired-test.
 CHAPTER -IV
DATA ANALYSIS
AND
INTERPRETATION
ANALYSIS AND INTERPRETATION:

Statistical analysis is a method for rendering quantitative information meaningful and

intelligible, without the aid to statistics, the quantitative data collected in the research project
would be little more than a chaotic mass of numbers. Statistical procedures enable the
researcher to reduce, summarize, organize, evaluate, interpret and communicate numeric
information. They also point out that interpretation of statistical findings is essentially a
search for the broader meaning and implications of those findings. The results of the analysis
need to be interpreted with due consideration of the overall aims of the project, its theoretical
frame work, the specific hypothesis being tested, the existing body of related research
knowledge and the limitation of the adopted research method

The data were collected from 60 women with menopausal symptoms with the help of
demographic variable Performa, Rating scale on menopausal symptoms before and after soya
bean consumption to determine the effectiveness of soya milk on menopausal symptoms. The
data was analysed based on objectives and hypothesis of the study. Data analysis was
completed after transferring the collected data into a master coding sheet. The data was
tabulated, analysed and interpreted using descriptive and inferential statistics.

Objectives of the study are

 To assess the pre test level of menopausal symptoms among menopausal women in
experimental and control group.
 To administer soya milk to the menopausal women in the experimental group.
  To assess the effectiveness of soya milk in reducing menopausal symptoms among
experimental and control group
 To find out the association between pre test level of symptoms with selected demographic
variables

Organization of findings
The findings of the study are organized and presented under the following
headings:
The findings of the study are presented into four sections and are as follows:
Section A: Description of samples according to their demographic variables.
Section B: Assess the pre test and post test level menopausal symptoms in experimental
and control group
Section C : Comparison of effectiveness of soya milk on menopausal symptoms in
experimental and control group
Section D: To find out the association between the pre and posttest level of menopausal
symptoms among experimental and control group with their demographic variables.
 SECTION A: DESCRIPTION OF SAMPLES ACCORDING TO THEIR
DEMOGRAPHIC VARIABLES.

TABLE-I
FREQUENCY AND PERCENTAGE DISTRIBUTION OF MENOPAUSAL WOMEN
ACCORDING TO AGE

(N=60)

Age of the Experimental Control group

women
frequency Percentage frequency percentage
35-40years 7 23.3% 3 10%

41-46years 8 26.7% 7 23.3%

6 20.0% 12 40.0%
47-52years
9 30.0% 8 26.7%
52& above

Table 1: Reveals that in regard to age, in experimental group 7(23.3%) of women were
within the age group of 35-40 years, 8(26.7%) were between 41-46 years, 6(20%)were
within46-52 years and 9(30.0%) were within 52 years &above respectively. In control
group3, (10.0%) were with in age group of 35-40 years, 7(23.0%) were within 41-46 years,
12(40.0%) were within 46-52 years and 8 (26.7%) were within 52 years &above
 40.0%
40.0%

35.0%
30.0%
P
30.0% 26.7% 26.7%
E
R 23.3% 23.3%
25.0%
C
20.0%
E
20.0% Experiment
N
T Control
15.0%
A
10.0%
G
10.0%
E

5.0%

0.0%
35-40 years 41-46 years 47-52 years 52 & above
AGE OF THE WOMEN

FIGURE-I
BAR DIAGRAM SHOWING FREQUENCY AND PERCENTAGE DISTRIBUTION
OF WOMEN ACCORDING TO AGE
 TABLE-II

FREQUENCY AND PERCENTAGE DISTRIBUTION OF

MENOPAUSAL WOMEN ACCORDING TO RELIGION
(N=60)

Religion Experimental Control group

frequency Percentage frequency percentage

Hindu 6 20.0% 7 23.3%

Muslim 23 76.7% 23 76.7%

Christian 1 3.3% 0 0

Others 0 0% 0% 0

Table II reveals In experimental group, regarding to religious majority of

them 23(76.7%) are Muslim and 6(20.0%) are Hindu and 1(3.3%) are Christian. In control
group 23(76.0%) are Muslim, and 7(23.3%) are Hindu
.
 80.0% 76.7%76.7%

70.0%

P
60.0%
E
R
50.0%
C
E
40.0% Experiment
N
T Control
30.0% 23.3%
A
20.0%
G
20.0%
E

10.0% 3.3%
0.0% 0.0% 0.0%
0.0%
Hindu Muslim Christian Others
RELIGION

FIGURE -II

BAR DIAGRAM SHOWING PERCENTAGE DISTRIBUTION OF WOMEN

ACCORDING TO RELIGION
 TABLE-III
FREQUENCY AND PERCENTAGE DISTRIBUTION OF MENOPAUSAL WOMEN
ACCORDING TO EDUCATIONAL STATUS IN EXPERIMENTAL AND CONTROL
GROUP

(N=60)

Educational Experimental Control group

status
frequency Percentage frequency percentage
Illiterate 13 43.3% 13 43.3%
primary
education 17 56.7% 16 53.3%
secondary
education 0 0 1 3.3%
graduate &
above 0 0 0 0

Table III Reveals Regarding educational status, majority of women17(56..7%) in

experimental group were primarily educated,13(43.3%) were illiterate and in control
group16(53.3%) were primarily educated 13 were illiterate and 1(3,3%) are secondary
educated
 60.0% 56.7%
53.3%

50.0%
P 43.3%43.3%
E
R 40.0%
C
E
30.0%
N Experiment
T Control
A 20.0%
G
E 10.0%
3.3%
0.0% 0.0% 0.0%
0.0%
Illiterate Primary Secondary Graduate &
education education above
EDUCATIONAL STATUS

FIGURE -III

PERCENTAGE DISTRIBUTION OF MENOPAUSAL WOMEN ACCORDING TO

EDUCATIONAL STATUSIN EXPERIMENTAL AND CONTROL GROUP
 TABLE-IV
FREQUENCY AND PERCENTAGE DISTRIBUTION OF MENOPAUSAL WOMEN
ACCORDING TO AGE AT MENARCHE IN EXPERIMENTAL AND CONTROL
GROUP

(N=60)

Age at Experimental Control group

menarche
frequency Percentage frequency percentage
10-12yrs 17 56.7% 13 56.7%
13-15yrs 13 43.3% 17 43.3%
16-18yrs
0 0 0 0
19& above
0 0 0 0

Table IV : It reveals regarding to age at menarche in experimental group most women are
attained menarche at the age group 10-12years 17(56,7%) and some of the women are
attained menarche 13-15 years 13 ( 43,3%)where as in control group most of the women
attained menarche at the age of 13-15years 17 (56.7%) and some of the women are at age of
10- 12year 13 (43.3%) attained menarche.
 60.0% 56.7% 56.7%

50.0%
P 43.3% 43.3%
E
R 40.0%
C
E
30.0% Experiment
N
T Control
A 20.0%
G
E
10.0%

0.0% 0.0% 0.0% 0.0%

0.0%
10-12 yrs 13-15 yrs 16-18 yrs 19 & above
AGE OF MENARCHE

FIGURE -_IV

BAR DIAGRAM SHOWING PERCENTAGE DISTRIBUTION OF WOMEN

ACCORDING TO AGE OF MENARCHE IN EXPERIMENTAL AND CONTROL
GROUP
 TABLE -V

FREQUENCY AND PERCENTAGE DISTRIBUTION OF MENOPAUSAL WOMEN

ACCORDING TO AGE OF MENOPAUSE IN EXPERIMENTAL AND CONTROL
GROUP

(n=60)

Age of Experimental Control group

menopause
frequency Percentage frequency percentage
35-40yrs 10 33.3% 7 23.3%
41 – 46 yrs 15 50.0% 18 60.0%
47-52yrs
5 16.7% 4 13.3%
52 & above
0 0 1 3.3%

Table –v It reveals regarding to the age at menopause majority of women in the

experimental group15 (50.0%) attained menopause at the age of 41-46 years, some of the
women 10 (33,3%) at the age of 35-40, some of the women 5(16.7%) at the age of 46-52
years attained menopause.in control group majority of women 18 (60,05) attained menopause
at the age of 40 -45 years, some women 7(23.3%) at the age of 35-40 years and 4(13.3%) at
the age of 46-52 years
 60.0%
60.0%

50.0%
50.0%
P
E
R 40.0%
33.3%
C
E
30.0% Experiment
N 23.3%
T Control
A 20.0% 16.7%
G 13.3%
E
10.0%
3.3%
0.0%
0.0%
35-40 years 41-46 years 47-52 years 52 & above
AGE OF MENOPAUSE

FIGURE -_V

BAR DIAGRAM SHOWING PERCENTAGE DISTRIBUTION OF WOMEN

ACCORDING TO AGE OF MENOPAUSE IN EXPERIMENTAL AND CONTROL
GROUP
 TABLE-VI
FREQUENCY AND PERCENTAGE DISTRIBUTION OF MENOPAUSAL WOMEN
ACCORDING TO MARITAL STATUS IN EXPERIMENTAL AND CONTROL
GROUP

(n=60)

Marital Experimental group Control group

status
Frequency Percentage frequency percentage
Married 16 53.3% 16 53.3%
Single 2 6.7% 0 0
Divorced
1 3.3% 1 3.3%
Widow
11 33.3% 13 43.3%

Table VI – Reveals regarding marital statusIn experimental group majority of the women
are 16(53.3%) are married, 11(36.7%) are widow 2 (6.7%) are single 1 (3.3%) are divorced
and in control group majority of women 16 ( 53.3%) are married,13 (43,3%) are widow 1
are divorced.
60.0%
53.3%53.3%

50.0%
43.3%
P
E
40.0% 36.7%
R
C
30.0%
E Experiment
N Control
T
20.0%
A
G
E
10.0% 6.7%
3.3% 3.3%
0.0%
0.0%
Married Single Divorced Widow
MARIATAL STATUS

FIGURE -VI
BAR DIAGRAM SHOWING FREQUENCY AND PERCENTAGE DISTRIBUTION
OF MENOPAUSAL WOMEN ACCORDING TO MARITAL STATUS
INEXPERIMENTAL AND CONTROL GROUP
 TABLE-VII
FREQUENCY AND PERCENTAGE DISTRIBUTION OF MENOPAUSAL WOMEN
ACCORDING TO AGE AT MARRIAGE IN EXPERIMENTAL AND CONTROL
GROUP

