Evaluation of Menstrual Pain Management Approaches by Northeastern Anatolian Adolescents
Evaluation of Menstrual Pain Management Approaches by Northeastern Anatolian Adolescents
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DOI：
10.1016/j.pmn.2008.09.001
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发表时间：
2009-03-01
影响因子：
1.7
通讯作者：
Ozdemir, Funda
中科院分区：
文献类型：
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作者：
Eryilmaz, Gulsen;Ozdemir, Funda
我们评估了土耳其东北部青少年应对月经疼痛的方法。该问卷根据面部疼痛评定量表编制，适用于 1,408 名女高中生（16.05 +/- 1.05 岁）。我们调查了青少年痛经的特点、青少年痛经的管理策略以及药物的使用情况。我们使用卡方检验评估了疼痛持续时间、严重程度和痛经持续时间之间的关系。痛经被认为是过去三个周期中的痛苦月经，81.7% 的受试者经历过。大多发生在过去1-3年内（65.6%）。疼痛大多发生在月经前一天（38.8%）或月经开始时（45.8%），持续1-3天。在多个位置都有感觉，但最常见的是下腹部和腰部区域。痛经的主要症状是出汗、食欲不振、头痛、注意力不集中、恶心、呕吐和头晕，以及不同程度的疼痛。处理痛经的方法有：咨询健康专业人士（8.9%）、药物治疗（46.1%）、非药物活动和其他经验性策略（24.4%）。药物治疗主要由母亲推荐（39.0%），并在疼痛难以忍受时服用（65.5%）。超过三分之一的受试者不知道他们服用了哪种药物。主要的非药物措施是：使用加热垫（36.5%）、睡眠（31.0%）、步行（11.3%）和按摩（11.0%）。看医生 (p < .001)、服药 (p < .001) 和应用经验策略预防痛经 (p < .01) 与痛经延长有关。药物治疗与缩短一个月经周期的疼痛持续时间有关。除预防痛经的经验性策略外，其他预防痛经的方法均与疼痛持续时间和严重程度有关。应鼓励青少年咨询医生，除了采取其他措施缓解经痛和缩短经期之外，还应开具药物治疗。此外，学校课程应重新设计，以解决青少年问题的适当管理策略。学校护士还可以提供咨询服务。并安排内容丰富的研讨会，以提高公众对此问题的认识。 (C) 2009 年美国疼痛管理护理学会
We evaluated approaches taken by Northeastern Turkish adolescents to cope with menstrual pain. The questionnaire was prepared according to the facial pain rating scale and applied to 1,408 female high school students (16.05 +/- 1.05 years of age). We investigated the characteristics of dysmenorrhea in adolescents, dysmenorrhea management strategies used by adolescents, and use of medication. We evaluated the relationships among pain duration, severity, and duration of dysmenorrhea experience using the chi-squared test. Dysmenorrhea was considered to be painful menstruation during the past three cycles and was experienced by 81.7% of subjects. It mostly occurred during the past 1-3 years (65.6%). Pain was mostly initiated a day before (38.8%) or at the beginning of (45.8%) menstrual flow and lasted for 1-3 days. It was felt in multiple locations but most commonly in the lower abdomen and lumbar region. Major symptoms associated with dysmenorrhea were sweating, low appetite, headache, distraction, nausea, vomiting, and dizziness, as well as varying degrees of pain severity. Approaches taken to deal with dysmenorrhea were: consulting a health professional (8.9%), medication (46.1%), nonmedicinal activities, and other empirical strategies (24.4%). Medication was recommended mostly by mothers (39.0%) and was taken when pain became unbearable (65.5%). More than one-third of the subjects did not know which drug they took. Major nonpharmacologic measures were: heating pad use (36.5%), sleeping (31.0%), walking (11.3%), and massaging (11.0%). Seeing a physician (p < .001), taking medication (p < .001), and applying empirical strategies to prevent dysmenorrhea (p < .01) were associated with prolonged dysmenorrhea. Medication was associated with shortening pain duration during one menstrual cycle. Except for empirical strategies to prevent dysmenorrhea, all other methods used to prevent dysmenorrhea were related to pain duration and severity. Adolescents should be encouraged to consult a physician and should be prescribed medication in addition to other measures to alleviate menstrual pain and shorten its duration. Moreover, school curriculum should be redesigned to address proper management strategies for adolescent problems. School nurses can also provide consultation services. and arrange informative seminars to increase public awareness of this issue. (C) 2009 by the American Society for Pain Management Nursing