الفهرس 
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Abstract
Summary
Menopausal hot flushes representing the most common, prevalent and discomforting symptom, where associated with insomnia, which can have a domino effect on the woman’s overall quality of life, which in turn can affect mood, impair concentration, and concomitant symptoms include palpitations, anxiety, irritability, and night sweats (Zhou, et.al, 2011). Hot flashes were treated through many approaches such as hormonal replacement therapy but, with the increased knowledge of side effects and cost attributable to conventional treatment approaches as acupressure which is a healing and the most effective method for self-treatment by using the power and sensitivity of the human hand that deals with all the aspects of a person as a whole: body, emotions, mind, and spirit as one, that balances the vital life forces of the body (Zhou, et.al, 2011).
Health-care team including gynecologists and nurses have to realize that menopausal women are at increased risk for severe disease and complications during this years, so they are
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urged to play proactive role in the health promotion aspect of menopause self-care and enrich their own experience (Murray and Mckinney, 2010). The present study aimed to investigate the effects of menopausal women’s self-care regarding acupressure on relieving their hot flashes. To achieve the study objective an intervention study design has implemented at gynecological clinics of Ain Shams Maternity University Hospital.
A purposive sample of one hundred women were included in the study, those women were divided into two equal group(study and control)at the previously mentioned settings and selected under the following inclusion criteria: menopausal women aged from 45 to 55 years old, and free from any medical or gynecological disorders.
Data collection has been carried out throughout the period from beginning of November 2012 till the end of November 2013. It has been done through four tools (a structured interviewing questionnaire sheet, hot flashes-related daily
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interference scale (HFRIS), observational checklist, and effect of acupressure technique on daily living activities sheet). In addition to self- care guideline “Supportive materials”. The present study revealed that
• The results revealed that, 84% of menopausal women’s age their age ranged between 51 - 55 years. As regard their place of residence 88 % of study group from rural area as compared with 62% of control group from urban area. On other hand, 42% of study group had higher educational level compared with 2% of control group. Concerning to the working status 58 % of study group hadn’t work as collated with 84% of the other group.
•As regard to menopausal history, 92% of the study group has normal menopause as collated with 88% of control group. As regard to premenopausal symptoms 82% of the study group has symptoms. The most dominant menopausal symptoms are hot flashes and headache represent 74%, 16% respectively as contrast with 20%, 10% of control group regarding Pre-menopausal hot flashes and insomnia respectively