• Women's Health Nursing
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• v.6 no.4
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• pp.528-548
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• 2000

The purpose of this study was to identify the effect of college women s active and passive smoking on menstrual discomfort. The subjects were 252 college female students (active smokers, 71; people who passively inhaled others smoke, 104; nonsmokers who also didn't inhale others smoke, 77). Subjects were selected from 5 colleges in North Kyong Sang Province, Korea. Data was collected from March to June of 2000 with a structured questionnaire. The instruments used for this study were the revised Menstrual Distress Questionnaire (MDQ) developed by Moos(1968), general characteristic, menstrual characteristic, and smoking characteristic scale developed by researchers. The data were analysed by the SPSS/PC+ program. The results were as follows 1. There was no statistically significant difference of menstrual discomfort level among the active smokers, those who passively inhaled others smoke, and who did not inhale others smoke(F= 2.613, p= .075). 2. The mean score of menstrual discomfort was moderate(M= 60.8008, SD= 17.9243). The level of menstrual discomfort was various (minimum score 29.00- maximum score 110.0). 3. Factors influencing menstrual discomfort were on life stress events(F= 4.057, p = .045), irregular menstrual cycle(t = 3.968, p = .047), and amount of flow during menstruation(F = 4.018, p = .019). The recommendations from this study are necessity of further studies to investigate how heavy active and passive smoking have effect on menstrual discomfort.

• Korean Journal of Health Education and Promotion
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• v.24 no.2
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• pp.93-109
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• 2007

Objectives: The purpose of the study was to examine the effects of experience based menstrual education program on menstrual attitude and menstrual discomfort among female elementary students. Methods: Non-equivalent control group, pre-post test design was utilized for the study. The participants in the study were 122 female elementary students in P city. They were assigned into 2 groups: The experimental group of 62 and the control group of 60. The experience based education program consisted of 5 sessions with 40 minute length. For control group, no treatment was provided during the period. Post-tests were conducted just after the following menstrual period for both experimental and control groups. The data was analyzed using SPSS WIN 12.0 program. The t-tests were used to answer the research questions. Results: There were significant differences in menstrual attitude and menstrual discomfort between experimental and control groups, The students who participated in the program reported more positive attitude to the menstruation and less discomfort during menstrual period than the students who did not participate in the program. Conclusions: Experience based education had a positive influence on menstrual attitude and menstrual discomfort among female elementary students. Further application of the program would be beneficial for the female elementary students. Future research to standardize the program to the broader population is warranted.

• 모자간호학회지
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• v.2 no.1
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• pp.55-69
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• 1992

This study was planned and carried out 1) to identify the general menstrual characteristics, 2) to understand perimenstrual discomfort, menstrual attitude, and sex role acceptance, 3) to investigate the correlation between perimenstrual discomfort, menstrual attitude, sex role acceptance in order to provide basic information about menstruation. The subjects of this study were 313 college women and they were asked to check Menstrual Discomfort questionnaire, Menstrual Attitude Questionnaire, and Role Acceptance Scale. Data were gathered from April 1 to June 24, 1992. The results were as follows : 1) The mean age of the subjects was 19, and the mean age of monarch was 13.6 ranged from 11 to 19. The distribution of menstrual cycle showed a wide variation and the mean cycle was 29.7 days. The duration of menstrual cycle was between 2-8 days, and in 65.8% the amount of menstrual fluid was within normal limit. 2) The frequencies of perimenstrual discomfort was 56.9% when asked to check it on 5 point scale. 3) All scores of perimenstrual discomfort were higher on premenstrual period than intermenstrual period, and higher on menstrual period than premenstrual period. They were statistically significant. 4) In general, the college women perceived menstruation as natural, somewhat bothersome, and not very debilitating or predictable, although they did not deny that menstruation had some effects. 5) The correlation between perimenstrual discomfort and menstrual attitude was significant. 6) The correlation between perimenstrual discomfort and sex role acceptance was significant. 7) The correlation between menstrual attitude and sex role acceptance was significant.

• Child Health Nursing Research
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• v.11 no.3
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• pp.330-339
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• 2005

Purpose: This study was done to identify menstrual discomfort and dietary habits, and factors related to the menstrual discomforts. Method: Participants were 320 female middle school students in G city. The Menstrual Discomfort Questionaire(MDQ) and dietary habit lists were used as tools. Results: Factors related to MDQ were found to be the VAS scores (r=.361, p=.002), a mount of menstrual bleeding (r=.131, p=.019), height (r=.134, p=.016), adequacy of meal time (t=7.19, p=.008), consumption of milk & milk products (F=3.20, p=.042) and, hot, salty & irritant foods (f=8.01, p=.000), eating more than 3 kinds of side-dishes with each meal (F=8.32, p=.000), and various protein foods (F=5.15, p=.006). In stepwise regression, 4 variables (VAS scores, height, hot, salty & irritant foods, more than 3 kinds of side-dishes with each meal) explained $20.3\%$ of the variance in the total MDQ scores. Conclusion: Reduction of hot, salty & irritant foods and having more than 3 side-dishes with each meal would be effective in menstrual discomfort management. As well, good and, balanced dietary habits should be encouraged for early adolescent girls. To keep up with the ideal dietary habits, nutritional education & counseling should be continued. In a further study, a replication study with larger samples and more specified nutritional assessment are recommended.

