Chuamoor Kunyarat, Kaewmanee Kanya, Tanmahasamut Prasong
Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 2012 Aug;95(8):983-91.
To determine the prevalence of dysmenorrhea, impact on daily activity, quality of life, and knowledge of management among Siriraj nurses.
Four hundred ninety three female nurses in the Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
A cross-sectional descriptive study was done at Siriraj Hospital, Bangkok, Thailand Subjects were asked to complete a questionnaire (32 items) and a Short form-36. The questionnaire included demographic data, menstrual pattern, age at dysmenorrhea, severity of dysmenorrhea, pain score, impact of dysmenorrhea on daily activity, and method and knowledge of medications to treat dysmenorrhea. Evaluation of the quality of life using short form-36 questionnaire was also asked.
The prevalence of dysmenorrhea was 70.2%. The prevalence of mild, moderate, and severe dysmenorrhea was 29.6%, 38.9%, and 1.6% respectively. Dysmenorrhea was significantly associated with age of participants, amount of menses, and the family history of dysmenorrhea. Nurses who had moderate to severe dysmenorrhea reported the impact on daily activities as limited sport activity (93%), limited social activity (66%), affected their concentration (81%), and absenteeism from work (16.5%). The mean total score of short form-36 in moderate and severe dysmenorrhea group was 69.9, significantly lower than mild and no dysmenorrhea group (75.2). Eighty-one percent and 68% of nurses with moderate and severe dysmenorrhea used paracetamol and mefenamic acid for pain relief respectively.
The prevalence of dysmenorrhea among nurses was high and it had a negative impact on daily activities and quality of life. Most of the subjects knew that paracetamol and mefenamic acid can relieve dysmenorrhea. The hospital administrators should be concerned with this problem in nurses working in their hospital.
确定诗里拉吉医院护士痛经的患病率、对日常活动的影响、生活质量以及管理知识。
泰国曼谷玛希隆大学诗里拉吉医院医学院的493名女护士
在泰国曼谷诗里拉吉医院进行了一项横断面描述性研究。研究对象被要求填写一份问卷（32项）和一份简短健康调查问卷（Short form-36）。问卷包括人口统计学数据、月经模式、痛经开始年龄、痛经严重程度、疼痛评分、痛经对日常活动的影响以及治疗痛经的药物方法和知识。还要求使用简短健康调查问卷评估生活质量。
痛经患病率为70.2%。轻度、中度和重度痛经的患病率分别为29.6%、38.9%和1.6%。痛经与参与者年龄、月经量和痛经家族史显著相关。有中度至重度痛经的护士报告称，痛经对日常活动的影响包括限制体育活动（93%）、限制社交活动（66%）、影响注意力（81%）以及旷工（16.5%）。中度和重度痛经组简短健康调查问卷的平均总分是69.9，显著低于轻度和无痛经组（75.2）。中度和重度痛经的护士分别有81%和68%使用对乙酰氨基酚和甲芬那酸缓解疼痛。
护士中痛经患病率较高，且对日常活动和生活质量有负面影响。大多数受试者知道对乙酰氨基酚和甲芬那酸可以缓解痛经。医院管理人员应关注其医院护士中的这一问题。