( n= 60)

Age at Experimental Control group

marriage
frequency Percentage frequency percentage
18- 20 yrs 25 83.3% 20 66.7%
21-23yrs 5 16.7% 9 33.3%
23-25yrs
0 0 1 3.3%
25& above
0 0 0 0

Table VII - It reveals that age at marriage most of the women in experimental 25 (83.3%)
and in control group 20(66,7%) are married at the age of 18-20yrs ,some 0f the women in
experimental 5 (16.7%)and in control group 9(30.0%) are married at the age of 21-23 yrs.
 90.0% 83.3%

80.0%

P 66.7%
70.0%
E
R 60.0%
C
50.0%
E
Experiment
N 40.0%
T 30.0% Control
A 30.0%
G 16.7%
E 20.0%

10.0% 3.3%
0.0% 0.0% 0.0%
0.0%
16- 20 yrs 21-25 yrs 26-30 yrs 31& above
AGE AT MARRIAGE

FIGURE -_VII

BAR DIAGRAM SHOWING DISTRIBUTION OF MENOPAUSAL WOMEN

ACCORDING TO AGE AT MARRIAGE IN EXPERIMENTAL AND CONTROL
GROUP
 TABLE-VIII
FREQUENCY AND PERCENTAGE DISTRIBUTION OF MENOPAUSAL WOMEN
ACCORDING TO NO OF CHILDREN

(n=60)

Age at Experimental Control group

marriage
frequency Percentage frequency percentage
-2 children 3 10.0% 6 20.0%

3-4 children 13 43.3% 13 43.3%

9 30.0% 10 33.3%
5-6 children

Above 6 5 16.7% 1 3.3%

children

Table –VIII It revealsIn experimental group and control group majority of women
13(43.3%) have 3-4children , in experimental 9(30.0%) and control group 10 (33.3%) have 5-
6 children.
 43.3%43.3%
45.0%

40.0%
P 33.3%
35.0%
E 30.0%
R 30.0%
C
E 25.0%
20.0%
N 20.0% Experiment
16.7%
T Control
A 15.0%
10.0%
G
10.0%
E
3.3%
5.0%

0.0%
1-2 children 3-4 children 5-6children Above 6
children
NO OF CHILDREN

FIGURE -VIII

BAR DIAGRAM SHOWING DISTRIBUTION OF MENOPAUSAL WOMEN

ACCORDING TO NO OF CHILDREN IN EXPERIMENTAL AND CONTROL
GROUP
 TABLE-IX
FREQUENCY AND PERCENTAGE DISTRIBUTION OF MENOPAUSAL WOMEN
ACCORDING TO FAMILY INCOME IN EXPERIMENTAL AND CONTROL
GROUP

(n=60)

Family Experimental Control group

income
frequency Percentage frequency percentage
Less than 4 13.3% 1 3.3%
rs5000
Rs50001- 8 26.7% 10 33.3%
10,000
Rs 10,001- 14 46.7% 18 60.0%
15.000
Rs 15,000 4 13.3% 1 3.3%
above

Table IX It Reveals Regarding income, 14(46..7%) in experimental group and 18(60.0%)

in control group earns a monthly income of above 10,000 -15000 rs, and they all
belongs to a middle class family.
 60.0%
60.0%
P 46.7%
E 50.0%
R
40.0% 33.3%
C
E 26.7%
30.0%
N
T 20.0% 13.3% 13.3% Experiment
A
Control
G 10.0% 3.3% 3.3%
E
0.0%

FAMILY INCOME

FIGURE -IX

BAR DIAGRAM SHOWING DISTRIBUTION OF MENOPAUSAL WOMEN

ACCORDING TO FAMILY INCOME IN EXPERIMETAL AND CONTROL
GROUP
 TABLE-X
FREQUENCY AND PERCENTAGE DISTRIBUTION OF MENOPAUSAL WOMEN
ACCORDING TO OCCUPATION IN EXPERIMENTAL AND CONTROL GROUP

(n=60)

occupation Experimental Control group

Frequency Percentage frequency percentage

House wife 13 43.3% 12 40.0%
Daily labour
Private 13 43.3% 14 46.7%
employee
Govt. 4 13.3% 3 10.0%
employee
0 1 3.3%

TABLE - X In regard to occupation majority in experimental group 13(43.3%) and

in control group 12(40.0%) were house wife and 13 (43.3%)in experimental group and
14(46.7%) are daily labour
 50.0% 46.7%
43.3% 43.3%
45.0%
40.0%
P 40.0%
E
35.0%
R
C 30.0%
E
25.0%
N Experiment
T 20.0% Control
A 13.3%
15.0%
G 10.0%
E 10.0%
3.3%
5.0%
0.0%
0.0%
House wife Daily labour Private Govt.
employee employee
OCCUPATION

FIGURE-X

BAR DIAGRAM SHOWING DISTRIBUTION OF MENOPAUSAL WOMEN

ACCORDING TO OCCUPATION PIN EXPERIMENTAL AND CONTROL
GROUP
 TABLE-XI
FREQUENCY AND PERCENTAGE DISTRIBUTION OF MENOPAUSAL WOMEN
ACCORDING TO TYPE OF FAMILY IN EXPERIMENTAL AND CONTROL
GROUP

( N= 60)

Type of Experimental Control group

family (n=60)
frequency Percentage frequency percentage
Nuclear 16 53.3% 17 56.7%
family
Joint family 12 43.3% 11 36.7%
Extended
family
1 3.3% 2 6.7%

Others 1 3.3% 0 0

In table X I: It reveals regarding type of family majority in experimental 16 (53.3%) and in

control group 17 (56.7%) belongs to nuclear family, 12 (40.0%) in experimental and 11
(36.7%) are joint family.
 60.0% 56.7%
53.3%

50.0%
P
E 40.0%
R 40.0% 36.7%
C
E
30.0%
N Experiment
T Control
A 20.0%
G
E 10.0% 6.7%
3.3% 3.3%
0.0%
0.0%
Nuclear family Joint family Extended Others
family
TYPE OF FAMILY

FIGURE -XI

BAR DIAGRAM SHOWING DISTRIBUTION OF MENOPAUSAL WOMEN

ACCORDING TO TYPE OF FAMILY IN EXPERIMENTAL AND CONTROL
GROUP
 TABLE-XII
FREQUENCY AND PERCENTAGE DISTRIBUTION OF MENOPAUSAL WOMEN
ACCORDING TO DIETARY HABITS IN EXPERIMENTAL AND CONTROL
GROUP

(n=60)

Dietary Experimental Control group

habits
frequency Percentage frequency percentage
Vegetarian 1 3.3% 5 16.7%
Non – 4 13.3% 3 10.0%
vegetarian

Mixed
25 83.3% 22 73.0%

Table XII : It reveals Regarding dietary habits, in experimental group,25

(86.7%) and in control group22 (73.3%) are mixed diet ( veg &non vegetarian)
 90.0% 83.3%

80.0% 73.3%

P 70.0%
E
R 60.0%
C
50.0%
E
Experiment
N 40.0%
Control
T
A 30.0%
G 16.7%
20.0% 13.3%
E 10.0%
10.0% 3.3%

0.0%
Vegetarian Non -Vegetarian Mixed
DIETARY HABITS

FIGURE -XII

BAR DIAGRAM SHOWING DISTRIBUTION OF MENOPAUSAL WOMEN

ACCORDING TO DIETARY HABITS IN EXPERIMENTAL AND CONTROL
GROUP
 TABLE-XIII
FREQUENCY AND PERCENTAGE DISTRIBUTION OF MENOPAUSAL WOMEN
ACCORDING TO REASON FOR MENOPAUSE IN EXPERIMENTAL AND
CONTROL GROUP

(n=60)

Reason for Experimental Control group

menopause
frequency Percentage frequency percentage
Natural 23 76.7% 26 86.7%
Artificial
7 23.3% 4 13.3%

TABLE XIII - Regarding reason for menopause most of the women in

experimental 23(73.3%) and in control group 26 (86.7) are natural.
 86.7%
90.0%

80.0%
P
E 70.0%
R 60.0%
C Experiment
E 50.0%
Control
N40.0%
T
30.0%
A
G20.0% 13.3%
E
10.0%

0.0%
REASON FOR MENOPAUSE

FIGURE -XIII

BAR DIAGRAM SHOWING THE DISTRIBUTION OF MENOPAUSAL WOMEN

ACCORDING TO REASON FOR MENOPAUSE IN EXPERIMENTAL AND
CONTROL GROUP
 TABLE-XIV
FREQUENCY AND PERCENTAGE DISTRIBUTION OF MENOPAUSAL WOMEN
ACCORDING TO HISTORY OF HYSTERECTOMY IN EXPERIMENTAL AND
CONTROL GROUP

(N=60)

History of Experimental Control group

hysterectomy
frequency Percentage frequency percentage
yes 8 26.7% 5 16.7%
no 22 73.3% 25 83.3%

TABLE –XIV It reveals that about 22 (73.3%)in experimental and 25 ( 86.7%) in

control group are not having history of hysterectomy and 8 (26.7%) in experimental and 5
(16.7) women are having history of hysterectomy
Percentage

90.0% 83.3%

80.0% 73.3%

P
70.0%
E
R 60.0%
C
E 50.0%
Experiment
N 40.0% Control
T 26.7%
A 30.0%
G 16.7%
20.0%
E
10.0%

0.0%
Yes No
HISTORY OF HYSTERECTOMY

FIGURE -XIV

BAR DIAGRAM SHOWING DISTRIBUTION OF MENOPAUSAL WOMEN

ACCORDING TO HISTORY OF HYSTERECTOMY
 SECTION B : ASSESS THE POST TEST LEVEL OF MENOPAUSAL SYMPTOMS
AMONG MENOPAUSAL SYMPTOMS IN EXPERIMENTAL AND CONTROL
GROUP AFTER ADMINISTRATION OF SOYA MILK