• Women's Health Nursing
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• v.11 no.4
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• pp.288-295
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• 2005

Purpose: The purpose of this study was to identify an attitude toward menstruation, perimenstrual symptoms, and coping used by female college students. Methods: A convenience sample of 151 students was obtained from two nursing colleges in Mokpo and Gwangju. Data were collected through questionnaires from June 15 to June 28, 2005. Three instruments were used in this study, the menstrual symptoms, menstrual attitude, and menstrual coping. Data was analyzed by descriptive statistics, t-test, ANOVA, and Pearson correlation using SPSS 10.0 program. Results: The results showed that most 3rd and 4th year students complained about discomfort during their perimenstrual period, had a negative attitude toward menstruation due to the discomfort, but coped well during the period even with a lot of discomfort. With this results, there is a need for a nursing mediator to provide relief for discomfort during perimenstrual period so college female students have a positive attitude toward menstruation. There is a need for further research to determine the relationship between other variables and discomfort during the perimenstrual period. It is also needed to investigate if there are differences in these variables studied according to ages and occupations in women. Conclusion: From these findings, problem solving strategies for menstrual symptoms, positive attitudes, and coping should be a comprehensive approach to a nursing intervention to help women.

• Journal of Korean Public Health Nursing
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• v.19 no.1
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• pp.53-63
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• 2005

The purpose of this study was to identify menstrual discomforts and coping m adult women. The subjects were 577 adult women. aged 20 years old and over. selected by convenient sampling. Data were collected through a questionnaire survey from December 2. 2004 to December 31. 2004. Two instruments were modified and used in this study. the Menstrual Discomfort Questionnaire by Park(1988) and the Menstrual Coping Questionnaire by Billings & Moos(198l). The data were analyzed by descriptive statistics. t-test. and ANOVA with SPSS 10.0 program. The results of this study were as follows. 1. The prevalence rate of dysmenorrhea was $85.6\%$. 2. The total mean score for menstrual discomforts was 2.82 of a possible total of 5. The mean score for each category was 3.10 for water retention. 2.93 for negative affect. 2.89 for pain. 2.74 for autonomic reactions. 2.73 for behavioral change. and 2.59 for concentration. 3. Statistical differences were found for menarche age(F=9.351. p<.00l), feeling to menstruation(F=12.376. p<.001). dysmenorrhea(t=7.3l7. p<.001). onset of dysmenorrhea (F= 12.766. p<.001). taking medication(t=6.289. p<.001). and degree of taking medication (F=12.924. p<.00l). 4. The coping modes with the highest scores were 'rest and go to the bed '$(83.3\%)$. 'regard menstruation as a physiological and temporary phenomenon' $(68.6\%)$, and 'take a warm shower' $(64.5\%)$. We conclude that there were many women with dysmenorrhea. that the first day was the onset of menstrual discomfort. and that it differed by menarche age. feeling to menstruation. dysmenorrhea. onset of dysmenorrhea. taking medication. and degree of taking medication. Nursing intervention has to be considered in programs to reduce menstrual discomfort.

• Journal of Physiology & Pathology in Korean Medicine
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• v.21 no.2
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• pp.554-560
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• 2007

This study was aimed to identify the effect of abdominal moxibustion on premenstrual syndrome and dysmenorrhea in university students. The data were collected by using questionnaires from April 25, 2005 to June 20, 2005. The subjects were university students from in the Pusan metropolitan area who had complained of menstrual discomfort. Thirteen students were assigned to the experimental group and fourteen students to the control group. The research design of this study was a nonequivalent control group pretest-posttest design. In the research method pretest were conducted through measurement based on scores of general character, menstrual character, premenstrual syndrome and dysmenorrhea in the experimental group and the control group. Experimentation was conducted by abdominal moxibustion being applied on the kwan-won hole and Ki-hae hole for 25 minutes at a time, three times a week, form the ending of one menstrual cycle to the beginning of the next menstrual cycle were in the experimental group. After treatment was finished, post tests conducted through measurement based on scores of premenstrual syndrome and dysmenorrhea in the experimental group. The control group conducted a point of same time and same measurement with the experimental group. The instruments used in this study MDQ(Menstual Distress Questionnaire) developed by moos(1968) and the VAS(Visual Analogue Scale) developed by Cline(1992). The data were analysed by SPSS/ win 12.0 program with ${\chi}$2-test and t-test to verify identification among subjects' general characteristics and menstrual characteristics. Hypothesis verification was analysed with t-test. The results of the study are as follows: The hypothesis, 'the experimental group who received abdominal moxibustion will decrease premenstrual symptoms more than the control group', was supported (t= -2.121, p=.022). The hypothesis, 'the experimental group who received adbominal moxibustion will decrease dysmenorrhea compared to the control group', was supported (t=-4.424, p=.001). As a result of this study, abdominal moxibustion will be used as a nursing aide to improve and prevent menstrual discomfort of university students who have premenstrual syndrome and dysmenorrhea.

