THE EFFECT OF OCCUPATIONAL STRESS EXPERIENCED BY NURSES ON MENSTRUATION

Mehmet Ali Şen, Eda Yakit Ak, Nermin Uyurdağ, Zekiye Erten
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Abstract

Studies have shown that stressful and shift work can lead to reproductive health problems such as irregular menstrual cycles, dysmenorrhea, and subfertility. This study was carried out to determine the irregularity of menstruation that may develop due to the work stress of nurses. The study universe was composed of female nurses aged 18-49. By taking the research sample as an example of studies related to the menstrual irregularity of nurses in the literature, it was determined that 196 nurses should be reached with a 5% error margin and 95% confidence interval, and 264 nurses were reached. The data were collected face-to-face and online using the Introductory Information Form, the Menstrual Symptom Scale (MSS), and the Work Stress Scale (WSS) as data collection tools. The ethics committee approved the study with the number xxx on 09.06.2022. The data were evaluated by number, average percentage, Pearson or spearman correlation, student's t-test, and one-way analysis of variance in a statistical program. The mean age of the nurses participating in the study was 33.31±7.73. 57.6% of nurses are married, 60.6% are undergraduate graduates, 42.8% are working in a university hospital, 32.3% have been working for 11-20 years, 53.8% are working ≤40 hours weekly, and 56.8% of them work in a shift system. The mean duration of menstruation of the participants was 6.13±1.91 days. 65.6% of them thought that their menstruation was regular, 54.9% had their first menstruation between the ages of 9-13, and 79.2% had a menstruation interval of 21-35 days. A moderately significant relationship was found between the WSS total and all sub-factors and the MSS total score averages. Furthermore, a low-level positive and significant correlation was found between the MSS score, the WSS total score, and the WSS Job Role Mismatch sub-factor score. As a result, it was determined that there is a positive significant relationship between work stress and menstruation status. It has been observed that weekly working hours and shift work affect work stress. The implementation of practices that will reduce work stress by health managers will also be able to reduce the complaints of nurses about menstruation.
护士职业压力对月经的影响
研究表明,压力大和轮班工作会导致生殖健康问题,如月经周期不规律、痛经和生育能力低下。本研究旨在确定护士工作压力可能导致的月经不规律。研究对象是18-49岁的女性护士。以研究样本为例,以文献中与护士月经不规律相关的研究为例,确定应达到196名护士,误差幅度为5%,置信区间为95%,达到264名护士。使用介绍信息表、月经症状量表(MSS)和工作压力量表(WSS)作为数据收集工具,面对面和在线收集数据。伦理委员会于2022年6月9日批准了编号为xxx的研究。数据通过数字、平均百分比、Pearson或spearman相关性、学生t检验和统计程序中的单向方差分析进行评估。参与研究的护士的平均年龄为33.31±7.73岁。57.6%的护士已婚,60.6%的护士为本科毕业生,42.8%的护士在大学医院工作,32.3%的护士工作时间为11-20年,53.8%的护士每周工作时间≤40小时,56.8%的护士实行轮班制。参与者的月经平均持续时间为6.13±1.91天。65.6%的人认为月经规律,54.9%的人在9-13岁之间第一次月经,79.2%的人月经间隔21-35天。WSS总分和所有子因素与MSS总分平均值之间存在中度显著关系。此外,MSS得分、WSS总分和WSS工作角色不匹配子因素得分之间存在低水平的正相关。结果表明,工作压力与月经状况之间存在显著的正相关关系。据观察,每周工作时间和轮班工作会影响工作压力。卫生管理人员实施减少工作压力的做法也将能够减少护士对月经的抱怨。
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