The Effect of Self-Care Strategies on Primary Dysmenorrhea among a Convenient Sample of Female Nursing Students

E. El-Hosary
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Abstract

: Background and aims: Primary dysmenorrhea is the most common gynecologic complaint affecting adolescents and young women. Many university students do not seek medical consultation and remain suffering from pain. It decreases academic performance and is a cause of absenteeism in female students. A Quasi-experimental study was conducted to study the effectiveness of self-care strategies in primary dysmenorrhea and monthly hormonal concentrations. Subjects and methods: The study was conducted in the College of Applied Medical Science, Shaqra University in the academic year 2021-2022. A convenient sample of eighty-two female nursing students volunteered to participate in the study, allocated into two groups the self-care strategies group (46) and the control group (36). Three tools for data collection were used; a structured interviewing questionnaire, a visual analogue scale, and menstrual changes follow-up chart. The concentrations of follicle stimulating hormone, luteinizing hormone, 17-β-estradiol, progesterone, and prolactin were measured by Enzyme-Linked Immunosorbent Assay. Other menstrual characteristics were also estimated using a mobile phone applications. Results: The current study revealed that the severity of pain and the associated symptoms was decreased in the self-care strategies group compared to the control group, with a highly statistically significant difference found between groups. Self-care strategies affected all the menstrual hormone concentrations significantly (P<0.001) compared to the control group. Conclusion: Using self-care strategies was very effective in relieving primary dysmenorrhea and improving menstrual health in female nursing students. Recommendation: Considering self-care strategies as one of an effective option for girls suffering from primary dysmenorrhea and very important for menstrual health.
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自我护理策略对方便抽样女护生原发性痛经的影响
背景和目的:原发性痛经是影响青少年和年轻女性最常见的妇科疾病。许多大学生不去看医生,仍然忍受着疼痛。它会降低学习成绩,也是女学生旷课的一个原因。一项准实验研究旨在研究自我护理策略对原发性痛经和月激素浓度的影响。研究对象与方法:研究于2021-2022学年在沙克拉大学应用医学学院进行。一个方便的样本,82名女护理学生自愿参加研究,分为两组,自我护理策略组(46)和对照组(36)。使用了三种数据收集工具;结构化访谈问卷,视觉模拟量表,月经变化随访表。采用酶联免疫吸附法测定促卵泡激素、促黄体生成素、17-β-雌二醇、孕酮和催乳素的浓度。其他月经特征也通过手机应用程序进行评估。结果:目前的研究显示,自我护理策略组的疼痛严重程度和相关症状与对照组相比有所减轻,组间差异具有高度统计学意义。与对照组相比,自我护理策略显著影响了所有月经激素浓度(P<0.001)。结论:自我护理策略对缓解女护生原发性痛经、改善月经健康状况有较好的效果。建议:考虑自我保健策略是原发性痛经女孩的有效选择之一,对月经健康非常重要。
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