• Women's Health Nursing
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• v.19 no.2
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• pp.67-74
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• 2013

Purpose: Dysmenorrhea is a menstrual condition characterized by severe and frequent cramps and pain. Effective treatment methods for dysmenorrhea are not yet fully understood. This research compares the effects of pain killers and heated red bean pillows. Methods: Data were got on demographic data, menstrual cycle status, and activities of daily living (ADLs) limitations, dysmenorrhea severity and menstrual pain scores. Following a 10% drop-out rate, 44 young women satisfied the inclusion criteria. To prevent any bias, the experimental and control groups were selected from different campuses. We used two sizes of red bean pillows: $13{\times}11.5cm$, weighing 400g; and $15{\times}18cm$, weighing 220g. For analysis, we used IBM SPSS statistics 19.0. Results: Ninety-nine point seven percentage of total subjects reported moderate to severe dysmenorrhea and 63.6% reported as moderate to severe daily activities limitations. The mean pain score with visual analogue scale was $80.2{\pm}9.42$ of 100 and 86.4% used pain killers to alleviate menstrual discomfort in all the subjects. In both groups, all three variables showed significant improvement and the Moos's Menstrual Distress Questionnaire (MDQ) scores changed significantly between menstrual and post-menstrual time point at within groups and not significantly different at premenstrual and menstrual time point at between groups. However, the MDQ score was significantly higher in experimental group than control group at post-menstruation time point and the degree of satisfaction was higher in the control group. Conclusion: This research shows that red-bean pillows on the abdomen are effective in assisting the ADL and diminishing pain severity. With regard to its safety the study indicates it can be a convenient and safe option for female students with menstrual discomfort in schoolas a non-pharmacological self-help.

• Women's Health Nursing
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• v.7 no.3
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• pp.359-372
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• 2001

The study was intended to investigate the bothersome level of premenstrual symptoms, their pattern and to examine the relationships between menstrual attitude and the premenstrual symptoms. Two hundred sixty eight female students were recruited from a college located in Kyungido from March 1, 2001 to July 1, 2001. A general characteristics questionnaires, the premenstrual assessment form(PAF) and the menstrual distress questionnaire(MDQ) were used to measure the bothersome level of the premenstrual symptoms and the menstrual attitude. The data were analyzed by SPSS-PC+ program. The results of this study were as follows ; 1. All subject who were participated in the research reported more than one symptom in premenstrual period and the mean score of total categories in PAF was low(1.89). The subject had more symptoms of fatigue, abdominal bloating and discomfort, backache and muscle stiffness and among the 21 categories fatigue feature, hysteroid feature, water retention feature and miscellaneous mood/behavior change feature were prevalent. On the other hand organic mental feature and increased well-being feature were rare that premenstrual symptom has negative aspect than positive. 2. Degree of discomfort in premenstrual symptom was related with dysmenorrhea but other general characteristics. 3. In Menstruation attitude, the student in college recognized menstruation as natural but bothersome and causes negatives effects on body and emotion. 4. There were significant correlation(r=.395, p<0.000) between premenstrual symptom and level of Menstrual attitude. 5. Menstrual attitude explained 15.3% variance of PMS and five categories of menstrual attitude, especially factor 1(menstruation is a phenomena that weakens women physically and psychologically) was most highly correlated with PMS and explained 21.1% variance of PMS.

• Journal of the Korean Society of School Health
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• v.24 no.1
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• pp.99-109
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• 2011

Purpose: The purpose of this study was to investigate factors influencing dysmenorrhea in middle school girls and to analyze the differences in dysmenorrhea according to personal factors of the subjects. Methods: This study was conducted from March 22 to April 2, 2010. The subjects of the study were 572 girls who attended three middle schools in Seoul and experienced dysmenorrheal. All were surveyed using the same questionnaire. Data were analyzed by the SPSS/WIN 12.0 program and included descriptive statistics, ANOVA and multiple regression analysis. Results: 1) The mean age of the subjects was 13.53 years, and the mean age of first menstruation (menarche) was 11.94 years. The number of days between the onset of menstrual cycles was 30.01 days. Most of the respondents had irregular menstrual cycles and menstrual periods lasting 3 to 7 days long. 2) Chief menstrual pains were lower abdominal and back pain. Subjects reported experiencing severe lower abdominal and/or back pain, most commonly on the second day of menstruation. The average score of menstrual discomfort was over 60 points (63%). The average score per 6 points of dysmenorrhea was as follows: fatigue (3.48), sensitivity (3.27), disability of movement (3.27), napping or lying down (2.98), mood swings (2.95), interference with studies (2.87). 3) Individual subject characteristics influencing the onset of dysmenorrhea were as follows: high stress levels, being in poor health, having an irregular diet, being younger and having longer menstrual periods than most other subjects. Conclusion: During puberty, girls with earlier menarche complained of physical and emotional discomfort, and irregular menstrual periods. Therefore, we need to explain overall menstrual characteristics and individual differences in the occurrence of dysmenorrhea, in health education programs.