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基于 Leventhal 自我调节模型的心理教育对护理学生痛经的影响:一项单盲随机对照研究。

The Effect of Psychoeducation Based on Leventhal's Self-Regulation Model on Dysmenorrhoea in Nursing Students: A Single-Blind Randomised Controlled Study.

机构信息

Midwifery Department, Faculty of Health Sciences, Bitlis Eren University, Bitlis, Turkey.

Nursing Department, Faculty of Health Sciences, Mental Health and Psychiatric Nursing, Giresun University, Giresun, Turkey.

出版信息

Pain Manag Nurs. 2024 Aug;25(4):e311-e319. doi: 10.1016/j.pmn.2024.03.003. Epub 2024 Mar 29.

DOI:10.1016/j.pmn.2024.03.003
PMID:38555264
Abstract

BACKGROUND

The use of self-analgesics among women for dysmenorrhoea is common. Non-pharmacological methods can be employed to effectively cope with dysmenorrhoea. Psychoeducation based on Leventhal's Self-Regulation Model (SRM) is an affordable, easy, and non-pharmacological way that clinics can use to cope with dysmenorrhoea.

METHOD

This study aimed to investigate how psychoeducation affected dysmenorrhoea for nursing students using SRM. The sample consisted of 66 female students suffering from moderate-to-severe menstrual pain. A three-session psychoeducation based on SRM was applied to the intervention group. An 'Introductory Information Form', 'Visual Analogue Scale', 'Functional and Emotional Measure of Dysmenorrhoea (FEMD)', and 'Menstrual Symptom Questionnaire (MSQ)' were used to collect the data. All the measurements were carried out over three consecutive menstrual cycles.

RESULTS

A generalised linear model was used to analyse the data. After receiving psychoeducation, the pain and functional and emotional symptoms of dysmenorrhoea mean scores significantly decreased in the intervention group compared to the control group (p < .05), whereas there was no significant difference between the groups' MSQ mean scores (p > .05).

CONCLUSION

The psychoeducation reduced the severity of dysmenorrhoea pain and the functional and emotional impact levels of dysmenorrhoea and it was proved to be effective at helping the subjects cope with pain in the long term.

摘要

背景

女性在痛经时使用自我镇痛剂很常见。可以采用非药物方法来有效应对痛经。基于 Leventhal 自我调节模型(SRM)的心理教育是一种负担得起、简单且非药物的方法,诊所可以用它来应对痛经。

方法

本研究旨在调查基于 SRM 的心理教育如何影响护理专业学生的痛经。研究对象为 66 名患有中重度经期疼痛的女性学生。对干预组进行了基于 SRM 的三阶段心理教育。采用“简介信息表”、“视觉模拟量表”、“痛经的功能和情感测量(FEMD)”和“月经症状问卷(MSQ)”来收集数据。所有测量均在连续三个月经周期内进行。

结果

采用广义线性模型对数据进行分析。接受心理教育后,与对照组相比,干预组的痛经疼痛和功能及情感症状的平均得分显著降低(p<0.05),而两组的 MSQ 平均得分无显著差异(p>0.05)。

结论

心理教育减轻了痛经疼痛的严重程度以及痛经对功能和情感的影响水平,并且被证明有助于受试者长期应对疼痛。

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