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泰国青少年痛经:患病率、影响及治疗认知

Dysmenorrhea in Thai adolescents: prevalence, impact and knowledge of treatment.

作者信息

Tangchai Kamonsak, Titapant Vitaya, Boriboonhirunsarn Dittakarn

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.

出版信息

J Med Assoc Thai. 2004 Oct;87 Suppl 3:S69-73.

PMID:21218593
Abstract

OBJECTIVE

To determine the prevalence of dysmenorrhea, impact on school attendance, academic performance, social activities and knowledge of treatment in Thai adolescents.

DESIGN

Cross-sectional, descriptive study.

SETTING

Nakhorn Pathom Ratjabhat University, Nakorn Patom, Thailand.

SUBJECTS

A total of 789 women who were 1st and 2nd year students from Nakhorn Pathom Ratjabhat University, Nakorn Patom, Thailand.

MATERIAL AND METHOD

Subjects were asked to complete the 35 items anonymous questionnaire handed out by the researchers. The questionnaire included data regarding the social data, menstrual pattern, severity and duration of menstrual pain, impact of dysmenorrhea on school attendance, academic performance and social activities. The methods, knowledge of pain relief and medications used to treat dysmenorrhea were also asked.

RESULTS

The prevalence of dysmenorrhea were 84.2%. The most common symptoms were stomach cramp (78.0%), backache (58.9%) and mood change (56.9%). Only 31 (4.7%) had severe dysmenorrhea. The factors associated with dysmenorrhea were age at menarche (p < 0.05) and body mass index (p < 0.05). More than 60% of dysmenorrheic women reported that their class concentration was affected, Paracetamol was the drug known to 98.8% of participants with dysmenorrhea that help to relief their dysmenorrhea.

CONCLUSION

Dysmenorrhea is a significant public health problem. It has an impact on academic activities. Most of the subjects know that Paracetamol is the drug that help to relief their symptoms.

摘要

目的

确定泰国青少年痛经的患病率、对上学出勤率、学业成绩、社交活动的影响以及治疗知识。

设计

横断面描述性研究。

地点

泰国佛统府佛统皇家大学。

研究对象

泰国佛统府佛统皇家大学一、二年级的789名女性。

材料与方法

研究对象被要求填写研究人员发放的35项匿名问卷。问卷包括社会数据、月经模式、痛经的严重程度和持续时间、痛经对上学出勤率、学业成绩和社交活动的影响。还询问了治疗痛经的方法、缓解疼痛的知识和使用的药物。

结果

痛经的患病率为84.2%。最常见的症状是胃痛(78.0%)、背痛(58.9%)和情绪变化(56.9%)。只有31人(4.7%)有严重痛经。与痛经相关的因素是初潮年龄(p<0.05)和体重指数(p<0.05)。超过60%的痛经女性报告说她们的课堂注意力受到影响,98.8%的痛经参与者知道对乙酰氨基酚有助于缓解痛经。

结论

痛经是一个重大的公共卫生问题。它对学术活动有影响。大多数研究对象知道对乙酰氨基酚是有助于缓解症状的药物。

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