TABLE -XV

PRE TEST AND POST TEST FREQUENCY AND PERCENTAGE DISTRIBUTION

OF MENOPAUSAL SYMPTOMS IN EXPERIMENTAL AND CONTROL GROUP

(N=60)

Menopausal Experimental group (n=30) control group(n=30)

symptoms
N p N p

Pre test

Mild 0 0 0 0

Moderate 27 86.7 25 83.3

Severe 3 13.3 5 16.7

Post test

Mild 23 73.3 27 90

Moderate 7 26.7 3 10

Severe

The data presented in table - XV depicts that most of the women had moderate level
of menopausal symptoms (86.7%, 83.3%) in both control and experimental group before
administration of soya milk. Whereas majority (73,3%) of them experienced mild level
of symptoms and significant of them experienced moderate level of symptoms
(26.7%) in experimental group after administration of soya milk.
 Total Level
90.0%
86.7%
90.0% 83.3%

P 80.0% 73.3%
E
70.0%
R
C 60.0%
E
50.0%
N Mild
T 40.0%
26.7% Moderate
A
30.0%
G Severe
16.7%
E 20.0% 13.3%
10.0%
10.0%
0.0% 0.0% 0.0% 0.0%
0.0%
Experiment Control Experiment Control
Pre test Post test
TOTAL MENOPAUSAL SYMPTOMS LEVEL

FIGURE -XV

BAR DIAGRAM SHOWING PRE TEST AND POST TEST PERCENTAGE

DISTRIBUTION MENOPAUSAL SYMPTOMS IN EXPERIMENTAL AND
CONTROL GROUP
 SECTION-C : COMPARISON OF EFFECTIVENESS OF SOYA MILK ON
MENOPAUSAL SYMPTOMS IN EXPERIMENTAL AND CONTROL GROUP.

TABLE - XVI

COMPARISON OF MEAN AND STANDARD DEVIATION OF

MENOPAUSAL SYMPTOMS AMONG MENOPAUSAL WOMEN
BEFORE AND AFTER INTERVENTION IN CONTROL
ANDEXPERIMENTAL GROUP.
group N Standard Standard error t-test
deviation

experimental 30 21.096

pre test 69.2333 5.18408 0.95

41.7667 6.08380
post test 1.11

control

pre test 30 70.3000

61.1667 1.22 8.199

post test 6.67032

10.25900 1.87
 80.00
69.23 70.30
70.00
P 61.17
E 60.00
R
C 50.00
41.77
E
40.00 Mean
N
T 30.00 Std. Deviation
A Std. Error Mean
G 20.00
E 10.26
5.18 6.08 6.67
10.00
0.95 1.11 1.22 1.87
0.00
pre test post test pre test post test
Experiment Control
TOTAL SCORE

FIGURE-XVI

BAR DIAGRAM SHOWING COMPARISON OF MEAN AND STANDARD

DEVIATION OF MENOPAUSAL SYMPTOMS AMONG
WOMEN BEFORE AND AFTER INTERVENTION IN CONTROL AND
EXPERIMENTAL GROUP.
 SECTION D : TO FIND OUT THE ASSOCIATION BETWEEN THE
PRE TEST AND POST TEST LEVEL OF MENOPAUSAL
SYMPTOMS AMONG EXPERIMENTAL AND CONTROL GROUP
WITH THEIR DEMOGRAPHIC VARIABLES.

TABLEXVIII

CHISQUARE ASSOCIATION FOR PRETEST LEVEL OF MENOPAUSAL

SYMPTOMS WITH THEIR SELECTED DEMOGRAPHIC VARIABLES IN
EXPERIMENTAL GROUP

Demographic mild Moderate Severe Chi t- value nferenc

varaiables freq percen freq Percen freque Percenta squar e
uenc tage uen tage ncy ge e test
y cy
Age in years 5.120 .163 Ns
35-40 yrs
O.0 Df=3
41-46yrs 0 7 100% 0 12.5%
0.0
46-52 yrs 0 0.0 7 87.5%10 1 0.0
52& above 0 0.0 6 0% 0 33.3%
0.0 6 66.7% 3
0
Religion 2.659 .265 Ns
Hindu Muslim 0 0.0 4 66.7 2 33.3 Df=3
Christian 0 0.0 21 91.3 2 8.7%
others 0 0.0 1 100% 0 0.0
0 0.0 0 0.0% 0 0.0

Educational NS
status
Illiterate 0 0.0 13 100% 0 0.0 3.529 0.60
Primary 0 0.0 13 76.5 4 23.5% Df=3
Education
0
Secondary 0.0 0 0.0 0 0
education 0
Graduate & 0.0 0 0.0 0 0
above
Ageof
menarche 0 0.0 16 94.1% 1 5.9% 1.885 .170 Ns
10-12 yrs 0 0.0 10 76.9% 3 23.1% 0 Df=1
13-15 yrs 0 0.0 0 0.0 0 0
15-17 yrs 0 0.0 0 0.0 0
19& above

Ageof
menopause 0 0.0 9 90.0% 1 10.0% .866 Ns
35-40 yrs 0 0.0 13 86.7% 2 13.3% .288
41-46 yrs 0 0.0 4 80.0% 1 20.0% Df=2
47-52yrs 0 0.0 0 0 0 0.0%
52& abov

Marital status Ns
Married 0 0.0 15 93.8% 1 6.3% 3.006 .391
Single 0 0.0 2 100% 0 0.0% Df=3
Divorced 0 0.0 1 100% 0 27.3%
Widow 0 0.0 8 72.7% 3 0.0%

Age at .923 .337 Ns

marriage Df=3
18-21 0 0.0 21 84.% 16.0%
21-23 0 0.0 5 4
100% 0.0%
0.0 0
23-25 yrs 0 0.0 0.0% 0.0%
0.0 0
Above 25 yr 0 0.0 0.0% 0.0%
0
S

No of
Children Ns
1-2 children 0 0.0 3 100% 0 0.0 1.627
.653
3-4 children 0 0.0 12 92.3 1 7.7 Df=3
5-6 children 0 0.0 7 77.8 2 22.2
Above 6 0 0.0 4 80.0 1 20.0
children
Family income 5.275 .153 Ns
Less than rs 0 0.0 4 100% 0 0.0% Df=3
5000
Rs 5001-10,000 0 0.0 8 100% 0 0.0%
Rs 10,001-
15000 0 0.0 10 71.4 4 28.6%
Rs 15, 000
above 0 0.0 4 100% 0 0.0%
Occupation 0.49 Ns
House wife 0 0.0% 9 69.2% 4 30.8% 6.036
Daily lab our 0 0.0% 13 100% O 0.0% Df=3
Private 0 0.0% 4 100% 0 0.0%
employee 0 0.0% 0 0% 0 0.0%
Govt employee

Type of
Family
Nuclear
0.0% 15 93.8%
Family 0 1 6.3% 2.416 .491 Ns
Joint family 0 0.0% 9 75.0% 3 25% Df=3
Extended 0 0.0% 1 100% 0 0.0%
family
Others 0 100%
0.0% 1 0 0.0%

Dietary habits Ns

Vegetarian
Non vegetarian 0 0.0 1 100% 0 0.0% .663 .718
Mixed diet 0 0.0 3 75% 1 25% Df=2
0 0.0 22 88% 3 12%
Reason for
menopause

Natural 0 0.0 19
Artificial 0 0.0 7 82. 6% 4 17.4% 1.405 .236 Ns
100% 0 0.0% Df=3
History of
hysterectomy
0 0 8 100% 0 0.0% 1.878
Yes
0 0 18 81.8% 4 18.2% Df=1 .196 Ns
no

P= ≤ 0.05

S= Significant

NS=Non significant

Table XVIII : It reveals that there is no association of pre test level of menopausal
symptoms with the demographic variables among menopausal women in experimental group
hence H3 hypothesis is rejected
 TABLE NO XVIII

CHI SQUARE ASSOCIATION FOR PRE TEST LEVEL OF MENOPAUSAL

SYMPTOMS WITH THE DEMOGRAPHIC VARIABLES IN CONTROL GROUP

Demographic Mild Moderate Severe Chi t- inferenc

variables frequ perce freq percen fre Percen square value e
ency ntage uen tage qu tage test
cy en
cy
Age in years 6.50 .001 NS
35-40 yrs 0 0.0% 3 100% 0 O.0 Df=3
41-46yrs 0 0.0% 7 100% 0 12.5%
46-52 yrs 0 0.0 % 12 100% 0 0.0%
52& above 0.0% 3 37.5% 5 62.5%.
0

Religion 1.626 .177 Ns

Hindu 0 0.0% 7 100% 0 0.0% Df=1
Muslim 0 0 .0% 18 78.3% 5 21.7%
Christian 0 0.0% 0 0.0% 0 0 .0%
Others 0 0.0% 0 0.0% 0 0.0%

Educational NS
status .785 .675
Illiterate 10 76.9% 3 0.0% Df=3
Primary 0 0.0% 14 57.5% 2 23.5%
Education 0.0%
0
Secondary 0.0% 1 100% 0 0
education 0 0.0%
Graduate & 0 0.0% 0 0
above 0

Age of NS
menarche 0.0%
10-12 yrs 0 0.0% 11 84.6% 2 5.9% 0.27 .869
13-15 yrs 0 0.0% 14 82.4% 3 17.6% Df=1
15-17 yrs 0 0.0% 0 0.0% 0 0.0%
19& above 0 0 0.0% 0 0.0%

NS
Age of
menopause 0.0 7 100% 0 0.0% .000
35-40 yrs 0 % 17 94.4% 1 5.6% 23.200
41-46 yrs 0 0.0% 0 0.0% 4 100% Df=2
47-52yrs 0 0.0% 1 100% 0 0.0%
52& above 0 0.0%

Marital status Ns
Married 0 0.0% 15 93.8% 1 6.3% 3.312 .191
Single 0 0.0% 0 0.0% 0 0.0% Df=3
Divorced 0 0.0% 1 100% 0 0.0%
Widow 0 0.0% 9 69.2% 4 30.8%

