Donayeva Ainur, Amanzholkyzy Ainur, Abdelazim Ibrahim, Nurgaliyeva Roza, Gubasheva Gulnara, Saparbayev Samat, Ayaganov Dinmukhamed, Kaldybayeva Aiman, Samaha Ihab
Department of Normal Physiology, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan.
Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
J Med Life. 2023 Oct;16(10):1462-1467. doi: 10.25122/jml-2023-0247.
Primary dysmenorrhea is the most commonly encountered menstrual issue among adolescents, often leading to significant school absenteeism. This study aimed to detect the impact of primary dysmenorrhea on adolescents' activities and school attendance. We conducted a cross-sectional comparative study involving 180 adolescents aged 12 to 18 who experienced primary dysmenorrhea. A comprehensive trans-abdominal pelvic sonography was performed to rule out any underlying pelvic conditions. The severity of dysmenorrhea was evaluated using the visual analog scale (VAS), categorizing adolescents into groups with mild dysmenorrhea (VAS ≥1 to ≤3), moderate dysmenorrhea (VAS >3 to ≤7), and severe dysmenorrhea (VAS >7 to ≤10). Adolescents were surveyed to determine whether the severity of dysmenorrhea had an adverse effect on their physical and social activities as well as their school attendance. We used one-way ANOVA to compare the groups. There was a significant positive relation between the severity of dysmenorrhea and its negative impact on adolescents' physical activities (r=0.395; p<0.00001) and social activities (r=0.658; p<0.00001). Additionally, there was a significant positive relation between the severity of dysmenorrhea and its negative impact on adolescents' school attendance (r=0.416; p<0.00001). The odds of a negative impact on adolescents' physical and social activities and school attendance were significantly higher in adolescents experiencing moderate and severe dysmenorrhea than in adolescents with mild dysmenorrhea.
原发性痛经是青少年中最常见的月经问题，常常导致大量缺课。本研究旨在检测原发性痛经对青少年活动及上学出勤率的影响。我们开展了一项横断面比较研究，纳入了180名年龄在12至18岁之间的原发性痛经青少年。进行了全面的经腹盆腔超声检查以排除任何潜在的盆腔疾病。使用视觉模拟量表（VAS）评估痛经的严重程度，将青少年分为轻度痛经组（VAS≥1至≤3）、中度痛经组（VAS>3至≤7）和重度痛经组（VAS>7至≤10）。对青少年进行调查，以确定痛经的严重程度是否对其身体和社交活动以及上学出勤率有不利影响。我们使用单因素方差分析来比较各组。痛经严重程度与其对青少年身体活动的负面影响之间存在显著正相关（r=0.395；p<0.00001），与社交活动的负面影响之间也存在显著正相关（r=0.658；p<0.00001）。此外，痛经严重程度与其对青少年上学出勤率的负面影响之间存在显著正相关（r=0.416；p<0.00001）。与轻度痛经的青少年相比，中度和重度痛经的青少年对其身体和社交活动以及上学出勤率产生负面影响的几率显著更高。
