Experience of dysmenorrhea among a group of physical therapy students from Cairo University: an exploratory study

Experience of dysmenorrhea among a group of physical therapy students from Cairo University: an exploratory study
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DOI:
10.2147/jpr.s132544
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发表时间:
2017-01-01
影响因子:
2.7
通讯作者:
Abdelsamea, Gehan A.
Abdelsamea, Gehan A.
中科院分区:
医学3区
文献类型:
--
作者:
Kamel, Dalia M.;Tantawy, Sayed A.;Abdelsamea, Gehan A.

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介绍:痛经是一种描述妇女在月经期前或期间感到疼痛的痉挛的状况。虽然痛经是影响青少年和年轻女性的最常见的妇科疾病,并且在了解其病理生理学和症状管理方面已经取得了重大进展,但许多年轻女性不寻求医疗咨询并保持未经治疗。研究目的:本研究的目的是探讨大学生痛经的患病率,其对身体的影响以及相关的应对行为。共有269名女大学生自愿参加了这项研究。通过根据相关文献开发的自我报告问卷收集有关学生痛经经历的数据。结果:84.01%的患者感觉腹部和背部疼痛(VAS评分为5.00)。情绪波动(84.8%)和头晕(48.2%)分别是与月经有关的最常见的情感和躯体症状。月经量(p=0.004)和痛经发生率(p=0.03)根据月经规律有显著差异。大部分学生(91.2%)没有因痛经就医,62.4%的学生使用止痛药。然而,镇痛剂摄入量和疼痛缓解之间无显著相关性(p=0.25)。虽然大多数学生(90.7%)没有错过考试,48.7%的学生对他们的学习成绩不满意,因为痛经。结论:痛经是非常普遍的大学生,许多身体的影响和相关的活动限制。卫生保健提供者、项目协调员和家长的合作努力应该集中在提高认识和改善治疗痛经的管理策略上。
Introduction: Dysmenorrhea is a condition describing the painful cramps that women feel before or during the menstrual period. While dysmenorrhea is the most common gynecologic complaint affecting adolescent and young women and there has been significant progress in understanding its pathophysiology and managing the symptoms, many young women do not seek medical consultation and remain untreated.Aim of the study: The aim of the study was to explore the prevalence of dysmenorrhea, its physical impact, and associated coping behaviors among university students.Methods: A total of 269 female college students volunteered to participate in the study. Data regarding the students' experience with dysmenorrhea were collected via self-reported questionnaire developed based on relevant literature. Pain was scored on visual analog scale (VAS).Results: Most respondents (84.01%) reported feeling pain in the abdomen and back (VAS score, 5.00). Mood swings (84.8%) and dizziness (48.2%) were, respectively, the most common affective and somatic symptoms related to menstruation. There was a significant difference in the amount of menstrual flow (p=0.004) and incidence of dysmenorrhea (p=0.03) according to menstrual regularity. Most students (91.2%) did not seek medical consultation for dysmenorrhea, and 62.4% used analgesics. However, no significant correlation (p=0.25) was found between analgesic intake and pain relief. While most students (90.7%) did not miss exams, 48.7% reported poor satisfaction with their academic performance because of dysmenorrhea.Conclusion: Dysmenorrhea is highly prevalent among college students, with many physical impacts and associated activity limitations. Collaborative efforts from health care providers, program coordinators, and parents should focus on increasing awareness and improving management strategies to treat dysmenorrhea.