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안경애 ( ) - 이화여자대학교 간호과학대학
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Abstract
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A descriptive, correlational study was conducted to describe perimenstrual discomfort and pain experienced by young women and their coping behaviors. 126 women in their 20´s were participated in the self-report survey and data from 124 women were analyzed for the pprpose of this study. The survey included the frequency of perimenstrual discomfort and menstrual pain, location and intensity of pain, behavioral changes during menstrual period, effects of menstrual discomfort and pain on daily life; pharmacological and non-pharmacological coping behaviors; and health related information including age of menarche and health history including drinking, smoking, and the presence of obesity.
Findings of the study are as follow: (1) 59(47.6%) women experienced perimenstrual pain during every cycle and 44(35.5%) experienced perimenstrual pain frequently. 46(36.8%) women experienced extreme discomfort and 59(47,2%) experienced moderate discomfort. The location of perimenstrual pain included abdomen(86.1 %), back pain 74(60.7%), headache 12(9.8%) and others 20(16.4%). Symptoms associated with the menstrual cycle were pain during the menstruation (80=64.5%), pre-menstrual pain(59=47.6%), helplessness(55=44.4%), pre-menstrual depression(41=33.1%), depression during the menstruation(33=26.8%), social withdraw(31=25%), dizziness(24=19.4%), loss of appetite(22=17.9%), and urinary distress(19=15.3%). Others reported nervousness, increasing appetite, nausea, vomiting, and sleepiness. Hntensity of menstrual pain ranged from 0 to 10 with the mean of 6.36±248. Behavioral changes related to menstrual cycle include rest, sleep, eating, shopping, talking, and getting irritated. (2) Frequency of menstrual pain and intensity were significantly associated[F(3, 118)=32.502, p=.000]: the group who experience menstrual pain frequently also experienced pain in higher intensity. Frequency of menstrual pain was positively associated with the discomfort related to the menstrual cycle( x 2=50.961, df=9, p=.000). Intensity of pain and discomfort associated with the menstrual cycle have positive association[F(3, 119)=18.647, p=.000]. (3) Coping behavior to the perimenstrual discomfort and premenstrual pain included rest(82=67.8%), take medicine(72=60.0%), sleep(66=54.5%), relaxation(11=9.1%), acupuncture (4=3.3%). Burn moxa, take herb medicine, apply warm on abdomen, hitting abdominal area, enduring were also reported as coping behavior to th menstrual pain. (4) None of drinking, smoking and presence of obesity were significantly associated with the perimenstrual discomfort. Age of menarche was significantly associated with perimenstrual discomfort F(df=1, 124)=4.984, p=.027].
Findings from this study suggested that significant number of young women experience perimenstrual discomfort and pain, however, coping behavior to this discomfort and pain are not sufficient. Various interventions to reduce perimenstrual pain need to be developed and be taught.
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KeyWords
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원문 및 링크아웃 정보
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등재저널 정보
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