Functional Health in Korean Middle-Aged Women with Poor Sleep Quality

PURPOSE: To develop and test a structural model of functional health in middle-aged women based on the theory of unpleasant symptoms. METHODS: The direct and indirect effects of menopause status, childhood trauma, post-traumatic stress, social support, and sleep quality on functional health of 264 Korean women were examined. FINDINGS: Menopause status and poor sleep quality had a negative direct effect and social support had a positive direct effect on functional health. Menopause status had a negative indirect effect on functional health through poor sleep quality. CONCLUSIONS: Biopsychosocial nursing intervention programs need to be developed to improve functional health in middle-aged women.restrictio