Prevalence, Management, and Impact of Dysmenorrhea on the Lives of Nurse and Midwife Trainees in Northern Ghana.

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY
Abubakari Wuni, Brenda Abena Nyarko, Mudasir Mohammed Ibrahim, Issahaka Abdulai Baako, Iddrisu Sisala Mohammed, Camillus Buunaaisie
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引用次数: 0

Abstract

Background: Dysmenorrhea is the most common gynecological problem affecting the majority of female students in the nursing profession today. They often experience severe pain that is not only incapacitating but also has a significant impact on their day-to-day college life, academic, and clinical performance.

Aim: This study was conducted to assess the prevalence, management, and impact of dysmenorrhea on the lives of nurse and midwife trainees in northern Ghana.

Methods: A descriptive cross-sectional design with a quantitative approach to data collection was employed to collect data from nurse and midwife trainees in three colleges of nursing and/or midwifery in the northern region of Ghana. A proportionate stratified random sampling technique was used to recruit 303 respondents for the study. After gaining permission from various institutions, data were collected by using a structured questionnaire from 13th September to 28th October, 2022. Stata (special edition) for Windows version 17.0 was used for the statistical analyses.

Results: The study revealed a high prevalence of dysmenorrhea among female nursing students (66.7% and 95% CI: 0.611-0.720). More than half of the respondents (67.3%) experienced loss of appetite for food. The most common site of most intense pain was the pelvis and lower abdomen (98.0%). A greater proportion of students (65.8%) used antispastic drugs to reduce pain. The respondents' concentration in the classroom was greatly affected (77.2%) as well as normal physical activities (58.4%). A multivariable logistic regression analysis revealed that the odds of dysmenorrhea are 2.67 times higher when the duration of menstruation is 4-5 days (AOR = 1.82, 95% CI = 1.13-6.28, and p = 0.024) than a duration of 1-3 days. Having urinary tract infections was associated with 3.56 times higher odds of dysmenorrhea (AOR = 3.56, 95% CI = 0.98-12.86, and p = 0.053). Again, the odds of dysmenorrhea were also four times higher among respondents with a family history of the same condition (AOR = 4.05, 95% CI = 2.16-7.61, and p = 0.001).

Conclusion: The current study revealed a high prevalence of dysmenorrhea among nurse and midwife trainees in the northern part of Ghana. The majority of the respondent experienced loss of appetite and intense pain in the pelvis and lower abdomen, and their concentration during lectures was also significantly affected. The most predominant nonpharmacological method used for reducing the pain was sleep and the application of warm objects on the abdomen.

痛经的流行、管理和对加纳北部护士和助产士学员生活的影响。
背景:痛经是当今影响大多数护理专业女学生的最常见妇科问题。他们经常经历严重的疼痛,这不仅使他们丧失能力,而且对他们的日常大学生活、学业和临床表现也有重大影响。目的:本研究旨在评估加纳北部护士和助产士培训生痛经的患病率、管理和影响。方法:采用描述性横断面设计和定量数据收集方法,从加纳北部地区三所护理和/或助产学院的护士和助产士学员中收集数据。采用比例分层随机抽样技术,共招募303名调查对象。在获得各机构的许可后,于2022年9月13日至10月28日通过结构化问卷收集数据。统计分析采用Windows 17.0版本的Stata (special edition)软件。结果:护生女生痛经发生率较高(66.7%,95% CI: 0.611 ~ 0.720)。超过一半的受访者(67.3%)经历过食欲不振。最常见的剧烈疼痛部位是骨盆和下腹部(98.0%)。使用抗痉挛药物减轻疼痛的学生比例更高(65.8%)。调查对象在课堂上的注意力(77.2%)和正常的身体活动(58.4%)受到很大影响。多变量logistic回归分析显示,月经持续时间为4 ~ 5天的患者发生痛经的几率是月经持续时间为1 ~ 3天的患者的2.67倍(AOR = 1.82, 95% CI = 1.13 ~ 6.28, p = 0.024)。尿路感染与痛经发生率高3.56倍相关(AOR = 3.56, 95% CI = 0.98-12.86, p = 0.053)。同样,有相同家族史的受访者患痛经的几率也高出四倍(AOR = 4.05, 95% CI = 2.16-7.61, p = 0.001)。结论:目前的研究显示痛经在加纳北部的护士和助产士培训生中非常普遍。大多数受访者经历了食欲不振,骨盆和下腹部剧烈疼痛,他们在讲课时的注意力也受到了显著影响。用于减轻疼痛的最主要的非药物方法是睡眠和在腹部敷暖物。
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来源期刊
Obstetrics and Gynecology International
Obstetrics and Gynecology International OBSTETRICS & GYNECOLOGY-
CiteScore
3.60
自引率
0.00%
发文量
26
审稿时长
19 weeks
期刊介绍: Obstetrics and Gynecology International is a peer-reviewed, Open Access journal that aims to provide a forum for scientists and clinical professionals working in obstetrics and gynecology. The journal publishes original research articles, review articles, and clinical studies related to obstetrics, maternal-fetal medicine, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine and infertility, reproductive endocrinology, and sexual medicine.
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