中部某教學醫院護理人員經前症候盛行率及其相關因素之調查

Prevalence and Associated Factors of Premenstrual Syndrome among Nurses in a Teaching Hospital in Central Taiwan

陳淑真(Shu-Chen Chen) ； 林隆堯(Long-Yau Lin) ； 林靜儀(Ching-Yi Lin) ； 郭碧照(Bih-Jaw Kuo) ； 楊瓊珸(Chiong-Wu Yang) ； 周明智(Ming-Chin Chou)

《中山醫學雜誌》 13卷2期 (2002/07) Pp. 173-187

摘要

困擾著很多職場婦女的前症候群，其症狀及嚴重度表現不一，有些婦女之症狀可能嚴重到人際關係失調或影響工作效率。本研究以Moss氏之經期不適問卷(MDQ)調查台灣中部某教學醫院護理人員經前症候群之盛行率及相關因素。發出問卷354份，回收有效問卷328份。研究樣本年齡介於19至48歲，盛行率61%，最常出現之十個主要症狀依序為：乳房脹痛(85%)、疲倦(72%)、全身腫脹感(72%)、呆在家裡不想出門(69%)、不想參加社交活動(67%)、想賴在床上(66%)、全身酸痛(63%)、情緒不穩(62%)、飲食改變(61%)、背痛(59%)等。經多變項統計檢定發現「無子女」、「有經痛」、「月經不規則」等三個變項與經前症候群有顯著相關。樣本中有經前症候群者對症狀太多順其自然不做處理(76%)，有20%服用中西藥。本研究結論與過去研究發現：經前症候群在不同社會文化環境有不同程度盛行率，但是症狀分佈型態卻不一定相同。

關鍵字

經前症候群 ； 護理人員 ； Moos經期不適問卷

並列摘要

This paper documents results of the Moos Menstrual Distress Questionnaire (MDQ) used to investigate the nature of premenstrual syndrome (PMS) in Taiwan. Symptoms, risk factors and duration were specific variables considered in the analysis. The target group was made up of the nursing staff (age range 19 to 47 years) of a teaching hospital in Taichung City. Three hundred twenty-eight questionnaires were returned, with a response rate of 92.7%. PMS symptoms and related behaviors included (in order of frequency): breast tenderness (85%), fatigue (72%), bloating (72%). missed work (69%), avoidance of social activities (67%), bed rest (66%), general aches and pains (63%), mood swings (62%), change in eating habits (61%), and back pain (59%). Sixty-one percent reported that their PMS symptoms usually continued during menstruation. Risk factors associated with PMS were parity, a history of dysmenorrhea, and irregularity of menstruation cycles. Seventy-five percent of the respondents took no measures to counter the side effects of PMS; twenty percent took various medications to relieve their symptoms. This study supports the postulate conclusion that PMS is common in different socio-cultural settings and has a wide variety of symptoms.

並列關鍵字

premenstrual syndrome ； nursing staff ； Moos Menstrual Distress Questionnaire