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埃塞俄比亚哈瓦萨市哈瓦萨大学医学与健康科学学院女本科生痛经患病率、相关因素及其对日常学业活动的影响

Prevalence of dysmenorrhea and associated factors and its effect on daily academic activities among female undergraduate students of Hawassa University College of Medicine and Health Sciences, Hawassa, Ethiopia.

作者信息

Belayneh Wondu, Kassaye Zerai, Arusi Temesgen, Abera Netsanet, Hantalo Admassu, Melkamu Biruk, Gutulo Muluken

机构信息

Department of Gynecology and Obstetrics, Hawassa University College of Medicine and Health Sciences, Hawassa, Ethiopia.

Obstetrics and Gynecology, Hawassa University College of Medicine and Health Sciences, Hawassa, Ethiopia.

出版信息

Front Reprod Health. 2023 Dec 15;5:1244540. doi: 10.3389/frph.2023.1244540. eCollection 2023.

DOI:10.3389/frph.2023.1244540
PMID:38162010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10757849/
Abstract

BACKGROUND

Dysmenorrhea is pain during menstrual flow and is the most common gynecologic complaint in reproductive-age girls. The severity of dysmenorrhea ranges from mild to severe pain during menstruation, which affects their academic activities.

OBJECTIVE

To assess the prevalence and associated risk factors of dysmenorrhea and its effects on academic activities among Hawassa University students from April 1-30/2021.

METHODS

A cross-sectional study was conducted and a systematic random sampling technique was used to select 348 study participants. Standardized self-administered questionnaires were used to obtain relevant data. The severity of pain was assessed using a verbal multidimensional scoring system and Numerical Pain Rating Scale (NPRS) methods. The collected data was entered into Epi info version 7 and exported to SPSS version 21 for analysis and then descriptive statistics and logistic regression analysis were performed.

RESULTS

The prevalence of dysmenorrhea was 80% (277). Of those affected by dysmenorrhea, using the verbal multidimensional scoring system, 47.6% (132) were found to have mild pain, 39.7% (110) had moderate pain, and 12.6% (35) had severe pain. However, using the Numeric Pain Rating Scale (NPRS), 21.7% (60) were found to have mild pain, 33.2% (92) had moderate pain, 37.5% (104) had severe pain, and 7.6% (21) had very severe pain. It was found to have a negative effect on academic activity, such as loss of concentration in class ( = 0.00), disruption of study time ( = 0.00), sleep disturbances ( = 0.00), issues in personal relationships ( = 0.00), and absenteeism ( = 0.00). Associated factors included being sexually active, having a family history of dysmenorrhea, and the presence of depression.

CONCLUSION

Dysmenorrhea is prevalent in this study and has a significant impact on academic activities. Family history of dysmenorrhea, being sexually active, and the presence of depression are associated factors.

摘要

背景

痛经是指月经期间的疼痛,是育龄期女孩最常见的妇科问题。痛经的严重程度从月经期间的轻度疼痛到重度疼痛不等,这会影响她们的学业。

目的

评估2021年4月1日至30日哈瓦萨大学学生痛经的患病率、相关危险因素及其对学业的影响。

方法

进行了一项横断面研究,并采用系统随机抽样技术选取了348名研究参与者。使用标准化的自填问卷获取相关数据。采用言语多维评分系统和数字疼痛评分量表(NPRS)方法评估疼痛的严重程度。将收集到的数据录入Epi info 7版本,并导出到SPSS 21版本进行分析,然后进行描述性统计和逻辑回归分析。

结果

痛经的患病率为80%(277人)。在受痛经影响的人群中,采用言语多维评分系统,发现47.6%(132人)有轻度疼痛,39.7%(110人)有中度疼痛,12.6%(35人)有重度疼痛。然而,采用数字疼痛评分量表(NPRS),发现21.7%(60人)有轻度疼痛,33.2%(92人)有中度疼痛,37.5%(104人)有重度疼痛,7.6%(21人)有极重度疼痛。痛经被发现对学业活动有负面影响,如课堂上注意力不集中(P = 0.00)、学习时间中断(P = 0.00)、睡眠障碍(P = 0.00)、人际关系问题(P = 0.00)和旷课(P = 0.00)。相关因素包括有性生活、有痛经家族史和患有抑郁症。

结论

本研究中痛经很普遍,对学业活动有重大影响。痛经家族史、有性生活和患有抑郁症是相关因素。

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