Katwal P C, Karki N R, Sharma P, Tamrakar S R
Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu University School of Medical Science, Dhulikhel, Kavre, Nepal.
Kathmandu Univ Med J (KUMJ). 2016;14(56):318-321.
Background Dysmenorrhea is the most common gynecological disorder in women of reproductive age with implications as reduced quality of life and school absenteeism. Mental stress is possibly the most important known predisposing factor for primary dysmenorrhea. Objective This study aims to assess the relationship between stress and dysmenorrhea amongst the Nepalese medical students. Method This is cross-sectional descriptive study, conducted from 1st Dec. 2012 to 31st Jan. 2013. The study was conducted in Kathmandu University School of Medical Sciences. A total of 184 participants consented for this study and each one was given a questionnaire to complete. This study included only unmarried nulliparous, healthy (all through first to final years) female medical students, in age group of 16 to 24 years. Result The mean age of the participants was 19.43(±3.9) years. Among them, 67% of the participants experienced dysmenorrhea. Of them, 85% experienced increase in frequency and severity of dysmenorrhea after joining medical college. Similarly, 65% of participants considered medical education to be stressful. Of participants experiencing dysmenorrhea, 29.45% missed classes and 17.39% participants had positive family history of dysmenorrhea in first and second degree relatives. Conclusion The present study indicated a positive relationship between psychological stress and dysmenorrhea. Dysmenorrhea is the leading cause of recurrent short-term school absence in young ladies; this issue certainly needs to be addressed.
痛经是育龄女性最常见的妇科疾病，会降低生活质量并导致缺课。精神压力可能是已知的原发性痛经最重要的诱发因素。目的：本研究旨在评估尼泊尔医学生中压力与痛经之间的关系。方法：这是一项横断面描述性研究，于2012年12月1日至2013年1月31日进行。研究在加德满都大学医学院开展。共有184名参与者同意参与本研究，每人都收到一份问卷并要求填写。本研究仅纳入年龄在16至24岁之间、未婚未育、健康（从一年级到最后一年）的女性医学生。结果：参与者的平均年龄为19.43（±3.9）岁。其中，67%的参与者经历过痛经。其中，85%的参与者在进入医学院后痛经频率和严重程度增加。同样，65%的参与者认为医学教育有压力。在经历痛经的参与者中，29.45%缺课，17.39%的参与者在一级和二级亲属中有痛经的阳性家族史。结论：本研究表明心理压力与痛经之间存在正相关关系。痛经是年轻女性反复短期缺课的主要原因；这个问题肯定需要得到解决。
