ABSTRACT
Objetivo: Avaliar a prevalência da dismenorreia e suas consequências em uma população universitária. Métodos: Trata-se de um estudo descritivo, transversal, com 207 mulheres entre 18 e 46 anos de idade, universitárias. Os sujeitos da pesquisa responderam a um questionário desenvolvido para esse estudo. Resultados: A prevalência global de dismenorreia, entre as universitárias, foi de 84,1%; dessas, 58,6% classificaram a dor em intensidade leve a moderada e 41,4%, em intensa. O absenteísmo escolar e a dificuldade para se concentrar nos estudos durante o período menstrual foram significativamente influenciados pela dismenorreia intensa. Entre as estudantes, 60,9% deixaram de fazer atividades físicas ou de lazer e 41% tinham dificuldade para se concentrar e estudar devido à dismenorreia. Conclusão: A dismenorreia tem uma elevada prevalência na população universitária, contribuindo para um aumento do absenteísmo escolar e para um prejuízo social. A maioria utiliza a automedicação e poucas procuram atendimento médico eletivo com a finalidade de resolver esse problema.(AU)
Objective: Evaluate the prevalence of dysmenorrhea and its consequences in a university population. Methods: A cross-sectional descriptive study with 207 female university students between 18 and 46 years. Data collection was performed through a specific questionnaire developed for this study. Results: The overall prevalence of dysmenorrhea among university was 84.1%, of which 58.6% classified the pain intensity as mild to moderate and 41.4% as severe. School absenteeism and a difficulty to concentrate on studies during the menstrual period were significantly influenced by the presence of severe dysmenorrhea, with 60.9% of students interrupting some physical or leisure activity, and 41% reporting that they had difficulty concentrating and studying due to the dysmenorrhea. Conclusion: Dysmenorrhea has a high prevalence in the university population, contributing to a significant increase in school absenteeism and impairing social life. Most students use self-medication and few seek elective medical care to resolve this problem.(AU)
Subject(s)
Humans , Female , Dysmenorrhea/psychology , Dysmenorrhea/epidemiology , Schools , Students/statistics & numerical data , Universities , Brazil/epidemiology , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Cost of Illness , Contraception/statistics & numerical data , Absenteeism , Menstrual Cycle , MenstruationABSTRACT
En el presente trabajo estudiamos la dismenorrea primaria, un cuadro bastante aparatoso para el que se han venido postulado numerosas hipótesis, predominando las de índole biológica. No obstante, una serie de autores se han referido a la intervención de factores psicológicos en el cuadro. El objetivo que nos mueve consiste en descubrir cuáles son los componentes subjetivos que favorecen la aparición y/o mantenimiento del dolor en estas mujeres, más allá de las directrices biológicas. Para lograrlo tomamos un grupo de jóvenes (entre 17 y 25 años) que, aunque consultaron por otros problemas, el dolor menstrual era un síntoma importante, y a las que se trató mediante psicoterapia. Las entrevistas realizadas con ellas, aparte de ayudarlas a mejorar, nos permitieron obtener un material verbal que era expresivo del síntoma. Este proceder nos permitió desentrañar los diferentes aspectos subjetivos propios de la alteración, entre ellos destacan: la escasa tolerancia al dolor, la respuesta emocional exagerada y, sobre todo, el rechazo referido a la maduración como mujer y a los desempeños propios de ésta. Estos últimos factores se sostienen en significados personales erróneos y sustentados en los mensajes recibidos por la paciente y aceptados como propios.
In this paper we study primary dysmenorrhea, a rather cumbersome disorder for which numerous hypotheses have been postulated, predominantly of biological nature. However, a number of authors have referred to the intervention of psychological factors in these clinical symptoms. The goal that moves us is to find out which subjective components favor the appearance and maintenance of pain in these women, beyond the biological guidelines. To achieve this we take a group of young women (between 17 and 25 years old). Although they consulted for other problems, the menstrual pain was an important symptom, and they were treated with psychotherapy. The interviews realized with them, apart from helping them to get better, allowed us to obtain a verbal material that was expressive of the symptom. This procedure allowed us to unravel the different subjective aspects own of the alteration. Among them are stand out: the low tolerance to pain, the overreacted emotional answer and, above all, the rejection of the development as woman and the assumption of her corresponding role. The last factors mentioned are sustained by those erroneous personal meanings in the patient that were accepted as own.
