Amin Shaimaa Mohamed, El-Sayed Mona Metwally, El-Monshed Ahmed Hashem, Khedr Mahmoud Abdelwahab, Atta Mohamed Hussein Ramadan
Lecturer of Community Health Nursing Faculty of Nursing, Damanhour University, Damanhour City, Egypt.
Assistant Professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria City, Egypt.
BMC Nurs. 2024 Oct 8;23(1):721. doi: 10.1186/s12912-024-02341-w.
Menstrual pain, or dysmenorrhea, can cause physical discomfort and mood swings, potentially impacting the attitudes of female nursing students toward marriage. Effective emotion regulation strategies are essential for managing stress and shaping their perspectives on marriage. This study sought to investigate the relationship between dysmenorrhea, emotional regulation skills, and attitudes toward marriage among female nursing students.
A cross-sectional survey was conducted using a stratified sample of 504 female nursing students from four academic years. The study used a combination of the Working Ability, Location, Intensity, Days of Pain, Dysmenorrhea (WaLIDD) Questionnaire, the Marital Attitude Scale, and the Emotion Regulation Questionnaire to assess various factors among the participants. The Pearson correlation coefficient was utilized to examine the relationships among the three primary variables. Additionally, linear regression analysis was employed to forecast attitudes toward marriage based on factors such as dysmenorrhea, residence, family type, regularity of the menstrual cycle, and age at menarche.
The findings of the study are significant, revealing a negative correlation between dysmenorrhea and marital attitudes (r = -0.105, p = 0.019). Dysmenorrhea exhibited minimal and non-significant correlations with emotion regulation strategies, including cognitive reappraisal (r = -0.006, p = 0.898) and expressive suppression (r = 0.013, p = 0.774). In contrast, marital attitudes significantly influenced emotion regulation (β = -0.169, p < 0.001). Moderation analyses indicated significant effects of various factors on marital attitudes, including residence (β = -0.5136, p = 0.0478), family type (β = 5.9923, p = 0.0060), regularity of the menstrual cycle (β = 6.1262, p = 0.0014), and age at menarche (β = 1.5521, p = 0.0491).
A significant negative correlation between dysmenorrhea and certain attitudes, specifically optimistic and realistic marital attitudes, was found. This indicates that higher levels of dysmenorrhea are associated with less favorable perspectives in these domains. Additionally, the study demonstrates that negative marital attitudes were linked to poorer emotional regulation. This suggests that individuals with more pessimistic views about marriage may face challenges in effectively managing their emotions. These results underscore the intricate connections between physical health, attitudes, and emotional well-being. They highlight the need to address dysmenorrhea within nursing education and practice, considering its broader psychological impact.
痛经会导致身体不适和情绪波动，可能影响女护生对婚姻的态度。有效的情绪调节策略对于管理压力和塑造她们对婚姻的看法至关重要。本研究旨在调查女护生痛经、情绪调节技能与对婚姻态度之间的关系。
采用分层抽样法对来自四个学年的504名女护生进行横断面调查。该研究使用工作能力、地点、强度、疼痛天数、痛经（WaLIDD）问卷、婚姻态度量表和情绪调节问卷的组合来评估参与者中的各种因素。使用Pearson相关系数来检验三个主要变量之间的关系。此外，采用线性回归分析根据痛经、居住地、家庭类型、月经周期规律性和初潮年龄等因素预测对婚姻的态度。
该研究结果具有重要意义，显示痛经与婚姻态度之间存在负相关（r = -0.105，p = 0.019）。痛经与情绪调节策略，包括认知重评（r = -0.006，p = 0.898）和表达抑制（r = 0.013，p = 0.774）之间表现出极小且无显著意义的相关性。相比之下，婚姻态度对情绪调节有显著影响（β = -0.169，p < 0.001）。调节分析表明，包括居住地（β = -0.5136，p = 0.0478）、家庭类型（β = 5.9923，p = 0.0060）、月经周期规律性（β = 6.1262，p = 0.0014）和初潮年龄（β = 1.5521，p = 0.0491）等各种因素对婚姻态度有显著影响。
发现痛经与某些态度，特别是乐观和现实的婚姻态度之间存在显著负相关。这表明痛经程度越高，在这些方面的看法越不利。此外，该研究表明消极的婚姻态度与较差的情绪调节有关。这表明对婚姻看法较为悲观的个体在有效管理情绪方面可能面临挑战。这些结果强调了身体健康、态度和情绪健康之间的复杂联系。它们突出了在护理教育和实践中解决痛经问题的必要性，考虑到其更广泛的心理影响。
