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Effects of the Structured Nursing Intervention Program on Dysmenorrhea of Middle School Girls

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KMID : 0608420010140010145
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Abstract

The main purpose of this study is to identify the effects of a structured nursing intervention program on dysmenorrhea in middle school girls. This study employed two methods of research at the same time: a quasi-experiment pre- and post-test to use for comparison. Subjects were middle school girls assigned to the research program: 40 girls in the second grade, 40 girls in the third grade at K Girls Middle School and H Girls Middle School located in J city. The data were collected for 68 days from August 23 to October 30, 1999. The data were collected by observation technique and by a self-administered questionnaire. The instruments used for this study were as follows: the "Face Interval Pain Scale" menstrual pain instrument developed by McGreth(1987) and the "Menstrual Distress Questionnaire" dysmenorrhea instrument developed by Moos(1968). The dysmenorrhea knowledge instrument was developed by the researcher and refered to above. The research procedure was as follows: after preliminary examination, the experimental groups were provided educational programs with O.H.P. films developed by the researcher and with the videotape "first meeting" supported by P&G company and produced by EBS. The groups followed the educational programs twice for two weeks. At the beginning of menstruation, these subjects could choose one among the following choices:

* Jacobson`s progressively muscle relaxation method and massage treatment

* Jacobson`s progressively muscle relaxation method and hot bag treatment

* Jacobson`s progressively muscle relaxation method, a pain killer treatment, and massage treatment

* Jacobson`s progressively muscle relaxation method, a pain killer treatment, and hot bag treatment

The dysmenorrhea of the control group were measured during the same period. The analysis of the collected data was done using an SPSS-PC+, descriptive statistic including real numbers, percentage, averages, standard deviations and t-test, z2 test, and ANCOVA.

The results of this study were as follows.

(1) The knowledge level of the girls provided with the planned nursing intervention program was higher when compared to these who did not follow the educational programs.

(2) The original difference in the dysmenorrhea level having been controled, the dysmenorrhea level made, nevertheless, a statistical difference between the experimental group and the control group(F63.8, p=.00). Observed pain on quantity measuiemnent of dysmenorrhea showed significant difference depending on the treatment(t=4.6, p=.00).

In conclusion, those in the planned nursing intervention program had a higher knowledge level and fewer symptoms than the control group. Accordingly, the nursing intervention program for dysmenorrhea developed by the research can be effectively applied in nursing practice and can be the foundation for this kind of program.
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