McEvoy Mimi, Chang Jane, Coupey Susan M
Albert Einstein College of Medicine, Bronx, NY 10461, USA.
MCN Am J Matern Child Nurs. 2004 Jan-Feb;29(1):41-9. doi: 10.1097/00005721-200401000-00011.
Menstrual disorders such as amenorrhea, excessive uterine bleeding, dysmenorrhea, and premenstrual syndrome are common reasons for visits to healthcare providers by adolescent girls. Although menstrual irregularity can be normal during the first few years after menarche, other menstrual signs and symptoms may indicate a pathological condition that requires prompt attention and referral. This article discusses four common menstrual disorders seen in adolescent girls and focuses on specific nursing interventions aimed at eliciting an accurate menstrual history, providing confidentiality and communicating therapeutically, administering culturally sensitive care, and promoting independence and self-care.
月经紊乱，如闭经、子宫出血过多、痛经和经前综合征，是少女就医的常见原因。尽管月经初潮后的头几年月经不规律可能是正常现象，但其他月经体征和症状可能表明存在需要及时关注和转诊的病理状况。本文讨论了少女中常见的四种月经紊乱，并重点介绍了旨在获取准确月经史、提供保密和进行治疗性沟通、提供文化敏感护理以及促进独立和自我护理的具体护理干预措施。
