Analysis of a Holistic-Comprehensive Health Service Approach in Menopause: A Systematic Literature Review

Menopause is a natural phase experienced by women. This phase is characterized by the cessation of ovulation and menstruation, as well as a decrease in the production of the hormones estrogen and progesterone. Menopause can cause a variety of physical and psychological symptoms, such as hot flashes, night sweats, mood swings, and sleep disturbances. A holistic comprehensive health service approach to menopause is an approach that views women as a complete unit, both physically, psychologically, socially, and spiritually. This approach aims to provide optimal health services by paying attention to various aspects that can affect the health of menopausal women. This study aims to analyze a holistic-comprehensive health service approach to menopause. This research was carried out using systematic literature review method. Research data was obtained from 15 journal articles published in the period 2010-2022. The research results show that a holistic-comprehensive health service approach to menopause includes three main aspects, namely: Physical aspects, including examination and treatment of physical symptoms of menopause, such as hot flashes, night sweats, mood swings and sleep disorders; Psychological aspects, including counseling and psychosocial therapy to help menopausal women deal with physical and emotional changes; Social aspects, including family and community support to help menopausal women adapt to changes in their role and status. A holistic-comprehensive health care approach to menopause can provide significant benefits for menopausal women, such as: Improving the quality of life of menopausal women; Reduces the risk of menopausal complications; Increasing menopausal women's satisfaction with health services.

physical symptoms experienced by menopausal women.Handling the physical symptoms of menopause can be done pharmacologically or nonpharmacologically. Pharmacological treatment of the physical symptoms of menopause can be done using drugs, such as drugs that can reduce hot flashes, night sweats and sleep disorders. 3,4e psychological aspect includes counseling and psychosocial therapy to help menopausal women deal with their physical and emotional changes.Counseling can help menopausal women understand the changes they are experiencing, as well as develop coping strategies to deal with these changes.Psychosocial therapy can help menopausal women improve their social and emotional skills.The social aspect includes family and community support to help menopausal women adapt to changes in their role and status.
Family and community support can provide emotional and practical support for menopausal women.
Emotional support can help menopausal women feel loved and accepted and reduce stress.6][7] This study aims to analyze a holisticcomprehensive health service approach to menopause.

Methods
This research was carried out using a systematic literature review method.Research data was obtained Data analysis was carried out to identify aspects covered in a holistic-comprehensive health care approach to menopause, as well as the benefits provided by this approach.

Results and Discussion
The research results show that a holisticcomprehensive health service approach to menopause includes three main aspects, namely: 1) Physical aspects, including examination and treatment of physical symptoms of menopause, such as hot flashes, night sweats, mood swings and sleep disorders.superiors and co-workers.Overall, a holisticcomprehensive healthcare approach to menopause is an approach that can provide significant benefits for menopausal women.This approach can help menopausal women to go through the menopause phase better and healthier. 12

Conclusion
A holistic-comprehensive healthcare approach to menopause can provide significant benefits for menopausal women, such as improving the quality of life of menopausal women, reducing the risk of menopausal complications, and increasing menopausal women's satisfaction with health services.
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from 12 journal articles published in the period 2010-2022.The journal articles were obtained from the PubMed, Scopus, and ScienceDirect databases.Journal article inclusion criteria are: Journal articles in English or Indonesian; Journal articles published in the period 2010-2022; The journal article discusses a holistic-comprehensive health care approach to menopause.Research data was analyzed descriptively.
Physical and laboratory examinations are carried out to diagnose menopause and determine the cause of the physical symptoms experienced by menopausal women.Handling the physical symptoms of menopause can be done pharmacologically or nonpharmacologically. 2) Psychological aspects, including counseling and psychosocial therapy to help menopausal women deal with physical and emotional changes.Counseling can help menopausal women understand the changes they are experiencing, as well as develop coping strategies to deal with these changes.Psychosocial therapy can help menopausal women improve their social and emotional skills.3) Social aspects, including family and community support to help menopausal women adapt to changes in their role and status.Family and community support can provide emotional and practical support for menopausal women. 8,9A holistic-comprehensive healthcare approach to menopause can help menopausal women to reduce physical and psychological symptoms and improve their physical and emotional functioning.The physical symptoms of menopause, such as hot flashes, night sweats, and sleep disturbances, can interfere with daily activities and reduce the quality of life of menopausal women.A holistic-comprehensive health service approach can help menopausal women reduce these symptoms in various ways, namely, physical and laboratory examinations can help doctors diagnose menopause and determine the cause of the physical symptoms experienced by menopausal women.Handling the physical symptoms of menopause can be done pharmacologically or non-pharmacologically.Lifestyle changes, such as a healthy diet, regular exercise, and avoiding stress, can help reduce the physical symptoms of menopause.Complementary and alternative therapies, such as acupuncture, yoga, and meditation, can also help reduce the physical symptoms of menopause. 10Psychological symptoms of menopause, such as mood swings, difficulty concentrating, and memory problems, can also reduce the quality of life of menopausal women.A holistic-comprehensive health service approach can help menopausal women reduce these symptoms in various ways.Counseling can help menopausal women understand the changes they are experiencing, as well as develop coping strategies to deal with these changes.Psychosocial therapy can help menopausal women improve their social and emotional skills.Family and community support can also help menopausal women to reduce the psychological symptoms of menopause.Emotional support can help menopausal women feel loved and accepted and reduce stress.Practical support can help menopausal women to cope with everyday difficulties, such as housework or childcare. 11Here are some examples of how a holisticcomprehensive healthcare approach can help menopausal women reduce physical and psychological symptoms and improve physical and emotional functioning: A menopausal woman who experiences hot flashes and night sweats can be helped with medication, lifestyle changes or complementary and alternative therapies.A menopausal woman who experiences mood swings and sleep disorders can be helped with counseling or psychosocial therapy.A menopausal woman experiencing menopausal problems at work can be helped by support from