Revankar Smeeta S, Jadhav Vaishali S, Naik Priya R
Obstetrics and Gynecological Nursing, College of Nursing, Bharati Vidyapeeth (Deemed to be University), Navi Mumbai, IND.
Medical Surgical Nursing, College of Nursing, Bharati Vidyapeeth (Deemed to be University), Navi Mumbai, IND.
Cureus. 2025 May 4;17(5):e83478. doi: 10.7759/cureus.83478. eCollection 2025 May.
Background Research has revealed that numerous adolescent girls start menstruating without adequate information or readiness. Nevertheless, there is a lack of literature regarding the impact of educational interventions on improving the knowledge of adolescent girls in this regard. Thus, this study aimed to evaluate how a nurse-led intervention influences stress levels and menstrual parameters among adolescent girls in a chosen school in Navi Mumbai. Methodology The study employed a quantitative research approach and utilized a simple random sampling technique, specifically the lottery method, to select 80 (sample size calculated on the basis of the prevalence of a previous similar study) adolescent girls, with 40 in each group. Data collection involved the use of a self-structured questionnaire. Pre-hemoglobin levels for both the control and study groups were measured using a digital hemoglobin meter. A pre-test was conducted for both groups, focusing on demographic information, perceived stress, and menstrual health parameters. The study group received instruction in stretching exercises for alleviating dysmenorrhea, delivered by two nurse researchers, along with a booklet on menstrual parameters and daily distribution of two servings (100 g each) of iron-rich supplements in the form of laddoos. Results Analysis of the data utilized both descriptive and inferential statistics. The results indicated that the exercise intervention significantly reduced stress levels among adolescent girls in the study group regarding pain management during menstruation (mean=87.900, SD=8.53), with a high level of significance at p<0.001. Additionally, the changes in hemoglobin levels for both the control and study groups were 9.55 ± 2.1477 (p=0.058) and 10.225 ± 1.0975 (p=0.017), respectively, indicating a notable effectiveness of the nutritional supplement in improving anemia-related parameters in the study group. Furthermore, the distribution of booklets addressing menstrual parameters among adolescent girls in the study group resulted in a mean score of 6.20 ± 0.723, reflecting a positive change in menstrual health awareness and practices. The findings were extremely significant, with a p-value of less than 0.001, leading to the rejection of the null hypothesis H01. Conclusion The study suggests that replicating and implementing similar nurse-led educational interventions across all secondary schools in Navi Mumbai could systematically improve adolescents' understanding of menstruation and menstrual hygiene.
背景 研究表明，许多青春期女孩在没有足够信息或准备的情况下开始月经。然而，关于教育干预对提高青春期女孩这方面知识的影响，缺乏相关文献。因此，本研究旨在评估护士主导的干预措施如何影响孟买新市镇一所选定学校的青春期女孩的压力水平和月经参数。
方法 本研究采用定量研究方法，运用简单随机抽样技术，即抽签法，选取80名（样本量根据之前类似研究的患病率计算得出）青春期女孩，每组40名。数据收集采用自行编制的问卷。使用数字血红蛋白仪测量对照组和研究组的血红蛋白前测水平。对两组进行了前测，重点关注人口统计学信息、感知压力和月经健康参数。研究组接受了由两名护士研究人员提供的缓解痛经的伸展运动指导，以及一本关于月经参数的小册子，并每天分发两份（每份100克）以拉杜球形式提供的富含铁的补充剂。
结果 数据分析采用描述性统计和推断性统计。结果表明，运动干预显著降低了研究组青春期女孩在月经期间疼痛管理方面的压力水平（均值 = 87.900，标准差 = 8.53），在p<0.001时具有高度显著性。此外，对照组和研究组的血红蛋白水平变化分别为9.55 ± 2.1477（p = 0.058）和10.225 ± 1.0975（p = 0.017），表明营养补充剂在改善研究组贫血相关参数方面具有显著效果。此外，研究组向青春期女孩分发关于月经参数的小册子后，平均得分6.20 ± 0.723，反映出月经健康意识和行为的积极变化。研究结果极其显著，p值小于0.001，导致原假设H01被拒绝。
结论 该研究表明，在孟买新市镇的所有中学推广和实施类似的护士主导的教育干预措施，可以系统地提高青少年对月经和月经卫生的理解。