Age at marriage .267 NS

18-21 2.640
0.0% 90% 2 10.0%
21-23 0 18 Df=3
0.0% 66.7% 3 3.3%
23-25 yrs 0 6 0
0.0% 100% 0.0%
Above 25 yrs 0 1 0.0% 0 0.0
0.0%
0 0.0

No of NS
Children
1-2 children 0 0.0% 4 66.7% 2 33.3% 1.735
.653
3-4 children 0 0.0% 11 84.6% 2 15.4% Df=3
5-6 children 0 0.0% 9 90.0% 1 10.0%
Above 6 0 0.0% 1 100% 0 0.0%
children
Family income
Less than rs
.772
5000 0 0.0% 1 100% 0 0.0% 1.120 Ns
Rs 5001-10,000 Df=3
Rs 10,001-15000 0 0.0% 9 90.9% 1 0.0%
Rs 15, 000
above 0 0.0% 14 77.8% 4 22.2%

0 0.0% 1 100% 0 0.0

 Ns
0 0.0% 10 83.3% 2 16.7% 5.657 .130
Occupation 0 0.0% 12 85.7% 2 114.3 Df=3
House wife 0 0.0% 3 100% 0 %
Daily labour 0 0.0% 0 0.0% 1 0
Private 100%
employee
Govt employee

Type of
Family
Nuclear 0 0.0% 15 2 11.8% 1.912 .491 NS
88.2%
Family Df=3
Joint family 0 0.0% 9 81.8% 2 18.2%
Extended
family 0 0.0% 1 50% 1
0.0 50.0%
Others 0 0.0 0 0
0.0%

Dietary habits
Vegetarian 0.0% 5 100% 0 0.0% 1.636 .441 Ns
0 0.0 % 2
Non vegetarian 66.7% 1 33.3% Df=2
0
Mixed diet 0.0% 18 81.8% 4 18.2%
0

Reason for
menopause
Ns
84.6% 4 15.4% .231 .631
0 0.0 % 22
Natural 75.0% 1 20% Df=3
0 0.0% 3
Artificial

History of
hysterectomy

Yes 0 0.0 % 4% 80.0% 1 16.0% 1.878 .196 Ns

No 0 0.0% 21 84.0% 4 25.0% Df=3
P= ≤ 0.05

S= Significant

NS=Non significant Table XVIII : It reveals that there is no association of pre test level of
menopausal symptoms with the demographic variables among menopausal women in control
Hence H3 hypothesis is rejected
 TABLEXVIII

CHISQUARE ASSOCIATION FOR POST TEST LEVEL OF MENOPAUSAL

MPTOMS WITH THEIR SELECTED DEMOGRAPHIC VARIABLES IN
EXPERIMENTAL GROUP

Demographic Mild Moderate Severe t- value inferen

variables fr Percent freq Percen frequ Percentag ce
eq age uenc tage ency e
ue y
nc
y
Age in years 4.726 .163 Ns
35-40 yrs 1 16.7% 5 83.3% 0 0.0% Df=3
50.0% 4 50.0% 0 0.0%
41-46yrs 4 40.0% 60.0%
3 0 0.0%
46-52 yrs 2 9.1% 10 90.9% 0 0.0%
52& above 1

Religion .129 .265 Ns

Hindu 1 14.3% 6 66.7% 0 0.0% Df=3
Muslim 6 27.3% 16 91.3% 0 0.0%
Christian 1 100.0% 0 100% 0 0.0%
others 0 0,0 0 0.0% 0 0.0 %

Educational ns
status
Illiterate 3 25.0% 9 75% 0 0.0 .028 0.60
Primary 5 27.8% 13 72% 0 0.0 Df=3
Education
0 0
Secondary 0.0% 0 0.0 0.0
education 0
Graduate & 0 0.0% 0 0.0 0.0
above
Ageof
menarche
10-12 yrs 3 176.% 14 82.4% 0 0.0 1.632 .170 Ns
13-15 yrs 5 38.5% 8 61.5% 0 0.0 Df=1
15-17 yrs 0 0.0% 0 0.0 0 0.0
19& above 0 0.0% 0 0.0 0 0.0

Age of .288 .866 Ns

menopause
35-40 yrs 1 10.0% 9 90.0% 0 0.0 Df=2
41-46 yrs 5 33.3% 10 66.7% 0 0.0
47-52yrs 2 40.0% 3 73.3% 0 0.0
52& above 8 0.0% 0 0.0% 0 0.0

Age at
marriage
18-21 7 28.0% 18 72.0% 0 0.0 .136 .712 Ns
1 20.0% 4 80.0% 0 0.0 df=1
21-23
0 0.0% 0 0.0% 0 0.0
23-25 yrs 0 0.0% 0.0% 0 0.0
0
Above 25 yr
S

Marital status Ns
Married 6 37.5% 10 62.5% 0 0.0 2.456 .391
Single 0 0.0% 2 100% 0 0.0 Df=3
Divorced 0 0.0% 1 100% 0 0.0
widow 18.2% 9 81.8% 0 0.0
2
No of
Children Ns
1-2 children 1 25.% 3 75.5% 0.0 2.760
.653
3-4 children 5 38.5% 8 61.5% 0.0 Df=3
5-6 children 2 75.0% 6 75.0% 0.0
Above6 0 0.0% 0 0.0% 0.0
children

Family income
1 0 Ns
Lesthan rs5000 3 75.0% 25.0% 0.0
7 0
Rs 5001-10,000 1 12.5% 87.5% 0.0 3.776 .287
11 0
Rs10,001-15000 4 26.7% 73.3% 0.0 Df=3
3 0
Rs 15, 000 0 0.0% 100% 0.0
above

Occupation
House wife 2 15.4% 11 84.6%
0.49 Ns
Daily lab our 4 30.8% 9 69.2% 0 0.0% 3.776
Private 2 66.7% 1 33.3% 0 0.0% Df=3
employee 0 0.0%
Govt employee 0 0.0% 1 0% 0 0.0%

Type of 1.449 .491 Ns

Family 10 Df=3
5 33.3% 66.7%
Nuclear 0 0.0%
Family 9 75.0% 0 0.0%
3 25.0% .718
Joint family 0 0.0%
2 100.0% 1.875
Extended 0 0.0% 0 0.0%
Df=2
family 1 100.0%
Others 0 0.0%

Dietary habits Ns
0 0.0% 0.0% .6158
Vegetarian 100% 0 .837
2 22 0.0%
Non vegetarian 50.0% 50.0% 0 Df=3
6 2 0.0%
Mixed diet 25% 18 75.0% 0
Reason for
menopause

Natural 16 0.0% .196

7 30.4% 0 716 Ns
Artificial 5 69.6% 0.0%
1 16.7% 0 Df=1
83.3%

History of
hysterectomy
Ns
1 14.3% 6 0 .837 .658
Yes 16 100% 0.0%
7 30.4
no 81.8% 0 0.0%

P= ≤ 0.05

S= Significant

NS=Non significant

Table XIX : it reveals that there is no association of post test level of menopausal
symptoms with the demographic variables among menopausal women in experimental group
hence H3 hypothesis is rejected
 TABLE NO XX

CHI SQUARE ASSOCIATION FOR P0st TEST LEVEL OF MENOPAUSAL

SYMPTOMS WITH THE DEMOGRAPHIC VARIABLES IN CONTROL GROUP

Demographic Mild Moderate Severe Chi t- inferenc

variables Freq percenta fre percent freq Percen square value e
uenc ge que age uenc tage test
y ncy y
Age in years 9.167 .193 NS
35-40 yrs 0 0.0% 3 100% 0 O.0% Df=3
41-46yrs 0 0.0% 0.0 7 100% 0 0.0%
46-52 yrs 0 % 0.0% 12 100% 0 0.0%
52& above 5 62.5% 3 37.5%.
0

Religion 1.014 .192 Ns

Hindu 0 0.0% 7 100% 0 0.0% Df=1
Muslim 0 0 .0% 20 87.0% 3 13.0%
Christian 0 0.0% 0 0.0% 0 0 .0%
Others 0 0.0% 0 0.0% 0 0.0%

Educational NS
status

Illiterate 0 0.0% 11 84.6% 2 15.4% .785 .677

Primary 0.0% 15 93.8% 1 23.5% Df=2
0
Education
Secondary 0 0.0% 1 100% 0 0
education
Graduate & 0 0.0% 0 0.0% 0 0
above

Age of NS
menarche
10-12 yrs 0 0.0% 12 92.3% 1 7.2% .136 .713
13-15 yrs 0 0.0% 15 88.2% 2 11.8% Df=1
15-17 yrs 0 0.0% 0 0.0% 0 0.0%
19& above 0 0.0% 0 0.0% 0 0.0%
Age of
menopause
35-40 yrs 0 0.0 % 7 100% 0 0.0% 21.667 .000
NS
41-46 yrs 0 0.0% 18 100% 0 75.0%
47-52yrs 0 0.0% 1 100% 3 100% Df=2
52& above 0 0.0% 1 100% 0 0.0%

Marital status
Married
Single 0 0.0% 16 100.% 0 0.0% 4.359 .191 Ns
Divorced 0 0.0% 1 100% 0 0.0% Df=3
Widow 0 0.0% 10 76.9% 0 0.0%
0 0.0% 0 0.0% 3 23.1%

Age at .940 NS
marriage .123
0.0% 90.0% 2 10.0%
18-21 0 18 Df=3
0.0% 88.9% 1 11.1%
21-23 0 8 0
0.0% 100% 0.0%
23-25 yrs 0 1 0.0% 0 0.0
0.0%
Above 25 yrs 0 0

No of
Children
1-2 children 0 0.0% 1 100% 0 0.0% .247 NS
.653
3-4 children 0 0.0% 9 90.0% 1 10.0% Df=3
5-6 children 0 0.0% 16 88.9% 2 11.1%
Above 6 0 0.0% 1 100% 0 0.0%
children
Family .970
income 0 0.0% 1 100% 0 0.0% 247
Less than rs Df=3
5000 0 0.0% 9 90.0% 1 10.0% Ns
Rs 5001-
10,000 0 0.0% 16 88.9% 2 11.1%
Rs 10,001-
15000 0 0.0% 1 100% 0 0.0
Rs 15, 000
above

