OBJECTIVE This research was conducted to determine the effects of acupressure, laughter yoga, and a mindfulness-based stress reduction program applied to postmenopausal women for menopause symptoms and quality of life. METHODS A randomized controlled design was used. The study was conducted with a total of 146 women, including 41 acupressure, 31 laughter yoga, 37 mindfulness-based stress reduction, and 37 control group women. The women in the acupressure group were administered acupressure twice a week, which accounted for 16 sessions in total. Women in the laughter yoga and mindfulness-based stress reduction groups received a total of eight sessions of the related intervention, which was performed once a week. Study data were collected using a participant information form, the Menopause Rating Scale (MRS), and the Menopause-Specific Quality of Life Scale (MENQOL). Descriptive statistics, paired-samples t test, χ 2 test, analysis of variance test, and intention to treat analysis were used to analyze the data. Before the intention to treat analysis was performed, the multiple imputation method was employed to deal with missing data. RESULTS In the study, it was found that there was a decrease in the MRS total score after the intervention in women in all three intervention groups compared to the control group ( P < 0.05). In the laughter yoga group, total MRS scores decreased by 3.16 points ( P < 0.05). In the acupressure group, total MRS scores decreased by 5.46 points ( P < 0.05). In the mindfulness-based stress reduction (MBSR) program group, total MRS scores decreased by 4.65 points ( P < 0.05). It was determined that the mean scores of women in the laughter yoga and acupressure groups on all subscales of the MENQOL decreased after the intervention compared to the control group ( P < 0.05). The comparison of the MBSR group and the control group showed that there was a decrease only in the psychosocial domain subdimension of the MENQOL ( P < 0.05). CONCLUSIONS In conclusion, it was determined that laughter yoga, acupressure, and MBSR could be effective in reducing menopause symptoms and improving quality of life, although findings require further testing in a rigorously controlled study and in a study with only a single prespecified outcome.

中文翻译：

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穴位按压、大笑瑜伽和基于正念的减压计划对绝经后妇女更年期症状和生活质量的影响。


目的 进行这项研究是为了确定穴位按压、大笑瑜伽和基于正念的减压计划对绝经后妇女更年期症状和生活质量的影响。方法 采用随机对照设计。该研究共对 146 名女性进行，包括 41 名穴位按摩、31 名大笑瑜伽、37 名基于正念的减压和 37 名对照组女性。穴位按压组的女性每周接受 2 次穴位按压，共 16 次。大笑瑜伽和基于正念的减压组中的女性总共接受了八次相关干预，每周进行一次。使用参与者信息表、更年期评定量表 （MRS） 和更年期特异性生活质量量表 （MENQOL） 收集研究数据。采用描述性统计、配对样本 t 检验、χ 2 检验、方差分析检验和意向治疗分析对数据进行分析。在进行意向治疗分析之前，采用多重插补方法处理缺失数据。结果 在研究中，发现与对照组相比，所有三个干预组女性干预后 MRS 总分均有所下降 （P < 0.05）。大笑瑜伽组 MRS 总分下降 3.16 分 （ P < 0.05）。穴位按压组 MRS 总分下降 5.46 分 （ P < 0.05）。正念减压 （MBSR） 项目组 MRS 总分下降 4.65 分 （ P < 0.05）。 经确定，与对照组相比，干预后 MENQOL 所有分量表上大笑、瑜伽和穴位按摩组女性的平均得分均有所下降 （P < 0.05）。MBSR 组与对照组的比较显示，仅 MENQOL 的心理社会领域亚维度下降 （P < 0.05）。结论 总之，确定大笑瑜伽、穴位按摩和 MBSR 可有效减轻更年期症状和提高生活质量，尽管研究结果需要在严格对照的研究和只有一个预先指定结果的研究中进行进一步测试。