女大学生原发性痛经影响因素分析

Analysis of Influence Factors to Primary Dysmenorrhea of Coedna

目的:探讨女大学生痛经发生情况及其影响因素,提供科学的干预方法。方法:采取整群随机抽样的方法,对江汉大学卫生职业技术学院大一、大二、大三的三个年级的576名大学生进行调查。结果:(1)女大学生痛经的发生率为69.3%(399/576),其中轻度为60.2%(240/399),中度为28.0%(112/399),重度为11.8%(47/399)。(2)女大学生的痛经与饮食因素、保暖因素、睡眠因素、压力因素、情绪因素、营养因素、初潮年龄、母亲痛经、月经异常9个因素有显著的关联(P<0.05),其中饮食因素、保暖因素、睡眠因素、压力因素、情绪因素5个因素是女大学生痛经发生的危险因素(P<0.05)。结论:原发性痛经在女大学生中具有较高的发生率,不良的生理、社会、心理因素可诱发女大学生痛经的发生,应在女大学生中积极开展健康教育及其心理咨询。

Objective ： To determine the situation and influencing factors of the primary dysmenorrheal in coedna in order to provide scientific intervention methods. Methods ： The sample was constituted from 576 students of grade 1, 2, 3 in the college that were subjected to questionaire. Results： The frequency of the primary dysmenorrheal was 69.3% （399/576）. Mild was 60.2% （240/ 399）, moderate was 28.0% （112/399） and severe was 11.8% （47/399）. Influencing factors of dysmenorrhea include dietary factors, thermal factors, sleep factors, pressure factors, emotional factors, nutritional factors, menarche factors, mother of dymenorrhea, abnormal menstruation （P〈 0.05）. Multi - factors analysis show that dietary factors, thermal factors, sleep factors, pressure factors, emotional factors are the risk factors to coedna dysmenorrhea. Conclusions： Primary dysmenorrhea is very common in coedna. Bad biological, social and psychological factors may cause dysmenorrhea. It should carry out psychological consultation and healthy education in coedna.