Occupation
House wife Ns
Daily labour 0 0.0% 12 83.3% 0 0.0% 10.952 .012
Private 0 0.0% 12 85.7% 2 14.3% Df=3
employee 0 0.0% 3 100% 0 0.0%
Govt 0 0.0% 0 0.0% 1 100%
employee

Type of NS
Family

Nuclear 0 0.0% 15 88,2% 2 11.8% 4.837 .089

Family Df=3
Joint family 0 0.0% 11 100.0% 0 0.0%
Extended 50%
family 0 0.0% 1 1 50.0%
0.0
Others 0 0.0% 0 0 0.0%

Dietary habits
Vegetarian NS
Non
0 0.0% 5
vegetarian 100% 0 0.0% 2.391 .303
0 0.0 % 2
Mixed diet 66.7% 1 33.3% Df=2
0 0.0% 20
90.0% 2 9.1%
Reason for
menopause 92.3% 2 7.7% 1.154 .283
0 0.0 % 24 Ns
Natural 75.0% 1 25.0% Df=3
0 0.0% 3
Artificial

History of
hysterectomy

0 80.0%
Yes 0.0 % 4 1 20.0% .667 .414 Ns
0 92.0%
no 0.0% 23 2 8.0% Df=3

P= ≤ 0.05

S= Significant

NS=Non significant

Table XIX : It reveals that there is no association of post test level of menopausal
symptoms with the demographic variables among menopausal women in control group
hence H3 hypothesis is rejected
 TABLE -XXI

ASSOCIATION BETWEEN PRE TEST AND POST TEST SCORES OF MENOPAUSAL SYMPTOMS WITH
THEIR AGE IN EXPERIMENTAL AND CONTROL GROUP

Demograp Experimental group Control group

hic
variable Mild Moderate Severe Mild Moderate Severe
Age

Pre test

35-40 yrs
41-46yrs 0.0%
100.0% 0.0% 0.0%
46-52 yrs 0.0%
100.0% 0.0%

52& 87.5% 12.5% 0.0%

100.0% 0.0%
above 0.0%
100 .0% 0.0% 0.0%
100.0% 0.0%
0.0%
66.7% 33.3% 0.0%
37.5% 62.5%

Post test
16.7 %
35-40 yrs 83.3% 0.0% 0.0% 100.0% 0.0%
50.0% 0.0% 0.0% 100.0% 0.0%
50.0%
41-46yrs 60.0% 0.0% 0.0% 100.0% 0.0%
90.9% 0.0% 0.0% 62.5% 37.5%
46-52 yrs 40. 0%

9.1%
52&
above
 Age of the women * Total Level
100.0% 100.0% 100.0%
100.0%
100.0% 100.0%
100.0%
100.0%
100.0% 90.9%
87.5%
90.0% 83.3%
80.0%
66.7%
70.0% 60.0% 62.5%
60.0% 50.0%
50.0%
50.0% 40.0%
37.5%
40.0%
Mild
30.0%
16.7% Moderate
20.0% 9.1%
10.0% Severe
0.0%
52 & above

52 & above

52 & above

52 & above
35-40 years
35-40 years
41-46 years
47-52 years

35-40 years
41-46 years
47-52 years

41-46 years
47-52 years

35-40 years
41-46 years
47-52 years
Experiment Control Experiment Control
Pre test Post test

FIGURE -XXI

BAR DIAGRAM SHOWING ASSOCIATION BETWEEN PRE TEST AND POST TEST
SCORES OF MENOPAUSAL SYMPTOMS WITH THEIR AGE IN EXPERIMENTAL AND
CONTROLGROUP
 Table –XXII

ASSOCIATION BETWEEN PRE TEST AND POST TEST SCORES OF

MENOPAUSAL SYMPTOMS WITH THEIR RELIGION IN EXPERIMENTAL AND
CONTROL GROUP

Religion Experimental group Control group

Mild Moderate Severe Mild Moderate Severe

Pre test

Hindu 0.0% 66.7% 33.3% 0.0% 100.0% 0.0%

Muslim 0.0% 91.3% 8.7% 0.0% 78.3% 21.7%
0.0% 100.0% 0.0%
christian

Post test
14.3%
Hindu 85.7% 0.0% 0.0% 100.0% 0.0%
27.3%
Muslim 72.7% 0.0% 0.0% 13.0%
100.0% 87.0%
Christian 0.0% 0.0%
 Religion * Total Level
100.0%
100.0% 100.0% 100.0%
100.0% 91.3%
85.7% 87.0%
90.0%
78.3%
80.0% 72.7%
66.7%
70.0%
60.0%
50.0%
40.0% 33.3% Mild
27.3%
30.0% 21.7% Moderate
20.0% 14.3% 13.0%
8.7% Severe
10.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%0.0%0.0% 0.0%
0.0%
Hindu

Muslim

Hindu

Muslim

Hindu

Muslim

Hindu

Muslim
Christian

Christian

Experiment Control Experiment Control

Pre test Post test

Figure –XXII

Association between Pre test and post test scores of Menopausal Symptoms with their
religion in experimental and control group
 Table –XXIII

ASSOCIATION BETWEEN PRE TEST AND POST TEST SCORES OF

MENOPAUSAL SYMPTOMS WITH EDUCATIONAL STATUS IN
EXPERIMENTAL AND CONTROL GROUP

Education Experimental group Control group

Mild Moderate Severe Mild Moderate Severe

Pre test

Illiterate 0.0% 100.0% 0.0% 0.0% 76.9% 23.1%

0.0% 76.5% 23.5% 0.0% 87.5% 12.5%
Primary
education 0.0% 100.0% 0.0%

Secondary 0.0% 0.0% 0.0%

education

Post test
84.6%
Illiterate 25.0% 75.0% 0.0% 0.0% 15.4%
93.8%
0.0% 72.2% 0.0% 0.0% 6.3%
Primary
education 0.0% 0.0%
100.0%
Secondary 0.0% 0.0% 0.0%
education
 Educational status
* Total Level
100.0% 100.0% 100.0%
100.0% 93.8%
87.5%
90.0% 84.6%

80.0% 76.5% 76.9% 75.0%

72.2%
70.0%

60.0%

50.0%

40.0%

30.0% 23.5% 23.1% 25.0% Mild

20.0% 15.4% Moderate

12.5%
6.3% Severe
10.0%
0.0%0.0%0.0% 0.0% 0.0% 0.0%0.0% 0.0%0.0%0.0%0.0% 0.0% 0.0%0.0%
0.0%
Illiterate

Illiterate

Illiterate

Illiterate
Primary education

Primary education

Primary education

Primary education
Secondary education

Secondary education

Experiment Control Experiment Control

Pre test Post test

FIGURE XXIV

BAR DIAGRAM SHOWING ASSOCIATION BETWEEN PRE TEST AND POST

TEST SCORES OF MENOPAUSAL SYMPTOMS WITH EDUCATIONAL STATUS
IN EXPERIMENTAL AND CONTROL GROUP
 TABLE XXV

ASSOCIATION BETWEEN PRE TEST AND POST TEST SCORES OF

MENOPAUSAL SYMPTOMS WITH AGE AT MENARCHE IN EXPERIMENTAL
AND CONTROL GROUP

Age at Experimental group Control group

menarche
Mild Moderate Severe Mild Moderate Severe

Pre test
5.9%
23.1% 0.0% 84.6% 15.4%
10-12 yrs 0.0% 94.1%
0.0% 82.4% 17.6%
13-15 yrs 0.0% 76.9%

Post test
0.0% 92.3% 7.7%
10-12 yrs 17.6% 82.4% 0.0%
0.0% 88.2% 11.8%
13-15 yrs 38.5% 61.5% 0.0%
 Age of menarche
* Total Level
100.0% 94.1% 92.3%
88.2%
90.0% 84.6%
82.4% 82.4%
76.9%
80.0%

70.0%
61.5%
60.0%

50.0% Mild
38.5%
40.0% Moderate
Severe
30.0% 23.1%
17.6%
17.6%
20.0% 15.4%
11.8%
5.9% 7.7%
10.0%
0.0% 0.0% 0.0% 0.0% 0.0% 0.0%0.0% 0.0%
0.0%
10-12 yrs 13-15 yrs 10-12 yrs 13-15 yrs 10-12 yrs 13-15 yrs 10-12 yrs 13-15 yrs
Experiment Control Experiment Control
Pre test Post test

FIGURE XXV

BAR DIAGRAM SHOWING ASSOCIATION BETWEEN PRE TEST AND POST

TEST SCORES OF MENOPAUSAL SYMPTOMS WITH AGE AT MENARCHE IN
EXPERIMENTAL AND CONTROL GROUP
 TABLE –XXVI

ASSOCIATION BETWEEN PRE TEST AND POST TEST SCORES OF

MENOPAUSAL SYMPTOMS WITH AGE AT MENOPAUSE IN EXPERIMENTAL
AND CONTROL GROUP

Age at Experimental group Control group

menopause
Mild Moderate Severe Mild Moderate Severe

Pre test

35-40 years 0.0% 90.0% 10.0% 0.0% 100.0% 0.0%

41-46 years 0.0% 86.7% 13.3% 0.0% 94.4% 5.6%
47-52 years 0.0% 80.0% 20.0% 0.0% 0.0% 100.0%
0.0% 100.0% 0.0%
52 & above

35-40 years 10.0% 90.0% 0.0% 0.0% 100.0% 0.0%

41-46 years 33.3% 66.7% 0.0% 0.0% 100.0% 0.0%
47-52 years 40.0% 60.0% 0.0% 0.0% 25.0% 75.0%
0.0% 100.0% 0.0%
52 & above
 Age of menopause * Total Level
100.0%

90.0%

80.0%

70.0%

60.0%

50.0%
40.0% Mild
40.0%
33.3% Moderate

30.0% Severe

20.0%
10.0%
10.0%
0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
0.0%
52 & above

