Analysis Of The Relevant Abiotic Factors Of Primary Dysmenorrhea And Non Drug Intervention For Female Students Of Nursing College

ObjectiveThrough the study and analysis of the continued prevalence, the inducing factors of female students’ primary dysmenorrhoea in the nursing department of the medical college will be helpful to explore the function of the mitigation measure of non-drug and improve the health care for female college students.MethodsStratified and cluster sampling among female students in the nursing department were selected. Menstrual conditions and abiotic inducing factors of dysmenorrhea with self-made questionnaire survey were analyzed. The life qualities of the menstrual period by quality of life scale (SF-36) were evaluated. The effects of three months of non-drug comprehensive intervention were observed in98volunteers randomly selected from female students that have always suffered from dysmenorrhoea.Result1. Current situation of dysmenorrhoeaThere are663persons suffering from dysmenorrhoea in a total of965returned valid questionnaires from992, the effective rate was97.3percent,the percentage of incidence of dysmenorrhoea was68.7, and among them, mild cases were411, moderate cases186, severe cases66. The82.1percent of female college students appeared the first dysmenorrhoea during from half a year to two years after menarche. The chief subjective symptom was the pain in the lower abdomen, or sometimes accompanying symptoms of headache (67.8%), nausea (43.6%), vomit (18.7%), and diarrhoea (28.3%).Nursing students have often took many measures to deal with dysmenorrhoea,87.5percent of them have took non-drug treatments and43.8%of them have alleviated the pain by medication.2. Non-biological factors in pathogenyThe non-conditional logistic regression analysis showed that the risk factors can cause dysmenorrhoea, including eating spicy food, rarely participating in physical exercise and having great pressure in study, OR (95%C.I.) is1.300(1.054,1.600),1.783(1.341,2.371),1.452(1.057,1.996).3. The influence of dysmenorrhoea on menstrual healthSF-36scores showed that the differences of5indexes in dysmenorrhoea group and control group are of statically significance:physiologies were59.50±13.42,76.66±14.68(P<0.001); physiological functions were48.26±15.62,62.70±9.96(P<0.001); bodily pain were61.73±10.27,70.20±8.94(P=0.001); energy were63.93±16.00,75.03±11.19(P=0.003); emotional function were57.00±11.93,67.62±10.47(P=0.001).4. The results of interventionAfter the intervention, the pain in the lower abdomen and other five kinds of symptoms were alleviated in different degree than that of before, including headache and dizziness (χ2=8.80, P<0.05), distension and pain in the small abdomen ((χ2=14.73, P<0.05), waist pain (χ=43.62, P<0.05), nausea and vomit (χ2=15.75, P <0.05).Conclusion1. There is a higher incidence of primary dysmenorrhoea among the female students in the nursing department of the medical college. The study and life quality of the students during menstrual period is disturbed.2. The risk factors causing dysmenorrhoea involve eating spicy food, the lack of physical exercise and great pressure in study.3. Most of nursing students’ dysmenorrhoea has belonged to be mild or moderate. The comprehensive intervention of non-drug, such as the regulation of food and physical exercise, may remarkably alleviate the relative symptoms and improve the life quality.