赣州市某高校女大学生月经失调的影响因素及相关干预措施分析  

An analysis of the influencing factors of menstrual disorders and the related intervention measures of female college students in Ganzhou City

作　　者：孙颖芳 刘华之[2] 肖敏[2] SUN Yingfang;LIU Huazhi;XIAO Min(Department of Nursing,Gannan Normal University Hospital,Ganzhou,Jiangxi,341000,China;Department of Public Health,the First Affiliated Hospital of Gannan Medical College,Ganzhou,Jiangxi,341000,China)

机构地区：[1]赣南师范大学校医院护理部,江西赣州341000 [2]赣南医学院第一附属医院公共卫生科,江西赣州341000

出　　处：《当代医学》2021年第5期4-7,共4页Contemporary Medicine

基　　金：江西省卫生健康委员会科技计划基金资助项目(20204475)。

摘　　要：目的探讨赣州市某高校女大学生月经失调的影响因素及相关干预措施。方法2019年1月至2019年9月采用随机抽样方式对赣州市某高校大一至大四的女生431名进行调查分析。对受试者进行妇科检查,统计月经失调的发生率,并将受试者按月经状态分为月经失调组和月经正常组。比较两组受试者的基础资料、临床资料,并采用单因素分析和多因素Logistic回归分析探讨影响高校女大学生月经失调的危险因素。对月经失调组大学生进行健康宣教干预,比较干预后患者月经状态的改善情况。结果经调查分析显示,431名女大学生中有179例出现月经失调,发生率为41.53%。经单因素分析显示,两组年龄、月经初潮年龄、吸烟史、饮酒史、所处年级、性生活史、人流史、体重指数(BMI)、户籍所在地等比较差异均无统计学意义;两组月经失调家族史、睡眠质量、饮食规律性、心理健康状况等比较差异均有统计学意义(P<0.05)。经多因素分析显示,具有月经失调家族史、睡眠质量差、饮食不规律、心理健康状况差为月经失调的危险因素。月经失调组患者经健康宣教干预后,有165例患者月经失调症状消失,改善率为92.18%(165/179),干预效果良好。结论赣州市某高校女大学生有较高的月经失调发生率,月经失调家族史、睡眠质量差、饮食不规律、心理健康状况差为其月经失调发生的主要危险因素,对高校女大学生做好健康宣教干预措施对于降低月经失调发生率有重要作用。Objective To study the influencing factors of menstrual disorders of female college students in Ganzhou City and analyze the relevant intervention measures.Methods From January 2019 to September 2019,431 female students from grade one to grade four of a university in Ganzhou City were investigated and analyzed by random sampling.The subjects were examined in gynecology and the incidence of menstrual disorders was counted.The subjects were divided into menstrual disorders group and menstrual normal group according to their menstrual status.The basic data and clinical data of the two groups were compared.The risk factors of menstrual disorder in female college students were analyzed by single factor analysis and multi factor Logistic regression analysis.To observe and evaluate the improvement of menstrual state of the patients after health education intervention.Results According to the investigation and analysis,179 of 431 female college students had menstrual disorders,the incidence was 41.53%.Single factor analysis showed that there was no significant difference between the two groups in age,menarche age,smoking history,drinking history,grade,sexual life history,abortion history,body mass index(BMI),registered permanent residence.There was significant difference in family history of menstrual disorders,sleep quality,diet regularity and mental health between the two groups(P<0.05).The risk factors of menstrual disorders were family history,poor sleep quality,irregular diet and poor mental health.After health education,165 patients in the menstrual disorders group had no symptoms of menstrual disorders,and the improvement rate was 92.18%(165/179).Conclusion Female college students in Ganzhou City have high incidence of menstrual disorders.Family history of menstrual disorders,poor sleep quality,irregular diet,and poor mental health are the main risk factors for the occurrence of menstrual disorders.Health education intervention measures for female college students play an important role in reducing the incidence o

关 键 词：赣州市 高校女大学生 月经失调 影响因素 干预措施 

分 类 号：R711.51[医药卫生—妇产科学]