Predictors of Dysmenorrhea and Self-Care Behavior among Vocational Nursing School Female Students

影響護校女生經痛之預測因素與經痛之自我照顧行為

邱敏惠(Miin-Huey Chiou) ； 王秀紅(Hsiu-Hung Wang)

《The Journal of Nursing Research》 16卷1期 (2008/03) Pp. 17-25

摘要

本研究之目的在探討：(1)有經痛經驗與無經痛經驗之護校女生其人口學特性的差異，(2)影響護校女生經痛之預測因素，以及(3)護校女生處理經痛的自我照顧行爲。取樣方式爲便利取樣，研究對象爲台灣南部三所護理學校之一年級新生。研究進行前先取得學校行政單位同意，再以結構性工具進行團體施測，共計發放805份問卷，回收有效問卷760份。研究對象平均年齡爲16.7歲，經痛盛行率爲73.3%，其中50.0%之初經年齡在12至14歲，61.6%月經週期不規則，83.9%經期持續天數在4至6天之間，34.6%曾經接受過經期相關衛生教育，20.8%曾因經痛看過醫生。月經規則性及是否接受過經期相關衛生教育兩變項在經痛組及無經痛組之間有顯著性差異。根據研究結果，建議未來學校教育應加強青少女經痛時之自我照顧護理指導及相關衛生教育。

關鍵字

經痛 ； 盛行率 ； 衛生教育 ； 自我照顧行爲

並列摘要

The purposes of this study were to investigate: (a) differences in demographic characteristics between a group of with dysmenorrhea and a group without this condition, (b) the predictors of dysmenorrhea, and (c) self-care behavior for dysmenorrhea among vocational nursing school female students. A convenience sampling method was used. Freshmen from three vocational nursing schools located in southern Taiwan were recruited. 805 potential participants were surveyed with structured questionnaires, and 760 valid questionnaires were obtained. Results showed the average age of the participants to be 16.7 years. The prevalence rate of dysmenorrhea was 73.3%. Fifty percent of participants reported their menarche occurred between the ages of 12 to 14, 61.6% of them still didn't have regular menstruation, 83.9% had menstruation periods that lasted between 4 to 6 days, 34.6% had received relevant health education, and 20.8% had visited a doctor for dysmenorrhea. There was a significant difference between the dysmenorrhea and non-dysmenorrhea groups in terms of menstrual regularity and receipt of health education. Based on research results, we suggest improving female adolescents' self-care behavior against dysmenorrhea through enhanced health education in schools.

並列關鍵字

dysmenorrheal ； prevalence rate ； health education ； self-care behavior

參考文獻

Banikarim, C.,Chacko, M. R.,Kelder, S. H(2000).Prevalence and impact of dysmenorrhea on Hispanic female adolescents.Archives of Pediatrics & Adolescent Medicine.154(12),1226-1229.

Chen, C. H.,Hong, Z. H(1986).A survey investigation of menarche experiences of 7th grade students in Kaohsiung city.Public Health Quarterly.13(3),347-353.

Chen, C. H.,Lin, Y. H.,Heitkemper, M. M. L.,Wu, K. M(2006).The self-care strategies of girls with primary dysmenorrhea: A focus group study in Taiwan.Health Care for Women International.27(5),418-427.

Chen, S. Y(1984).A survey investigation of relative factors related to menstrual cycle discomfort among college students in central Taiwan.Public Health Quarterly.11(3),360-375.

Chie, W. C(1997).Cohort study of age at menarche.Taipei:National Taiwan University.