Study of Menstrual Attitudes and Distress among Postmenarcheal Female Students in Hualien County

花蓮地區國小高年級女生月經態度與經期不適之探討

張玉婷(Yu-Ting Chang) ； 陳月枝(Yueh-Chih Chen)

《The Journal of Nursing Research》 17卷1期 (2009/03) Pp. 20-29

摘要

本研究主要目的在探討花蓮地區國小高年級初經已來女生之月經態度及經期不適情形，並分析研究對象個人月經狀況、月經態度與經期不適之關係。研究採分層、群集隨機抽樣法，以花蓮地區12所國民小學高年級初經已來女生為對象，有效樣本共129人。研究工具為一結構性問卷，內容包括：個人月經狀況、月經態度量表及經期不適量表。結果半數以上研究對象在白天發生過經血滲漏、晚上因擔心經血滲漏而起床，上述問題原住民女生之發生率顯著高於非原住民女生。國小高年級初經已來女生之月經態度平均為1.88分（標準差0.36，得分範圍1-4分），最常發生之經期不適症狀依序為經痛、長青春痘與疲憊，經期不適平均得分為1.00（標準差0.76，得分範圍0-4分）。研究對象之月經態度與經期不適呈顯著負相關，經期不適與來經時間、白天經血滲漏次數、夜晚經血滲漏次數呈顯著正相關。根據本研究結果，研究者提出對家庭、學校之具體建議，期能幫助花蓮地區國小高年級初經已來女生視月經為成長過程中自然的生理變化，並適當的處理經期不適。

關鍵字

初經已來女生 ； 月經態度 ； 經期不適

並列摘要

The purposes of this study were to assess menstrual attitudes and menstrual distress and investigate factors associated with menstrual distress among postmenarcheal female elementary students. A total of 129 female students from 12 elementary schools in Taiwan's Hualien County participated in this study. A stratified cluster random sampling method was adopted. The questionnaire used consisted of three sections asking questions regarding the individual's menstrual characteristics, menstrual attitudes, and menstrual distress. Study results showed that most respondents experienced menstrual blood seepage during the daytime and awakened at night during their periods due to worries about menstrual blood seepage. This study found that indigenous students had significantly more frequent episodes of menstrual blood seepage during the daytime and awakened at night during period than did nonindigenous students. The mean score on the Menstrual Attitude Questionnaire was 1.88 (SD=0.36, possible score =1-4). The three most prevalent symptoms of menstrual distress were dysmenorrhea, acne, and fatigue. The mean score on the Menstrual Distress Questionnaire was 1.00 (SD=0.76; possible score=0-4). Moreover, there was a significantly negative correlation between menstrual attitudes and menstrual distress and significantly positive correlations between menstrual distress and (a) time since menarche, (b) menstrual blood seepage during the daytime, and (c) menstrual blood seepage while sleeping. Study results recommend that families and elementary schools help postmenarcheal female elementary students to accept menstruation as a natural process.

並列關鍵字

postmenarcheal female students ； menstrual attitudes ； menstrual distress

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.

Beausang, C. C.,Razor, A. G.(2000).Young Western women's experiences of menarche and menstruation.Health Care for Women International.21(6),517-528.

Burrows, A.,Johnson, S.(2005).Girls' experiences of menarche and menstruation.Journal of Reproductive and Infant Psychology.23(3),235-249.

Campbell, M. A.,McGrath, P. J.(1999).Non-pharmacologic strategies used by adolescents for the management of menstrual discomfort.Clinical Journal of Pain.15(4),313-320.

Chang, C. H.(1998).A discussion of menstruation from a feminist perspective.Bulletin of Women and Gender Studies.48,21-25.