College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Nursing, Chi Mei Medical Center, Liouying, Tainan, Taiwan.
J Clin Nurs. 2013 Nov;22(21-22):3130-40. doi: 10.1111/jocn.12240. Epub 2013 May 28.
To investigate self-care behaviours and its predictors for dysmenorrhoea among hospital nurses.
Dysmenorrhoea is an important issue in hospital nurses for its influence on job performance and quality of patient care. Given the difficulties in reorganising work schedule for taking menstrual leave in Taiwan, it is necessary to improve the comfort level of nurses during menstruation.
A cross-sectional correlation study using a structured questionnaire.
A convenience sampling method was used to select two hospitals in Southern Taiwan, and participants were recruited by random sampling method. Questionnaire used in the study contained personal information, Dysmenorrheic Knowledge Scale, Menstrual Attitude Scale and Dysmenorrheic Self-Care Behavior Scale (DSCBS). Two hundred and ninety-seven participants had experienced dysmenorrhoea in the last six months, with the prevalence rate of 70·7%.
Results showed the average age of the participants was 30·3 years, and 252 participants (82·4%) self-perceived they were bothered by dysmenorrhoea. The score of DSCBS was 29·9 (±5·3). The results of stepwise multiple regression analysis revealed the predictors of DSCBS included whether the participants (1) were married, (2) had irregular menstruation, (3) had received health education on dysmenorrhoea, (4) visited doctor for dysmenorrhoea, (5) knew they may take menstrual leave and (6) were identified with menstruation as a natural event. The r(2) was 18·4%.
Hospital nurses' self-care behaviour for dysmenorrhoea is suggested to be improved through enhanced peer support and caring.
The prevalence rate of dysmenorrhoea among hospital nurses is high. Most of them take analgesics to reduce pain to return to work. We recommend hospitals to provide women-friendly workplace and empowerment activities to improve the self-care ability and comfort level of nurses during menstruation.
调查医院护士痛经的自我护理行为及其预测因素。
痛经是医院护士的一个重要问题，因为它会影响工作表现和患者护理质量。鉴于在台湾重新安排工作时间表以便请月经假存在困难，有必要提高护士在月经期间的舒适度。
使用结构问卷的横断面相关性研究。
采用方便抽样法选取台湾南部的两家医院，采用随机抽样法招募参与者。研究中使用的问卷包括个人信息、痛经知识量表、月经态度量表和痛经自我护理行为量表（DSCBS）。297 名参与者在过去六个月中有痛经经历，患病率为 70.7%。
结果显示，参与者的平均年龄为 30.3 岁，252 名（82.4%）参与者自我认为痛经困扰他们。DSCBS 的得分为 29.9（±5.3）。逐步多元回归分析的结果表明，DSCBS 的预测因素包括：（1）参与者是否已婚；（2）月经是否不规律；（3）是否接受过痛经健康教育；（4）是否因痛经就诊；（5）是否知道可以请月经假；（6）是否认为月经是自然事件。r(2)为 18.4%。
建议通过增强同伴支持和关爱来改善医院护士对痛经的自我护理行为。
医院护士痛经的患病率很高。他们大多数人服用止痛药来减轻疼痛以返回工作岗位。我们建议医院提供女性友好型工作场所和赋权活动，以提高护士在月经期间的自我护理能力和舒适度。
