Reproductive Health | |
The experience of dysmenorrhoea among Ghanaian senior high and university students: pain characteristics and effects | |
Joe Nat A Clegg-Lamptey2  Florence Dedey2  Lydia Aziato1  | |
[1] Department of Adult Health, School of Nursing, University of Ghana, P.O. Box LG 43, Legon, Accra, Ghana;Department of Surgery, University of Ghana Medical School, Accra, Ghana | |
关键词: Adolescents; Menstrual pain; Ghana; Phenomenology; Qualitative research; | |
Others : 1146298 DOI : 10.1186/1742-4755-11-58 |
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received in 2014-01-14, accepted in 2014-07-15, 发布年份 2014 | |
【 摘 要 】
Background
Dysmenorrhoea is a common problem of women at the reproductive age and may have negative effect on the education of females at various stages on the educational ladder.
Context and purpose
This study sought to gain an in-depth understanding of the experience of dysmenorrhoea and its effect on female students in a secondary and a tertiary institution in Accra, Ghana.
Methods
The study employed a descriptive phenomenology design and was conducted at a University and a Senior High School (SHS) in Accra. Purposive and snowball sampling techniques were used to recruit participants and data was saturated with 16 participants. Concurrent analysis was done by applying the processes of content analysis and the NVivo software was used to manage the data.
Results
It was realized that dysmenorrhoea is associated with symptoms such as diarrhoea, headache and vomiting. Pain may start one week to the day of menstruation and the severity differed across the days of menstruation. The effect of dysmenorrhoea included activity intolerance, altered emotion and interaction, altered sleep pattern, absenteeism and inattentiveness, wishes and regrets, and misconceptions.
Conclusions
It was concluded that severe dysmenorrhoea has a debilitating effect on female students and is associated with misconceptions that could result in drastic action with fatal consequences. Thus, there is the need to enhance education on dysmenorrhoea, and an aggressive step should be taken to effectively manage dysmenorrhoea.
【 授权许可】
2014 Aziato et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150403102513509.pdf | 206KB | download |
【 参考文献 】
- [1]Gumanga SK, Kwame-Aryee R: Prevalence and severity of dysmenorrhoea among some adolescent girls in a secondary school in Accra, Ghana. Postgrad Med J Ghana 2012, 1:1-6.
- [2]Iliyasu Z, Galadanci HS, Abubakar IS, Ismail AO, Aliyu MH: Menstrual patterns and gynecologic morbidity among University students in Kano, Nigeria. J Pediatr Adolesc Gynecol 2012, 25:401-406.
- [3]Wong LP: Attitudes towards dysmenorrhoea, impact and treatment seeking among adolescent girls: a rural school-based survey. Aust J Rural Health 2011, 19:218-223.
- [4]Pais M, Noronha JA: A correlative study on dysmenorrhea among rural village women of Udupi district, Karnataka. Int J Nursing Educ 2011, 3:29-31.
- [5]Deb S, Raine-Fenning N: Dysmenorrhoea. Obstet, Gynaecol Reprod Med 2008, 18:294-299.
- [6]Wijesiri HSMSK, Suresh TS: Knowledge and attitudes towards dysmenorrhea among adolescent girls in an urban school in Sri Lanka. Nurs Health Sci 2013, 15:58-64.
- [7]Wallace S, Keightley A, Gie C: Dysmenorrhoea. The Obstetrician & Gynaecologist 2010, 12:149-154.
- [8]Raine-Fenning N: Dysmenorrhoea. Curr Obstet Gynaecol 2005, 15:394-401.
- [9]Lumsden MA: Dysmenorrhoea. Women’s Health Med 2005, 2:40-43.
- [10]Twigg J: Dysmenorrhoea. Curr Obstet Gynaecol 2002, 12:341-345.
- [11]McCaffery M, Pasero C: Pain: Clinical Manual. London: Mosby Inc; 1999.
- [12]Agarwal K, Agarwal A: A study of dysmenorrhea during menstruation in adolescent girls. Indian J Community Med 2010, 35:159-164.
- [13]Creswell JW: Qualitative Inquiry and Research Design: Choosing Among Five Traditions. London: Sage Publications; 1998.
- [14]Smeltzer SC, Bare BG: Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 8th edition. Philadelphia: J.P Lippincott Company; 2000.
- [15]Zhu X, Bensoussan A, Zhu L, Qian J, Xu M, Zhou C, Chao P, Lo S: Primary dysmenorrhoea: a comparative study on Australian and Chinese women. Complement Ther Med 2009, 17:155-160.
- [16]Kim J-I: Effect of heated Red bean pillow application for college women with dysmenorrhea [Korean]. Korean J Women Health Nursing 2013, 19:67-74.
- [17]Chang S-F, Chuang M-h: Factors that affect self-care behaviour of female high school students with dysmenorrhoea: a cluster sampling study. Int J Nurs Pract 2012, 18:117-124.
- [18]Santer M, Wyke S, Warner P: Women’s management of menstrual symptoms: findings from a postal survey and qualitative interviews. Soc Sci Med 2008, 66:276-288.
- [19]O’Connell K, Davis AR, Westhoff C: Self-treatment patterns among adolescent girls with dysmenorrhea. J Pediatr Adolesc Gynecol 2006, 19:285-289.
- [20]Marjoribanks J, Proctor M, Farquhar C, Derks RS: Nonsteroidal Anti-Inflammatory Drugs for Dysmenorrhoea. In Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd; 2010. doi:10.1002/14651858.CD001751.pub2
- [21]Smith CA, Zhu X, He L, Song J: Acupuncture for Dysmenorrhoea. In Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd; 2011. doi:10.1002/14651858.CD007854.pub2
- [22]Zhu X, Proctor M, Bensoussan A, Wu E, Smith CA: Chinese Herbal Medicine for Primary Dysmenorrhoea. In Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd; 2010. doi:10.1002/14651858.CD005288.pub3
- [23]Aziato L, Dedey F, Clegg-Lamptey JNA: Dysmenorrhea management and coping among students in Ghana: A qualitative exploration. J Pediatr Adolesc Gynecol 2014. doi:10.1016/j.jpag.2014.07.002
- [24]Jung H-S, Lee J: The effectiveness of an educational intervention on proper analgesic use for dysmenorrhea. Europe J Obstet Gynecol Reprod Biol 2013, 170:480-486.
- [25]Dorn LD, Negriff S, Huang B, Pabst S, Hillman J, Braverman P, Susman EJ: Menstrual symptoms in adolescent girls: association with smoking, depressive symptoms, and anxiety. J Adolesc Health 2009, 44:237-243.
- [26]Gagua T, Tkeshelashvili B, Gagua D: Primary dysmenorrhea: prevalence in adolescent population of Tbilisi, Georgia and risk factors. J Turkish-German Gynecol Assoc 2012, 13:162-168.
- [27]Zukri SM, Naing L, Hamzah TNT, Hussain NHN: Primary dysmenorrhea among medical and dental university students in Kelantan: prevalence and associated factors. Int Med J 2009, 16:93-99.
- [28]Aziato L, Adejumo O: The Ghanaian surgical nurse and postoperative pain management: a clinical ethnographic insight. Pain Manag Nurs 2013a.
- [29]Aziato L, Adejumo O: Determinants of nurses’ knowledge gap on pain management in Ghana. Nurse Educ Pract 2013c.