52 & above
35-40 years

41-46 years

47-52 years

35-40 years

41-46 years

47-52 years

35-40 years

41-46 years

47-52 years

35-40 years

41-46 years

47-52 years

Experiment Control Experiment Control

Pre test Post test

FIGURE –XXVI

BAR DIAGRAM SHOWING ASSOCIATION BETWEEN PRE TEST AND POST

TEST SCORES OF MENOPAUSAL SYMPTOMS WITH AGE AT MENOPAUSE IN
EXPERIMENTAL AND CONTROL GROUP
 TABLE –XXVII

ASSOCIATION BETWEEN PRE TEST AND POST TEST SCORES OF

MENOPAUSAL SYMPTOMS MARITAL STATUS EXPERIMENTAL AND
CONTROL GROUP

Marital Experimental group Control group

Mild Moderate Severe Mild Moderate Severe

Pre test
0.0%
Married 0.0% 93.8% 6.3% 93.8% 6.3%
0.0%
Single 0.0% 100.0% 0.0% 0.0%
0.0% 0.0%
Divorced 0.0% 100.0% 0.0%
Widow 0.0% 72.7% 27.3%
0.0% o.o%
100.0%
69.2% 30.8%

Post test

Married 37.5% 62.5% 0.0% 0.0% 100.0% 0.0%

Single 0.0% 100.0% 0.0% 0.0% 0.0%
Divorced 0.0% 100.0% 0.0% 0.0% 0.0%
100.0% 0.0%
Widow 18.2% 81.8% 0.0%
0.0% 76.9%
23.1%
 Marital status * Total Level
100.0%
100.0% 100.0% 100.0%
100.0% 100.0%
100.0%
100.0% 93.8% 93.8%
90.0% 81.8%
76.9%
80.0% 72.7%
69.2%
70.0% 62.5%
60.0%
50.0%
37.5%
40.0% 30.8% Mild
27.3%
30.0% 23.1%
18.2% Moderate
20.0%
6.3% 6.3% Severe
10.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
0.0%
Single

Single
Divorced

Divorced

Divorced

Divorced
Married

Widow

Married

Widow

Married

Widow

Married

Widow
Experiment Control Experiment Control
Pre test Post test

FIGURE –XXVII

BAR DIAGRAM SHOWING ASSOCIATION BETWEEN PRE TEST AND POST TEST
SCORES OF MENOPAUSAL SYMPTOMS MARITAL STATUS EXPERIMENTAL AND
CONTROL GROUP
 TABLE –XXVIII

ASSOCIATION BETWEEN PRE TEST AND POST TEST SCORES OF

MENOPAUSAL SYMPTOMS WITH AGE AT MARRIAGE EXPERIMENTAL AND
CONTROL GROUP

Age at Experimental group Control group

marriage
Mild Moderate Severe Mild Moderate Severe

Pre test

18- 20 yrs 0.0% 84.0% 16.0% 0.0% 90.0% 10.0%

21-23 yrs 0.0% 100.0% 0.0% 0.0% 66.7% 33.3%
23- 25 yrs 0.0% 0.0% 100.0% 0.0%
0.0% 0.0%

Post test

18- 20 yrs 28.0% 72.0% 0.0% 0.0% 90.0% 10.0%

21-23 yrs 20.0% 80.0% 0.0% 0.0% 88.9% 11.1%
23- 25 yrs 0.0% 100.0% 0.0%
0.0% 0.0% 0.0%
 Age at marriage * Total Level
100.0% 100.0% 100.0%
100.0% 90.0% 90.0% 88.9%
90.0% 84.0% 80.0%
80.0% 72.0%
66.7%
70.0%
60.0%
50.0%
40.0% 33.3%
28.0% Mild
30.0% 20.0%
16.0% Moderate
20.0% 10.0% 10.0% 11.1%
10.0% 0.0% 0.0%0.0%0.0% 0.0% 0.0%0.0% 0.0% 0.0%0.0% 0.0% 0.0%0.0% Severe
0.0%
18- 20 yrs

18- 20 yrs

23- 25 yrs

18- 20 yrs

18- 20 yrs
21-23 yrs

21-23 yrs

21-23 yrs

23-25 yrs
21-23yrs
Experiment Control Experiment Control
Pre test Post test

FIGURE –XXVIII

BAR DIAGRAM SHOWING ASSOCIATION BETWEEN PRE TEST AND POST

TEST SCORES OF MENOPAUSAL SYMPTOMS WITH AGE AT MARRIAGE
EXPERIMENTAL AND CONTROL GROUP
 TABLE –XVIIII

ASSOCIATION BETWEEN PRE TEST AND POST TEST SCORES OF

MENOPAUSAL SYMPTOMS WITH NO OF EXPERIMENTAL AND CONTROL
GROUP

Age at Experimental group Control group

marriage
Mild Moderate Severe Mild Moderate Severe

Pre- test

1-2 children 0.0% 100.0% 0.0% 0.0% 66.7% 33.3%

3-4 children 0.0% 92.3% 7.7% 0.0% 84.6% 15.4%
5-6children 0.0% 77.8% 0.0% 90.0% 10.0%
Above 6 0.0% 80.0% 22.2% 0.0% 100.0% 0.0%
children 20.0%

Post test

1-2 children 0.0% 75.0% 0.0% 0.0% 66.7% 33.3%

3-4 children 38.5% 61.5% 0.0% 0.0% 92.3% 7.7%
5-6children 25.0% 75.0% 0.0% 0.0% 100.0% 0.0%
Above 6 0.0% 100.0% 0.0% 0.0% 100.0%
children 0.0%
 No of children * Total Level
100.0% 100.0% 100.0% 100.0%
100.0%
100.0% 92.3% 90.0% 92.3%
90.0% 84.6%
77.8%80.0% 75.0% 75.0%
80.0%
66.7% 66.7%
70.0% 61.5%
60.0%
50.0% 38.5%
40.0% 33.3% 33.3%
22.2%20.0% 25.0%
30.0%
15.4% Mild
20.0% 7.7% 10.0% 7.7%
10.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% Moderate
0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
0.0% Severe
5-6children

5-6children

5-6children

5-6children
Above 6 children

Above 6 children

Above 6 children

Above 6 children
1-2 children

1-2 children
3-4 children

3-4 children

1-2 children

3-4 children

1-2 children

3-4 children
Experiment Control Experiment Control
Pre test Post test

Figure –XXVIIII

BAR DIAGRAM SHOWING ASSOCIATION BETWEEN PRE TEST AND POST

TEST SCORES OF MENOPAUSAL SYMPTOMS WITH NO OF
EXPERIMENTAL AND CONTROL GROUP
 Table –XXIX

ASSOCIATION BETWEEN PRE TEST AND POST TEST SCORES OF

MENOPAUSAL SYMPTOMS WITH FAMILY INCOME EXPERIMENTAL AND
CONTROL GROUP

Family Experimental group Control group

income
Mild Moderate Severe Mild Moderate Severe

Pre test
Less than 0.0% 100.0% 0.0% 0.0% 100.0% 0.0%
Rs5000 0.0% 100.0% 0.0% 0.0% 10.0%
Rs50001- 90.0%
10,000 28.6% 22.2%
Rs 10,0001- 0.0% 71.4% 0.0% 77.8%
15.000 0.0% 0.0% 0.0%
100.0%
Rs 15,000 0.0% 100.0%
above

Post test
Less than 75.0% 25.0% 0.0% 0.0% 100.0% 0.0%
Rs5000
Rs50001- 10.0%
10,000 12.5% 87.5% 0.0% 0.0% 90.0%
Rs 10,0001-
15.000
Rs 15,000 26.7% 73.3% 0.0% 0.0% 88.9% 11.1%
above 0.0% 100.0% 0.0% 0.0% 100.0%
0.0%
 Family income * Total Level
100.0% 100.0% 100.0% 100.0% 100.0%
100.0% 90.0% 87.5% 90.0%88.9%
90.0% 77.8% 75.0%
80.0% 71.4% 73.3%
70.0%
60.0%
50.0%
40.0% 28.6% 26.7%
30.0% 22.2% 25.0%
20.0% 10.0% 12.5% 10.0%11.1% Mild
10.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
0.0%
Moderate
0.0%

Rs50001-10,000
Rs 15,000 above

Rs 15,000 above

Rs 15,000 above

Rs 15,000 above
Less than Rs5000

Less than Rs5000

Less than Rs5000

Less than Rs5000

Rs50001-10,000

Rs 10,0001- 15.000

Rs50001-10,000

Rs 10,0001- 15.000

Rs50001-10,000

Rs 10,0001- 15.000

Rs 10,0001- 15.000
Severe

Experiment Control Experiment Control

Pre test Post test

Figure –XXIX

BAR DIAGRAM SHOWINGASSOCIATION BETWEEN PRE TEST AND POST

TEST SCORES OF MENOPAUSAL SYMPTOMS WITH FAMILY INCOME
EXPERIMENTAL AND CONTROL GROUP
 TABLE –XXX

ASSOCIATION BETWEEN PRE TEST AND POST TEST SCORES OF

MENOPAUSAL SYMPTOMS WITH OCCUPATION IN EXPERIMENTAL AND
CONTROL GROUP

Occupation Experimental group Control group

Mild Moderate Severe Mild Moderate Severe

Pre test

House wife 0.0% 69.2% 30.8% 0.0% 83.3% 16.7%

Daily labour 0.0% 100.0% 0.0% 0.0% 85.7% 14.3%
Private 0.0% 100.0% 0.0% 0.0% 100.0% 0.0%
employee 0.0% 0.0% 100.0%
Govt.
employee 0.0% 100.0% 0.0%

Post test

House wife 15.4% 84.6% 0.0% 0.0% 100.0% 0.0%

Daily labour 30.8% 69.2% 0.0% 0.0% 85.7% 14.3%
Private 66.7% 33.3% 0.0% 0.0% 100.0% 0.0%
employee
Govt.
employee 0.0% 100.0% 0.0% 0.0% 0.0% 100.0%
 Occupation * Total Level
100.0% 100.0%
100.0%
90.0%
80.0%
66.7%
70.0%
60.0%
50.0%
40.0% 30.8% 30.8%
30.0%
16.7%14.3% 15.4% 14.3% Mild
20.0%
Moderate
10.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
0.0% Severe
House wife

