Chiu Min-Hui, Hsieh Hsiu-Fen, Yang Yi-Hsin, Chen Huei-Mein, Hsu Su-Chen, Wang Hsiu-Hung
College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
Chi Mei Medical Centre, Liouying, Tainan, Taiwan.
BMJ Open. 2017 Dec 19;7(12):e017615. doi: 10.1136/bmjopen-2017-017615.
Nurses are at high risk of dysmenorrhoea while working with patients. The study objectives were to: (1) describe the demographic and menstruation characteristics of dysmenorrhoea, knowledge about dysmenorrhoea and menstrual attitudes towards menstruation among dysmenorrhoeal and non-dysmenorrhoeal hospital nurses; (2) identify significant differences between the groups; and (3) examine factors influencing dysmenorrhoea.
This cross-sectional survey used a structured questionnaire, administered at two hospitals in southern Taiwan. Participants included hospital nurses at least 18 years of age who agreed to participate. All participants were recruited through random sampling. The questionnaire included demographic data, the Dysmenorrhoea Knowledge Scale and Menstrual Attitude Scale (MAS).
A total of 420 nurses completed the questionnaire. Among them, 297 (70.7%) had experienced dysmenorrhoea in the past 6 months and 123 (29.3%) had not. Significant differences in age (P<0.001), marital status (P<0.001), childbearing status (P<0.001), age at menarche (P<0.05) and rotating three shift ratio (P<0.05) were identified between the dysmenorrhoea and non-dysmenorrhoea groups. Analysis of the MAS results revealed significant differences between the groups regarding consideration of menstruation as a debilitating (P<0.001) or bothersome event (P<0.05), anticipation and prediction of menstruation onset (P<0.01) and denial of any effects from menstruation (P<0.001). Results of the multiple logistic regression showed that predictive factors included age <40 years (4.46 vs 1.00), working three shift rotations (2.07 vs 1.00), marital status (2.59 vs 1.00), acknowledging menstruation as a debilitating event (2.72 vs 1.00) and denial of effects from menstruation (2.59 vs 1.00).
These findings could help nursing managers to create a caring and friendly work environment for hospital nurses at risk of dysmenorrhoea.
护士在与患者工作时患痛经的风险较高。本研究的目的是：（1）描述痛经和非痛经医院护士的人口统计学和月经特征、痛经知识以及对月经的态度；（2）确定两组之间的显著差异；（3）研究影响痛经的因素。
本横断面调查使用结构化问卷，在台湾南部的两家医院进行。参与者包括至少18岁且同意参与的医院护士。所有参与者均通过随机抽样招募。问卷包括人口统计学数据、痛经知识量表和月经态度量表（MAS）。
共有420名护士完成了问卷。其中，297名（70.7%）在过去6个月经历过痛经，123名（29.3%）未经历过。痛经组和非痛经组在年龄（P<0.001）、婚姻状况（P<0.001）、生育状况（P<0.001）、初潮年龄（P<0.05）和三班倒轮班比例（P<0.05）方面存在显著差异。对MAS结果的分析显示，两组在将月经视为使人衰弱的事件（P<0.001）或麻烦的事件（P<0.05）、月经开始的预期和预测（P<0.01）以及否认月经有任何影响（P<0.001）方面存在显著差异。多元逻辑回归结果显示，预测因素包括年龄<40岁（4.46比1.00）、三班倒轮班（2.07比1.00）、婚姻状况（2.59比1.00）、承认月经是使人衰弱的事件（2.72比1.00）以及否认月经有影响（2.59比1.00）。
这些发现有助于护理管理人员为有痛经风险的医院护士创造一个关怀和友好的工作环境。
