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经前期烦躁障碍:科威特护理专业学生的患病率及其对学业表现和临床实习的影响。

Premenstrual dysphoric disorder: prevalence and effects on nursing students' academic performance and clinical training in Kuwait.

机构信息

College of Nursing, The Public Authority for Applied Education and Training, Safat, Kuwait.

出版信息

J Clin Nurs. 2011 Oct;20(19-20):2915-23. doi: 10.1111/j.1365-2702.2011.03708.x. Epub 2011 Mar 1.

DOI:10.1111/j.1365-2702.2011.03708.x
PMID:21362077
Abstract

AIMS

This study investigated the prevalence of Premenstrual Dysphoric Disorder among non-treatment seeking female students at the College of Nursing Kuwait. It also explored the effects of the disorder on their academic performance as shown by their grade point average and rate of absenteeism at clinical training.

BACKGROUND

Many women worldwide are unaware of this distressing menstrual disorder which affects about 3-8% of women of childbearing age. The cyclical mood symptoms often appear during the last week prior to the onset of menstruation. These symptoms interfere with sufferers activities of daily living including occupational, biopsychosocial and sexual activities.

DESIGN

A prospective observational study.

METHODS

The study used an adapted Arabic version of Daily Record of Severity of Problem for two menstrual cycles to collect data from 110 nursing students.

RESULT

Data analysis showed Cronbach's alpha coefficient for the adapted tool was 0·95. The rate of premenstrual dysphoric disorder was 5·6%. Hypotheses tested showed no significant effect on students' academic performance but a significant association with absenteeism at clinical training.

CONCLUSION

The rate obtained in this study was similar to those from recent studies. Participants with high luteal scores believe that the condition have lowered their quality of life by making them choose to be in isolation during the period.

RELEVANCE TO CLINICAL PRACTICE

Nursing students' absenteeism rate at clinical training is a predictor of their work absence pattern after qualification. Absenteeism due to premenstrual dysphoric disorder, a cyclic monthly disorder will be of monthly occurrences if sufferers do not sought medical treatment. Registered nurses absenteeism will not only result in shortage of trained nursing personnel, but also lowered standard of client care. It also has cost implications as temporary substitute staff may have to be employed during their period of absence or sick leave. This has implications for nursing management.

摘要

目的

本研究调查了科威特护理学院非治疗寻求女性学生中经前烦躁障碍的患病率。它还探讨了这种疾病对她们的学术表现的影响,表现在平均绩点和临床培训缺勤率上。

背景

全世界许多女性都不知道这种令人痛苦的月经失调,它影响了大约 3-8%的育龄妇女。周期性情绪症状通常出现在月经开始前的最后一周。这些症状会干扰患者的日常生活活动,包括职业、生物心理社会和性行为。

设计

前瞻性观察研究。

方法

该研究使用了经过改编的阿拉伯语版的每日严重问题记录,对 110 名护理学生进行了两个月经周期的数据收集。

结果

数据分析显示,经过改编的工具的克朗巴赫系数为 0.95。经前烦躁障碍的发生率为 5.6%。测试的假设表明,对学生的学业成绩没有显著影响,但与临床培训缺勤有显著关联。

结论

本研究中获得的发生率与最近的研究相似。黄体分数高的参与者认为,这种情况降低了他们的生活质量,使他们在这段时间选择独处。

临床意义

护理学生在临床培训中的缺勤率是他们毕业后工作缺勤模式的预测因素。如果患者没有寻求治疗,经前烦躁障碍这种周期性每月发生的疾病,其缺勤率将每月发生。注册护士的缺勤不仅会导致训练有素的护理人员短缺,还会降低客户护理的标准。由于在缺席或病假期间可能需要雇用临时替代人员,因此这也会产生成本影响。这对护理管理有影响。

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