Chen Xiaoxue, Yu Juan, Chen Jianwen, He Shuxiao, Tao Huihua, Lin Yuqing, Zhang Li, Zhou Huaqiang, Wang Yalan
Department of Medical Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Collaborative Innovation Center for Cancer Medicine, Guangdong Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy, Guangzhou, China.
Heliyon. 2024 Mar 5;10(5):e27609. doi: 10.1016/j.heliyon.2024.e27609. eCollection 2024 Mar 15.
Premenstrual syndrome (PMS) is a cyclical psychosomatic disorder prevalent among women of reproductive age. However, research on the potential impact of PMS on routine nursing schedules and activities is limited. This study aims to identify the prevalence of PMS among female nursing staff and to examine the relationship between PMS and missed nursing care (MNC).
Between November 1, 2022, and April 30, 2023, this study was conducted among female nursing staff working in nine inpatient departments at Sun Yat-sen University Cancer Center. This study used a cross-sectional design. The participants were recruited through convenience sampling. Data were collected using the standardized Menstrual Distress Questionnaire, the Oncology Missed Nursing Care self-rating scale, and a sociodemographic questionnaire. One-way analysis of variance, Fisher's least significant difference test for post-hoc comparisons, and Spearman's correlation coefficient were utilized for data analysis. A trend test was also performed to explore patterns in the severity of PMS and MNC over time.
We collected a total of 224 questionnaires, with 154 (68.7%) female nursing staff reporting PMS. The most common symptoms were low back pain (91.1%), abdominal discomfort (90.6%), cold hands and feet (87.1%), and lethargy (87.1%). Moreover, 91.5% of the 224 female nursing staff reported at least one MNC activity. The nursing activities most frequently missed or left incomplete were liquid intake and output monitoring as ordered (43.3%), medication administration within 30 min before or after the scheduled time (43.3%), and electrocardiogram monitoring as ordered (42.9%). "Abdominal discomfort" from the Menstrual Distress Questionnaire was significantly correlated with the majority of MNC activities ( < 0.001).
This study provides evidence for a strong association between PMS and MNC among female nursing staff, suggesting that administrators should take the premenstrual conditions of female nursing staff into consideration. It is necessary to provide appropriate understanding and support to mitigate the impact on patient care and safety.
经前综合征（PMS）是一种在育龄女性中普遍存在的周期性身心障碍。然而，关于PMS对日常护理安排和活动的潜在影响的研究有限。本研究旨在确定女性护理人员中PMS的患病率，并探讨PMS与漏护（MNC）之间的关系。
2022年11月1日至2023年4月30日期间，本研究在中山大学肿瘤防治中心9个住院科室工作的女性护理人员中进行。本研究采用横断面设计。参与者通过便利抽样招募。使用标准化的月经困扰问卷、肿瘤学漏护自评量表和社会人口学问卷收集数据。采用单因素方差分析、Fisher最小显著差事后比较检验和Spearman相关系数进行数据分析。还进行了趋势检验，以探讨PMS和MNC严重程度随时间的变化模式。
我们共收集了224份问卷，其中154名（68.7%）女性护理人员报告患有PMS。最常见的症状是腰痛（91.1%）、腹部不适（90.6%）、手脚冰凉（87.1%）和嗜睡（87.1%）。此外，在224名女性护理人员中，91.5%报告至少有一项MNC活动。最常漏做或未完成的护理活动是按医嘱监测液体出入量（43.3%）、在预定时间前后30分钟内给药（43.3%）和按医嘱进行心电图监测（42.9%）。月经困扰问卷中的“腹部不适”与大多数MNC活动显著相关（<0.001）。
本研究为女性护理人员中PMS与MNC之间的强关联提供了证据，表明管理人员应考虑女性护理人员的经前状况。有必要提供适当的理解和支持，以减轻对患者护理和安全的影响。
