Purpose
This study aimed to construct and test the Actor and Partner Interdependence Mediation Model (APIMeM) of aging anxiety of middle-aged couples based on Social Cognitive Theory and the “Crossover” concept.
Methods
Couples’ data were collected from 192 middle-aged couples.
Results
Actor effects and partner effects were supported in the two APIMeM models. Regarding the wives' aging anxiety, the actor effect of their climacteric symptoms and their cognition (husband climacteric symptoms) was mediated by their self-efficacy. Similarly, the partner effect of the husbands' cognition (wife climacteric symptoms) was also mediated by their husbands' self-efficacy. Considering the husbands' aging anxiety, the actor effect of the husbands' climacteric symptoms and the husbands' cognition (wife climacteric symptoms) was mediated by the wives' self-efficacy. The partner effect of the wives' climacteric symptoms and their cognition (husband climacteric symptoms) was mediated by the husbands' self-efficacy.
Conclusion
To reduce the aging anxiety of middle-aged couples and to reach a healthy old age, it is essential for a wife and husband to realize this together. It is considered that the aging anxiety of middle-aged couples will be more effectively prevented by implementing an interactive program to enhance self-efficacy, which has been identified as an important parameter of the actor-partner effect.

PURPOSE
We analyzed climacteric symptoms, bone mineral density (BMD), serum estradiol (E2) and follicle stimulating hormone (FSH) to identify the health benefits of meridian massage in perimenopausal women.
METHODS
There were 16 women in the experimental group and 17 people in the control group. Meridian massage was performed for 4 weeks, 3 times a week for 20 minutes each session. The data were collected pre-treatment, posttreatment and 4 weeks after treatment. SPSS/WIN 11.5 was used for data analysis.
RESULTS
After meridian massage, there were significant differences in climacteric symptoms (U = 65.50, p = .011) and BMD (U = 65.50, p = .011) between the two groups. The E2 level showed a significant difference between the two groups pre- and posttreatment (U = 75.00, p = .028). FSH showed a significant increase when measured at 4 weeks after the treatment as compared with the amount when measured post-treatment within the control group (z = -2.249, p = .025), experimental group showed a stable change in FSH. but there was no significant difference between the groups.
CONCLUSION
In this study, we confirmed the effects of Meridian massage in decreasing climacteric symptoms, inhibiting the decrease of BMD and stabilizing serum hormone in perimenopausal women. Therefore, it can be considered for use as a nursing intervention for health management in perimenopausal women.

PURPOSE
; This study was aimed to identify the effect of foot reflexology massage on climacteric symptom, fatigue and physiologic parameters of middle-aged women.
METHOD
; A non-equivalent pretest-posttest experimental design was used. Participants were recruited from the Community Health Center in Busan, Korea. Forty participants were assigned to either an experimental group(20) or a control group(20). Foot reflexology massage was administered twice a week for 6 weeks in the participant in experimental group.
RESULTS
There were statistically significant differences in climacteric symptom, fatigue, total cholesterol and cortisol level. However, there were no statistically significant differences in triglyceride, high density lipoprotein and low density lipoprotein.
CONCLUSION
; These results suggest that foot reflexology massage could be utilized as an effective nursing intervention to reduce climacteric symptom and fatigue in middle-aged women.

PURPOSE
This study was undertaken in order to examine the factors related to sexual satisfaction in climacteric women.
METHOD
This was a descripitive correlation study. The subjects were 544 women in climacteric stage. Data were analyzed a using of descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression with a SPSS WIN11.0.
RESULTS
The predictors of sexual satisfaction were age, education, marital status, family income, number of delivery, hormone therapy, body image, state anxiety, trait anxiety, spouse support. These factors explained 57.6% of the total variance.
CONCLUSION
These finding suggest the need to develope nursing strategy to improve the sexual satisfaction in climacteric women. To improve the climacteric women's sexual satisfaction, the above major influencing factors should be considered.

PURPOSE
This study was designed to identify the relationship between self reported climacteric symptoms, self concept and depression in middle aged women.
METHOD
Data were collected through self- reported questionaires which were constructed to include a climacteric symptoms, self-concept and depression of middle-aged women scale. The subjects for this study were 102 women between 40-59 years of age living in P city. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient.
RESULTS
The results obtained from this study were as follows: 1)The relationship between self reported climacteric symptoms and self concept was statistically significant with a negative correlation (r=-0.4862, P0.001). The relationship between self reported climacteric symptoms and depression had a statistically significant positive correlation (r=0.5393, P<0.001). The Relationship between self- concept and depression had a statistically significant negative correlation (r=-0.3769, P<0.001). 2) General characteristic variables significantly related to self reported climacteric symptoms were age (F=3.13, P<0.05) and frequency of pregnancy (F=3.24, P<0.05). General characteristic variables significantly related to frequency of self-concept were age (F=3.13, P<0.05), education level (F=2.97, P<0.05) and occupation (t=1.84, P<0.05). General characteristic variables significantly related to depression were age (F=3.12, P<0.05) and number of children (t=3.59, P<0.05). 3)The obstetrical characteristic variable significantly related to self-reported climacteric symptoms was the frequency of pregnancy (t=3.24, P<0.05).
CONCLUSION
This study shows possible implications for nursing intervention for middle-aged women's health to prevent and relieve climacteric symptoms.