{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:21:47Z","timestamp":1787775707996,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Demographic, social, and self-care factors can significantly impact the quality of life of menopausal women. Self-care abilities are regarded as pivotal mechanisms for enhancing quality of life and reducing substantial healthcare costs for elderly individuals. The present study investigated the impact of COVID-19 and self-care on the quality of life of postmenopausal women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>This cross-sectional study involved 174 menopausal women who visited healthcare centers in Bojnurd, Iran, in 2023, using a two-stage (stratified and cluster) sampling approach. The inclusion criteria for sampling were as follows: 1 year or more since the last menstrual period, natural menopause, age 45 to 65 years, literacy, and no history of mental illness or psychiatric drug use in the past 6 months. The research tools included a self-designed demographic-social questionnaire, a self-care questionnaire tailored for Iranian menopausal women, and a menopause-specific quality-of-life questionnaire (MENQOL). After completing the questionnaires, data analysis was performed with a significance level of 0.05 using descriptive and inferential statistical methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      The mean age at menopause was 49.69 years, with a standard deviation of 3.51 years. Most participants were married, had no university education, or were homemakers. Self-care had a statistically significant relationship with quality of life (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Also, a significant inverse relationship was observed between self-care and quality of life (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001). With the exception of spouse\u2019s occupation, no statistically significant relationships were detected between demographic variables, quality of life, or self-care and history of COVID-19 infection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>According to obtained results, there was a relationship between self-care and quality of life in menopause women. Higher education and employment among menopausal women are associated with improved quality of life. It is recommended that studies with a larger sample size be conducted in order to be more generalizable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_1780_24","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T07:00:44Z","timestamp":1772175644000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The impact of COVID-19 and self-care on the quality of life of postmenopausal women"],"prefix":"10.4103","volume":"15","author":[{"given":"Maryam Hassanzadeh","family":"Bashtian","sequence":"first","affiliation":[{"name":"Assisstant Professor, Addiction Research Center and Behavioral Sciences, North Khorasan University of Medical Sciences, Bojnurd, Iran"},{"name":"Department of Midwifery, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raheleh","family":"Asali","sequence":"additional","affiliation":[{"name":"Department of Midwifery, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alireza","family":"Afshari-Safavi","sequence":"additional","affiliation":[{"name":"Department of Biostatics and Epidemiology, School of Health, North Khorasan University of Medical Sciences, Bojnurd, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samine","family":"Mokhlesi","sequence":"additional","affiliation":[{"name":"Medical Student, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2]]},"reference":[{"key":"R2-20260302","first-page":"26","article-title":"A systematic review and meta-analysis on 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