IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-9-6-25729 Original Research Paper A CROSS-SECTIONAL SURVEY TO ASSESS THE LEVEL OF STRESS AMONG POSTMENOPAUSAL WOMEN IN RURAL VALPARAI, AT COIMBATORE DISTRICT, TAMIL NADU, INDIA. Suganthy C Dr. June 2020 9 6 01 02 ABSTRACT

Background: Menopause is an inevitable reproductive phase between 45–55 years of age when various physical and mental changes impair the life of women. It typically occurs in a woman’s late 40s to early 50s (Barkha D et al., 2018). Many women find the time around menopause as stressful (The North American Menopause Society, 2016). Menopausal women in rural areas are often ignored (Sheri L and Sandra S, 2008), also, described more physical, psychological, and social stress. Moreover, they do have more medical troubles and lower self–esteem than men. Therefore, the study aims to assess the level of stress among postmenopausal women in rural Valparai, at Coimbatore district, Tamil Nadu. Objective: The purpose of this study was to quantify the levels of stress experienced by postmenopausal women in rural areas. Research Approach and Design: A cross–sectional survey approach, described level of stress among postmenopausal women Setting: The study was conducted in the Valparai area, after obtaining administrative permission from the village administrative officer of the area and formal written consent from the postmenopausal women who met inclusion criteria. Sample size and sampling technique: simple random sampling which is a probability sampling was used to select the samples. A total of 50 postmenopausal women were the samples for study. Instrument used: Level of stress was measured by using a structured self–administered schedule developed by the authors. The tool has two sections ie., section A and section B. Section A consists of demographic variables and section B consists of a five–point Likert scale with 20 items with three domains. The three domains are stress factors related to physical, psychological, and sexual factors. Major findings and reports: Major findings revealed that the majority (38%) of the postmenopausal women were in the age group of 51 – 55 years, 46% were Hindus, 36% had primary education, 48% were daily wages, 42% had their family monthly income of Rs. 7501 – Rs. 10000, 74% of them belong to a nuclear family and 76% of the postmenopausal women were non–vegetarians. From menopause specific variables, the highest percentage (38%) of them attained menopause in the age group of 51 – 55 years, the duration of menopause was higher among 60% of postmenopausal women and 40% had their source of health information from their friends. Severe level of stress was found highest for the factor related to physical menopausal symptoms, such as hot flushes, urinary changes, and sleep disturbances. There was no significant association between the level of stress and age, religion, education, occupation, monthly family income, type of family, dietary status, age at menopause, duration since menopause, and source of health information respectively. Conclusion: This small study provides a start to the prospective mapping of stress levels on time of menopause. It also provides information to researchers who want to examine postmenopausal women‘s stress. By understanding the stress experienced by postmenopausal women, nurses are better able to provide physical, psychological support, and thus more holistic care to this group of women.