House wife

House wife

Daily labour

House wife
Daily labour

Daily labour

Daily labour
Private employee

Private employee

Private employee

Private employee
Govt. employee

Govt. employee

Govt. employee
Experiment Control Experiment Control
Pre test Post test

FIGURE –XXX

BAR DIAGRAM SHOWING ASSOCIATION BETWEEN PRE TEST AND POST

TEST SCORES OF MENOPAUSAL SYMPTOMS WITH OCCUPATION IN
EXPERIMENTAL AND CONTROL GROUP
 TABLE –XXXI

ASSOCIATION BETWEEN PRE TEST AND POST TEST SCORES OF

MENOPAUSAL SYMPTOMS WITH TYPE OF FAMILY IN EXPERIMENTAL
AND CONTROL GROUP

Type of Experimental group Control group

family
Mild Moderate Severe Mild Moderate Severe

Pre test
Nuclear 0.0% 93.8% 6.3% 0.0% 88.2% 11.8%
family
Joint family
Extended 0.0% 75.0% 25.0% 0.0% 81.8% 18.2%
family 0.0% 0.0% 50.0% 50.0%
0.0% 100.0%
Others 0.0%
100.0% 0.0% 0.0% 0.0%
0.0%

Post test
Nuclear 33.3% 66.7% 0.0% 0.0% 88.2% 11.8%
family
Joint family
Extended 25.0% 75.0% 0.0% 0.0% 100.0% 0.0%
family 0.0% 100.0% 0.0% 0.0% 50.0% 50.0%
Others 0.0% 100.0% 0.0%
0.0% 0.0% 0.0%
 Type of family * Total Level
100.0%100.0% 100.0%
100.0% 100.0%
100.0% 93.8%
88.2% 88.2%
90.0% 81.8%
80.0% 75.0% 75.0%
66.7%
70.0%
60.0%
50.0% 50.0%
50.0%
40.0% 33.3%
30.0% 25.0% 25.0% Mild
18.2%
20.0% 11.8% 11.8% Moderate
6.3% Severe
10.0%
0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
0.0%
Nuclear family
Nuclear family

Extended family

Nuclear family

Extended family

Extended family

Nuclear family

Extended family
Joint family

Others

Joint family

Joint family

Others

Experiment Control Experiment Joint family

Control
Pre test Post test

FIGURE –X1

BAR DIAGRAM SHOWING SSOCIATION BETWEEN PRE TEST AND POST

TEST SCORES OF MENOPAUSAL SYMPTOMS WITH TYPE OF FAMILY IN
EXPERIMENTAL AND CONTROL GROUP
 Table –XXXII

ASSOCIATION BETWEEN PRE TEST AND POST TEST SCORES OF MENOPAUSAL

SYMPTOMS WITH DIETARY HABITS IN EXPERIMENTAL AND CONTROL
GROUP

Dietary Experimental group Control group

habits
Mild Moderate Severe Mild Moderate Severe

Pre test

Vegetarian 0.0% 100.0% 0.0% 0.0% 100.0% 0.0%

Non – 0.0% 75.0% 25.0% 0.0% 66.7% 33.3%
Vegetarian 0.0% 88.0% 12.0% 0.0% 81.8% 18.2%

Mixed

Post test

Vegetarian 0.0% 100.0% 0.0% 0.0% 100.0% 0.0%

Non – 50.0% 0.0% 0.0% 66.7% 33.3%
50.0%
Vegetarian 75.0% 0.0% 0.0% 90.9% 9.1%
25.0%
Mixed
 Dietary habits * Total Level
100.0% 100.0% 100.0% 100.0%
100.0% 90.9%
88.0%
90.0% 81.8%
80.0% 75.0% 75.0%
66.7% 66.7%
70.0%
60.0% 50.0%
50.0%
50.0%
40.0% 33.3% 33.3%
30.0% 25.0% 25.0%
18.2% Mild
20.0% 12.0% 9.1% Moderate
10.0% 0.0%
0.0%0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
0.0% Severe
Mixed

Mixed

Mixed

Mixed
Vegetarian

Vegetarian

Vegetarian

Vegetarian
Non -Vegetarian

Non -Vegetarian

Non -Vegetarian

Non -Vegetarian
Experiment Control Experiment Control
Pre test Post test

FIGURE XXXIII

BAR DIAGRAM SHOWING ASSOCIATIONBETWEEN PRE TEST AND POST

TEST SCORES OF MENOPAUSAL SYMPTOMS WITH DIETARY HABITS IN
EXPERIMENTAL AND CONTROL GROUP
 TABLE –XXXIV

ASSOCIATION BETWEEN PRE TEST AND POST TEST SCORES OF

MENOPAUSAL SYMPTOMS WITH REASON FOR MENOPAUSE IN
EXPERIMENTAL AND CONTROL GROUP

Reason for Experimental group Control group

menopause
Mild Moderate Severe Mild Moderate Severe

Pre test
Natural 0.0% 82.6% 17.4% 0.0% 84.6 15.4%

Artificial 0.0% 100.0% 0.0% 0.0% 75.0% 25.0%

Post test
Natural 30.4% 69.6% 0.0% 0.0% 92.3% 7.7%

Artificial 16.7% 83.3% 0.0% 0.0% 75.0% 25.0%

 Reason for menopause * Total Level
100.0%
100.0% 92.3%
90.0% 82.6% 84.6% 83.3%
80.0% 75.0% 75.0%
69.6%
70.0%
60.0%
50.0% Mild
40.0% 30.4% Moderate
30.0% 25.0% 25.0%
Severe
17.4% 15.4% 16.7%
20.0%
7.7%
10.0%
0.0% 0.0%0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
0.0%
Artificial Natural Artificial Natural Artificial Natural Artificial Natural
Experiment Control Experiment Control
Pre test Post test

FIGURE –XXXIV

BAR DIAGRAM SHOWING ASSOCIATION BETWEEN PRE TEST AND POST

TEST SCORES OF MENOPAUSAL SYMPTOMS WITH REASON FOR
MENOPAUSE IN EXPERIMENTAL AND CONTROL GROUP
T
 TABLE –XXXV

ASSOCIATION BETWEEN PRE TEST AND POST TEST SCORES

OFMENOPAUSAL SYMPTOMS WITHREASON FOR MENOPAUSE IN
EXPERIMENTAL AND CONTROL GROUP

Experimental group Control group

Mild Moderate Severe Mild Moderate Severe

Pre test
Yes 0.0% 100.0% 0.0% 0.0% 80.0% 20.0%

No 0.0% 81.8% 18.2% 0.0% 84.0% 16.0%

Post test
Yes 14.3% 85.7% 0.0% 0.0% 80.0% 20.0%

No 30.4% 69.6% 0.0% 0.0% 92.0% 8.0%

 History of hysterectomy * Total Level
100.0%
100.0% 92.0%
84.0% 85.7%
90.0% 81.8% 80.0% 80.0%
80.0% 69.6%
70.0%
60.0%
50.0% Mild
40.0% 30.4%
Moderate
30.0% 20.0% 20.0%
18.2% 16.0%14.3%
20.0% Severe
8.0%
10.0% 0.0%0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
0.0%
Yes No Yes No Yes No Yes No
Experiment Control Experiment Control
Pre test Post test

Figure –XXXV

BAR DIAGRAM SHOWINGASSOCIATION BETWEEN PRE TEST AND POST

TEST SCORES OF MENOPAUSAL SYMPTOMS WITH REASON FOR
MENOPAUSE IN EXPERIMENTAL AND CONTROL GROUP
 CHAPTER-V

EPILOGUE FINDINGS, , DISCUSSION, CONCLUSION

IMPLICATIONS, LIMITATIONS, AND
RECOMMENDATIONS.

EPILOGUE FINDINGS

A quantitative approach with pre test post test control group design was undertaken to
evaluate the “ Effectiveness of soya milk in reducing menopausal symptoms Among
menopausal women in selected rural Areas , Hyderabad, Telangana.”

OBJECTIVES OF THE STUDY

 To assess the pre test level of menopausal symptoms among menopausal women in
experimental and control group.
 To administer soya milk to the menopausal women in the experimental group.
 Compare the level of reduction of menopausal symptoms among experimental and
control group by post test
 To find out the association between pre test and post level of symptoms with the
selected demographic variables among experimental and control group.

The investigator planned the study in effective manner by review of the related literature and
recommendations of the previous studies, which helped in formation of conceptual frame
work and Research design for the study and to plan the analysis of data in effective and
efficient manner.

The conceptual frame work, adopted for this study is based on “”.

One group pre - test and post – test method was adopted for this study. Sample
consists of 60 women who were attending the PHC by using non probability convenient
sampling technique. The questionnaire was prepared by the investigator after thorough
Literature review, consultation with guide and subject experts. The tool used for the Data
collection was structured questionnaire in which part-1 consists of demographical variables
and part-2 menopause rating scale . The validation of the tool was done by subject experts.
The reliability of the tool was done by test and re-test method and found to be reliable and
feasible.

After getting permission from the rural health center of Hassan agar, Rajendra nagar
,Hyderabad. The investigator conducted pilot study on 6 women in the ,bavani nagar and the
results revealed that structured questionnaire is feasible to proceed further with the actual
study. The actual study was done on 60 women in Hassan agar, rajendra nagar Hyderabad.

