Amza Mihaela, Findeklee Sebastian, Haj Hamoud Bashar, Sima Romina-Marina, Poenaru Mircea-Octavian, Popescu Mihai, Pleș Liana
Department PhD, IOSUD, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Obstetrics and Gynecology, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
J Clin Med. 2024 Sep 24;13(19):5660. doi: 10.3390/jcm13195660.
Dysmenorrhea is a common condition that may have negative effects on social life, couples' relationships and professional activities. The objectives of this study were to evaluate the prevalence, risk factors and characteristics of dysmenorrhea and its impact on patients' quality of life using a specific self-questionnaire named "DysmenQoL questionnaire". We also checked the validity and reliability of this questionnaire in our population. We conducted a cross-sectional study that included 504 participants of reproductive age between 18 and 45 years of age. The data were collected with an original form divided into three sections. The last section (DysmenQoL questionnaire) included 20 statements scored from 1 ("never") to 5 ("every time") that evaluates the effects of menstrual pain on health and feelings, daily activities, relationships and professional activity. We calculated the sum of the scores for each statement and we called it the "DysmenQoL score". The prevalence of dysmenorrhea was 83.7%. The presence of dysmenorrhea was statistically significant associated with the degree of menstrual bleeding ( = 0.017), the presence of infertility ( = 0.034) and dyspareunia ( = 0.002), but also with the presence of premenstrual syndrome and a family history of dysmenorrhea ( < 0.001). Among the participants with dysmenorrhea, 73.9% considered that this symptom affected their quality of life, and this was correlated with pain intensity and the DysmenQoL score ( < 0.001). A significant difference regarding the DysmenQoL score depending on the pain intensity, frequency and duration of dysmenorrhea and the methods used to reduce the pain was observed. Dysmenorrhea had a high prevalence among the participants included in the study, and its presence was associated with a series of risk factors. Most women considered that dysmenorrhea affected their quality of life. The DysmenQoL questionnaire proved to be a reliable and valid method for evaluating the impact of dysmenorrhea on quality of life.
痛经是一种常见病症，可能会对社交生活、夫妻关系和职业活动产生负面影响。本研究的目的是使用一份名为“痛经生活质量问卷（DysmenQoL问卷）”的特定自我调查问卷，评估痛经的患病率、风险因素和特征及其对患者生活质量的影响。我们还检验了该问卷在我们研究人群中的有效性和可靠性。我们进行了一项横断面研究，纳入了504名年龄在18至45岁之间的育龄参与者。数据通过一份分为三个部分的原始表格收集。最后一部分（痛经生活质量问卷）包括20条陈述，评分从1（“从不”）到5（“每次”），用于评估月经疼痛对健康和感受、日常活动、人际关系和职业活动的影响。我们计算了每条陈述的得分总和，并将其称为“痛经生活质量得分”。痛经的患病率为83.7%。痛经的存在与月经量（P = 0.017）、不孕（P = 0.034）和性交困难（P = 0.002）的程度在统计学上显著相关，也与经前综合征的存在和痛经家族史（P < 0.001）相关。在患有痛经的参与者中，73.9%认为这种症状影响了他们的生活质量，这与疼痛强度和痛经生活质量得分相关（P < 0.001）。观察到痛经生活质量得分在痛经的疼痛强度、频率和持续时间以及用于减轻疼痛的方法方面存在显著差异。痛经在本研究纳入的参与者中患病率较高，其存在与一系列风险因素相关。大多数女性认为痛经影响了她们的生活质量。痛经生活质量问卷被证明是评估痛经对生活质量影响的一种可靠且有效的方法。