Subject(s)
Humans , Female , Adolescent , Adult , Young Adult , Dysmenorrhea/psychology , Pain Measurement , Interviews as Topic , Emotions , Menstruation/psychologyABSTRACT
PURPOSE: In this study the impact of pro-environmental behavior, well-being oriented behavior, and use of cloth menstrual pads on dysmenorrhea in Korean female adults was examined according to the theory of reasoned action. METHODS: A cross-sectional study was conducted with 195 Korean female adults. Data were collected from June to August, 2010 using self-report questionnaires. Data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficients, multiple regression, and logit regression with STATA 10.0. RESULTS: Pro-environmental behavior explained 48% of well-being oriented behavior. Well-being oriented behavior explained 10% of cloth pad use. Use of cloth pad explained 4% of dysmenorrhea and 5% of menstrual pain. The path through well-being oriented behavior had a significant effect from pro-environmental behavior to cloth pad use. CONCLUSION: Use of cloth pad was significantly related with well-being oriented behavior, pro-environmental behavior, social influence, dysmenorrhea, and menstrual pain. The results of this study suggest that pro-environmental strategies can help health care providers diminish clients' menstrual symptoms. Nursing intervention can support pro-environmental behavioral strategies.
Subject(s)
Adult , Female , Humans , Middle Aged , Age Factors , Cross-Sectional Studies , Dysmenorrhea/psychology , Environment , Menstrual Hygiene Products , Surveys and Questionnaires , Socioeconomic FactorsABSTRACT
La dismenorrea es uno de los trastornos ginecológicos más frecuentes que se presenta principalmente en las mujeres jóvenes. Su estudio y abordaje se han centrado en un enfoque biomédico, aunque es posible encontrar evidencia clínica psicológica que señala a la dismenorrea como una variable asociada a otras, tales como las actitudes desfavorables hacia los aspectos propios de la sexualidad femenina. En el presente estudio se determinó la prevalencia de la dismenorrea en dos muestras representativas de estudiantes universitarias de Lima-Perú (n1= 300 y n2=303) obtenidas en dos tiempos consecutivos. Se precisó también la relación entre la dismenorrea y las actitudes hacia la propia sexualidad. Se diseñó una encuesta estructurada conteniendo 9 escalas tipo Likert. Entre los principales resultados se destacan: a) la prevalencia de dismenorrea afectó al 88,7% de las encuestadas. b) Existen correlaciones significativas entre la dismenorrea y las actitudes desfavorables hacia la sexualidad, principalmente hacia la maternidad, la independencia defensiva ante el esposo, las disposiciones de privación hacia el infante y la angustia hacia el embarazo y el parto.
The dysmenorrhoea is one of the gynecological but frequent upheavals that appear mainly in the young women. Their study and boarding have been centered in a biomedical approach although it is possible to find psychological evidence clinical that it indicates to the dysmenorrhoea like an associated variable to others, such as the unfavorable attitudes towards the own aspects of the feminine sexuality. In the present study the prevalence of the dysmenorrhoea in two representative samples of university students of Lima-Peru (n1= 300 and n2=303) obtained in two consecutive times is determined. The relation between the dysmenorrhoea and the attitudes also needs towards the own sexuality. Design a structured survey being contained 9 scales Likert type. Between the main results they stand out: a) the prevalence of dysmenorrhoea affects to the 88,7% of the interviewed ones; b) Significant correlations between the dismenorrea and unfavorable attitudes exist towards the sexuality, mainly towards the maternity, defensive independence before the husband, the dispositions of deprivation towards the infant and the anguish towards the pregnancy and the childbirth.
Subject(s)
Humans , Female , Adult , Dysmenorrhea/etiology , Dysmenorrhea/psychology , Women's HealthABSTRACT
A dismenorréia é definida por Fonseca el al (2000), como mestruação dolorosa, associada na adolescência, a fatores biológicos, psicológicos e sociais. A pesquisa tem como objetivos descrever o que significou para a adolescente a menarca e detectar o conhecimento sobre a dismenorréia...