Management practices of primary dysmenorrhea among female high school students in Nekemte town, East Wallaga Zone, Western Oromia, Ethiopia: a cross-sectional study.

IF 2.4 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Bekan Gudata Gindaba, Lemane Dereje Sebu, Ebisa Zerihun Gindaba, Misgana Tesgara Abdisa, Damiso Geneti Dinagde, Chala Regassa Hunde, Kidane Dinku Motuma, Takele Mitiku Tesema, Tesfaye Abera Gudeta
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Abstract

Background: Primary dysmenorrhea is a common gynecological condition characterized by recurring, cramp-like abdominal pain before or during menstruation in the absence of pelvic disease. Despite its high prevalence, management practices remain unstudied, particularly among adolescent students. This study examined pharmacological and nonpharmacological management strategies for primary dysmenorrhea among female high school students in Nekemte town, Ethiopia.

Objectives: To assess the management practices for primary dysmenorrhea among high school students in Nekemte town, East Wallaga, Western Oromia, Ethiopia.

Methods: This institutional-based cross-sectional study was conducted from November 6 to December 6, 2024, among 422 female high school students who experienced primary dysmenorrhea. The participants were selected via a multistage stratified sampling technique. The data were collected via a structured questionnaire and analyzed via SPSS version 25. A paired t-test was used to assess differences in pain scores before and after the interventions, whereas multiple linear regression was used to evaluate the effectiveness of nonpharmacological methods.

Results: Among the participants, 80.1% utilized nonpharmacological management, including drinking tea (20.2%), drinking ginger tea (15.8%), and sleeping (16.7%). Diclofenac (53.1%) was the most commonly used pharmacological treatment. Tukey post hoc analysis revealed that ibuprofen (n = 13, M = 3.54, SD = 2.22) significantly reduced pain scores more than diclofenac did (n = 26, M = 1.65, SD = 1.70). A paired t-test revealed a significant reduction in pain scores after both pharmacological (p < 0.001) and nonpharmacological (p < 0.001) interventions. Multiple linear regression indicated that sports (p = 0.040) and hot baths (p = 0.026) significantly reduced pain scores.

Conclusion: Many students rely on self-medication for their management of primary dysmenorrhea. Moreover, both pharmacological and nonpharmacological interventions were associated with reducing pain, with sports and hot baths showing significant benefits. Greater awareness and education on safe and effective pain management strategies are recommended. Schools and healthcare providers should collaborate to promote evidence-based dysmenorrhea management practices.

埃塞俄比亚西奥罗米亚州东瓦拉加区Nekemte镇女高中生原发性痛经管理实践:一项横断面研究
背景:原发性痛经是一种常见的妇科疾病,其特征是在没有盆腔疾病的情况下,在月经前或月经期间反复出现痉挛样腹痛。尽管其发病率很高,但管理实践仍未得到研究,特别是在青少年学生中。本研究考察了埃塞俄比亚Nekemte镇女高中生原发性痛经的药物和非药物管理策略。目的:了解埃塞俄比亚西奥罗米亚州东瓦拉加Nekemte镇中学生原发性痛经的管理情况。方法:本研究于2024年11月6日至12月6日对422名原发性痛经女高中生进行了基于机构的横断面研究。参与者是通过多阶段分层抽样技术选择的。数据通过结构化问卷收集,并通过SPSS版本25进行分析。配对t检验用于评估干预前后疼痛评分的差异,而多元线性回归用于评估非药物方法的有效性。结果:在参与者中,80.1%采用非药物管理,包括喝茶(20.2%),喝姜茶(15.8%)和睡眠(16.7%)。双氯芬酸(53.1%)是最常用的药物治疗方法。Tukey事后分析显示,布洛芬(n = 13, M = 3.54, SD = 2.22)比双氯芬酸(n = 26, M = 1.65, SD = 1.70)更能显著降低疼痛评分。配对t检验显示,两种药物治疗后疼痛评分显著降低(p)。结论:许多学生依靠自我药物治疗原发性痛经。此外,药物和非药物干预都与减轻疼痛有关,运动和热水浴显示出显著的益处。建议提高对安全和有效的疼痛管理策略的认识和教育。学校和医疗保健提供者应合作促进循证痛经管理实践。
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来源期刊
BMC Women's Health
BMC Women's Health OBSTETRICS & GYNECOLOGY-
CiteScore
3.40
自引率
4.00%
发文量
444
审稿时长
>12 weeks
期刊介绍: BMC Women''s Health is an open access, peer-reviewed journal that considers articles on all aspects of the health and wellbeing of adolescent girls and women, with a particular focus on the physical, mental, and emotional health of women in developed and developing nations. The journal welcomes submissions on women''s public health issues, health behaviours, breast cancer, gynecological diseases, mental health and health promotion.
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