The sample subjects were given 200ml of soyamilk twice daily for three weeks .
Post test was conducted at the end of third week . Depending upon the objectives of the study
the data was collected, analyzed and interpreted. Descriptive and inferential statistics were
used for data analysis and interpretation. The major findings of the study were summarized as
follows

Demographic variables in experimental and control group

Among study participants

In regard to age, In experimental group 7(23.3%) of women were with in the age group of 35-
40 years, 8(26.7%) were between 41-46 years, 6(20%)
were within46-52 years and 9(30.0%) were within 52 years &above respectively. In
control group3,(10.0%) were with in age group of 35-40 years, 7(23.0%) were
with in 41-46 years, 12(40.0%) were within 46-52 years and 8 (26.7%) were within 52 years
&above
In experimental group, regarding to religious status majority of
them 23(76.7%) are Muslim and 6(20.0%) are Hindu and 1(3.3%) are Christian. In control
group 23(76.0%) are Muslim, and 7(23.3%) are Hindu
.
Regarding educational status , majority of women17(56..7%) in
experimental group were primarily educated,13(43.3%) were illiterate and in control
group16(53.3%) were primarily educated 13 were illiterate and 1(3,3%) are secondary
educated
Regarding to age at menarche in experimental group most women are attained menarche at
the age group 10-12years 17(56,7%) and some of the women are attained menarche 13-15
years 13 ( 43,3%)where as in control group most of the women attained menarche at the age
of 13-15years 17 (56.7%) and some of the women are at age of 10- 12year 13 (43.3%)
attained menarche.
Regarding to the age at menopause majority of women in the experimental group15 (50.0%)
attained menopause at the age of 41-46 years, some of the women 10 (33,3%) at the age of
35-40, some of the women 5(16.7%) at the age of 46-52 years attained menopause.in control
group majority of women 18 (60,05) attained menopause at the age of 40 -45 years, some
women 7(23.3%) at the age of 35-40 years and 4(13.3%) at the age of 46-52 years

In experimental group regarding to the marital status majority of the women are 16(53.3%)
are married, 11(36.7%) are widow 2 (6.7%) are single 1 (3.3%) are divorced and in control
group majority of women 16 ( 53.3%) are married,13 (43,3%) are widow 1 are divorced.

Regarding age at marriage most of the women in experimental 25 (83.3%) and in control
group 20(66,7%) are married at the age of 18-20yrs ,some 0f the women in experimental 5
(16.7%)and in control group 9(30.0%) are married at the age of 21-23 yrs.

In experimental group and control group majority of women 13(43.3%) have 3-4children ,
in experimental 9(30.0%) and control group 10 (33.3%) have 5-6 children.

Regarding income, 14(46..7%) in experimental group and 18(60.0%) in

control group earns a monthly income of above 10,000 -15000 rs, and they all
belongs to a middle class family.
In regard to occupation, majority in experimental group 13(43.3%) and
in control group 12(40.0%) were house wife and 13 (43.3%)in experimental group and
14(46.7%) are daily labour
in regarding to type of family majority in experimental 16 (53.3%) and in control group 17
(56.7%) belongs to nuclear family, 12 (40.0%) in experimental and 11 (36.7%) are joint
family.
Regarding dietary habits , in experimental group,25 (86.7%) and in
control group22 (73.3%) are mixed diet ( veg &non vegetarian)

Regarding reason for menopause most of the women in experimental 23(73.3%) and in
control group 26 (86.7) are natural.

About 22 (73.3%)in experimental and 25 ( 86.7%) in control group are not having history of
hysterectomy and 8 (26.7%) in experimental and 5 (16.7) women are having history of
hysterectomy.

5.1 MAJORITY OF THE FINDINGS OF THE STUDY ARE

1.The pre assessment mean value of menopausal symptom score forexperimental group is
69.33 and in control group is 70. 3000 .

2. The post assessment mean value of menopausal score for experimental

group 41.7667 and in control group score 66.70 respectively.

3. The level of menopausal symptoms in experimental group is 86.7 % had moderate level of
symptoms and 13.3% are having severe symptoms
.
4 . The level of pre assessment menopausal symptoms score in control group
was 83.3% of women had mild menopausal symptoms and 16.7% had
moderate symptoms.

5. The level of post assessment menopausal symptom in experimental group,

73.3% of the women had mild menopausal symptom and 26.7% had
moderate menopausal symptoms.
6. The level of post assessment menopausal symptom in control group was
90.0% of the women had moderate menopausal symptoms and 10.0% had severe symptoms

7. The obtained t value 21.206 is very much higher than the tabulated value 2.05 at degree of
freedom of 29 and with 0,05 level of significance This shows that there is highly significant
difference between the symptom levels of pre test and post test which indicates the
administration of soyamilk in reducing menopausal symptoms was effective

DISCUSSION
The study is discussed as follows
Objectives of the study

 To assess the pre test level of menopausal symptoms among menopausal women in
experimental and control group.
 To administer soya milk to the menopausal women in the experimental group.
 Compare the level of reduction of menopausal symptoms among experimental and
control group by post test
 To find out the association between pre test and post level of symptoms with
selected demographic variables among experimental and control group.
Objective 1

 To assess the pre test level of menopausal symptoms among menopausal women in
experimental and control group.

Pre-test level of menopausal symptoms among postmenopausal women in

experimental group and control group was assessed. In experimental group, pretest
moderate symptoms are (86.7%), severe symptoms (13.3%), whereas in control
group, pr etest moderate level symptoms are (8.33%), severe symptoms (16.7%). The
chi-square value is .131 p=0.05.Statistically there is no significant difference between
experiment and control group.

Objective 2

 To administer soya milk to the menopausal women in the experimental group.

Objective 3

 Compare the level of reduction of menopausal symptoms among experimental and

control group by post test
Finally on comparing, pre test and post test menopausal symptoms among
menopausal women, in experiment, in pretest women are having 69.23 score and
in post test, they are having 41.76 score. Difference is 27.47. score. The difference
between pre test and post test score is large and it is statistically significant
.

Differences between pre test and post test score was analysed using Student paired-test.
Considering control group in pre test women are having 70.30. score and in post test,
they are having 61.16 score. Difference is 9.14 score. The difference between pre test
and post test score is small and it is not statistically significant. Differences between
pre test and post test score was analysed using Student paired t-test.

Differences between pre assessment and post assessment score was analyse using the
mean difference and the proportion with 95% confidence interval is 27.47 (p=0.001
significant) in experimental group and in control group is 9.14(p=0.10 not significant).
On comparing the symptoms in experimental and control group, the mean difference
between the experimental and control group in the post test level is 5.23(mean=41.76
SD=5.18). The difference between experiment and control score is large and it is
statistically significant. Differences between experiment and control score was
analyzed using Student independent t-test (t=21.206 p=0.05significant). This shows
the effectiveness of soya milk

objective 4

 To find out the association between pre test and post level of symptoms with
selected demographic variables among experimental and control group.

On associating the pre test and post test scores in experimental and control group, None of
the variables are significant. statistical significance was calculated using chi square test
 CONCLUSION AND RECOMMENDATIONS

The brain of the research project lies in reporting the findings. This is the most
Creative and demanding part of this study. This chapter gives the brief account
of Present study, suggestion of the study and nursing implication. This study
was intended to analyse the effectiveness of soya milk administration upon
menopausal symptoms among menopausal women

IMPLICATIONS:
(Tolsma 1995), the findings of the study have the following implications in
the areas of nursing service, nursing education, nursing administration, and
research. Home based treatment to reduce the post-menopausal symptoms must be taught to
combat these symptoms naturally in the community and the Community Health Nurse must
hold high responsibility in creating awareness among the people regarding this
complimentary alternative medicines.

NURSING SERVICE
It was identified during survey in Hassan agar that many women at menopausal age were
experiencing menopausal symptoms. Basically it is being neglected by the women and not
told out. So the community health nurse needs to give more importance to the women in
menopausal age and the use of soya milk as natural remedy to reduce postmenopausal
symptoms. In hospital, women who underwent hysterectomy (surgical menopause) were not
aware of menopause, they only consider the surgery. Nurses in the surgical units need to
educate about menopause to those who underwent hysterectomy while discharging the
patient. And supportive advice has to be given with regard to following dietary modification
(consuming cabbage, beans, and soya) to reduce menopausal symptoms.
Nursing Education:
Menopause and its related issues should be a part of curriculum in subjects such as,
community health nursing. Nursing students should be educated them about natural remedies
and alternative and complementary therapies for menopause as they take care of the women
who undergo surgical hysterectomy. Nursing education must emphasize primary care
approach focusing on preventive care. Students can be motivated to conduct mass awareness
programs on post menopause and its symptoms and management. The knowledge must be
upgraded regarding the clinical focus on periodical screening programmes in the community
level to promote healthier life for the women.

Nursing administration:
The administrator has the added responsibility in providing the continuing education
opportunities on the alternative therapy to the nurse initiative to organize continuing
education programs on management of menopausal symptoms with supportive treatments
like soya milk supplementation for the nursing personnel in the hospital and in the
community setting with modern technological visual aids to enhance knowledge regarding
non pharmacological ways of reducing menopausal symptoms. A study protocol for the
implementation of the procedure must be developed. Nurse administrators must take interest
in formulating the principles and adapting the various modalities of treatment for the
menopausal symptoms. Nurses must explore their knowledge regarding the health education
programmes with teaching materials with new innovative ideas. Periodic conference,
seminar, symposium can be arranged for Nursing personnel regarding the care of menopausal
clients and the new findings regarding their care.

Nursing research:
As a result of growing demand, there is a heightened urgency to expand the evidence based
support in use. It opens the big avenue for research on innovative, alternative methods to
reduce the menopausal symptoms. Further research need to be conducted to help the
menopausal women to come out from their menopausal symptoms. The professional nurses
could conduct further studies on the impact of various alternative methods for treating the
menopausal symptoms as well as to avoid the use of hormone replacement therapy and its
side effects. The study findings helps to expand the scientific body of professional knowledge
for further researchers to build up evidencebased practice.
5.2 LIMITATION:
 Prolonged effect of soya beans could not be measured.
 The investigator needed much co operation from the menopausal women.

5.3 RECOMMENDATIONS:
The research recommends the following studies in the field of nursing
research:-
 The same study could be conducted on larger sample for better generalization.
 A similar study can be done with other type of soya products.
 Effectiveness of this soya milk can be compared with other complimentary
products.
 A similar study can be done in various settings.
 Effectiveness of soya milk can be compared with the other hormonal
 replacement therapies.

Conclusion:
The findings of the study showed that the effectiveness of soya milk upon menopausal
symptoms in experimental group were better than those in the control group. Hence it could
be concluded that there is an association between the menopausal symptoms and
administration of soya milk. Soya milk is easy to administer and a natural supplement for
menopausal women, which can also be prepared at home and consumed.
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