Orhan Ceren, Çelenay Şeyda Toprak, Demirtürk Funda, Özgül Serap, Üzelpasacı Esra, Akbayrak Türkan
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Yıldırım Beyazıt University, Ankara, Turkey.
J Obstet Gynaecol Res. 2018 Nov;44(11):2101-2109. doi: 10.1111/jog.13768. Epub 2018 Jul 25.
The primary aim of this study was to investigate the pain characteristics, academic performance and participation in sports and social activities among students with primary dysmenorrhea (PD) who have different pain intensities and to compare dysmenorrhea-related life impact with pain-free students.
The present study was conducted on 471 university students with and without PD. Based on Visual Analog Scale score, participants were categorized into four groups: no-pain (n = 60), mild pain (n = 83), moderate pain (n = 165) and severe pain (n = 163). Data on the pain characteristics, impact of dysmenorrhea on university absence, class concentration, participation in sports and social activities were obtained and analyzed with the Kruskal-Wallis, Mann-Whitney U and chi-square tests.
University absence, loss of class concentration and the impact on sports and social activities were higher in severe pain group than in no-pain, mild and moderate pain groups (P < 0.001). There were statistically significant differences in the duration of pain, the pattern of pain and the day when maximum pain is perceived among mild, moderate and severe pain groups (P < 0.05).
The results of the present study present that PD negatively influences academic performance and participation in sports and social activities. Furthermore, pain characteristics differed among the patients with mild, moderate and severe pain. There is a need for further studies that improve treatment options for PD in order to minimize the influence of pain on academic performance and social activities.
本研究的主要目的是调查不同疼痛强度的原发性痛经（PD）学生的疼痛特征、学业成绩以及参与体育和社交活动的情况，并将痛经相关的生活影响与无疼痛学生进行比较。
本研究对471名有或无PD的大学生进行。根据视觉模拟量表评分，参与者被分为四组：无疼痛组（n = 60）、轻度疼痛组（n = 83）、中度疼痛组（n = 165）和重度疼痛组（n = 163）。获取有关疼痛特征、痛经对大学缺勤、课堂注意力、参与体育和社交活动的影响的数据，并使用Kruskal-Wallis检验、Mann-Whitney U检验和卡方检验进行分析。
重度疼痛组的大学缺勤、课堂注意力丧失以及对体育和社交活动的影响高于无疼痛组、轻度疼痛组和中度疼痛组（P < 0.001）。轻度、中度和重度疼痛组在疼痛持续时间、疼痛模式以及感觉到最大疼痛的日期方面存在统计学显著差异（P < 0.05）。
本研究结果表明，PD对学业成绩以及参与体育和社交活动有负面影响。此外，轻度、中度和重度疼痛患者的疼痛特征有所不同。需要进一步开展研究以改善PD的治疗方案，从而将疼痛对学业成绩和社交活动的影响降至最低。
