Kamel Dalia M, Tantawy Sayed A, Abdelsamea Gehan A
Department of Physical Therapy for Obstetrics & Gynecology, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Physiotherapy Department, College of Medical and Health Sciences, Ahlia University, Manama, Kingdom of Bahrain.
J Pain Res. 2017 May 9;10:1079-1085. doi: 10.2147/JPR.S132544. eCollection 2017.
Dysmenorrhea is a condition describing the painful cramps that women feel before or during the menstrual period. While dysmenorrhea is the most common gynecologic complaint affecting adolescent and young women and there has been significant progress in understanding its pathophysiology and managing the symptoms, many young women do not seek medical consultation and remain untreated.
The aim of the study was to explore the prevalence of dysmenorrhea, its physical impact, and associated coping behaviors among university students.
A total of 269 female college students volunteered to participate in the study. Data regarding the students' experience with dysmenorrhea were collected via self-reported questionnaire developed based on relevant literature. Pain was scored on visual analog scale (VAS).
Most respondents (84.01%) reported feeling pain in the abdomen and back (VAS score, 5.00). Mood swings (84.8%) and dizziness (48.2%) were, respectively, the most common affective and somatic symptoms related to menstruation. There was a significant difference in the amount of menstrual flow (=0.004) and incidence of dysmenorrhea (=0.03) according to menstrual regularity. Most students (91.2%) did not seek medical consultation for dysmenorrhea, and 62.4% used analgesics. However, no significant correlation (=0.25) was found between analgesic intake and pain relief. While most students (90.7%) did not miss exams, 48.7% reported poor satisfaction with their academic performance because of dysmenorrhea.
Dysmenorrhea is highly prevalent among college students, with many physical impacts and associated activity limitations. Collaborative efforts from health care providers, program coordinators, and parents should focus on increasing awareness and improving management strategies to treat dysmenorrhea.
痛经是一种描述女性在月经前或月经期间感到疼痛性痉挛的病症。虽然痛经是影响青少年和年轻女性的最常见妇科主诉，并且在理解其病理生理学和管理症状方面已经取得了重大进展，但许多年轻女性并未寻求医疗咨询，仍然未得到治疗。
本研究的目的是探讨大学生痛经的患病率、其对身体的影响以及相关的应对行为。
共有269名女大学生自愿参与本研究。通过基于相关文献编制的自我报告问卷收集有关学生痛经经历的数据。疼痛采用视觉模拟量表（VAS）评分。
大多数受访者（84.01%）报告腹部和背部疼痛（VAS评分5.00）。情绪波动（84.8%）和头晕（48.2%）分别是与月经相关的最常见情感和躯体症状。根据月经规律，月经量（=0.004）和痛经发生率（=0.03）存在显著差异。大多数学生（91.2%）未因痛经寻求医疗咨询，62.4%使用了镇痛药。然而，未发现镇痛药摄入量与疼痛缓解之间存在显著相关性（=0.25）。虽然大多数学生（90.7%）没有缺考，但48.7%报告因痛经对学业成绩不满意。
痛经在大学生中非常普遍，会产生许多身体影响和相关的活动限制。医疗保健提供者、项目协调员和家长应共同努力，重点提高认识并改进痛经的治疗管理策略。
