山西某高校女大学生原发性痛经的现状及影响因素分析  

Analysis on the Current Situation and Influencing Factors of Primary Dysmenorrhea of Female College Students in A University in Shanxi Province

作　　者：刘二袅 田志平 郝琦蓉[1] 周建政[1] LIU Er-niao;TIAN Zhi-ping;HAO Qi-rong;ZHOU Jian-zheng(Department of Obstetrics and Gynecology,Second Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Obstetrics and Gynecology,Taiyuan People′s Hospital,Taiyuan 030001,China)

机构地区：[1]山西医科大学第二医院妇产科,太原030001 [2]太原市人民医院妇产科

出　　处：《国际妇产科学杂志》2023年第6期631-636,共6页Journal of International Obstetrics and Gynecology

摘　　要：目的:了解山西某高校女大学生原发性痛经的现状,并分析痛经的影响因素。方法:在校园中通过问卷星发放二维码自填式问卷对山西某高校700名女大学生进行抽样调查,分析女大学生原发性痛经现状,并通过多因素Logistic回归分析痛经发生的影响因素。结果:回收有效调查问卷642份,有效率91.7%,其中痛经者295例,痛经发生率为46.0%。Logistic回归分析结果显示,有痛经家族史和经期头痛是痛经的危险因素(均P<0.05);与性格为神经活动强而不均衡型女大学生相比,神经活动强而均衡的安静型女大学生痛经发生风险降低(P<0.05);与月经量中等、没有学习压力、经期从不久坐和对经期保健知识较了解的女大学生相比,月经量较多、学习压力大、经期经常久坐和对经期保健知识了解较少的女大学生痛经发生风险增加(均P<0.05)。结论:女大学生原发性痛经发生率较高,家庭、学校和社会应加强对女大学生的生殖健康认知教育和健康行为指导,建议学校开设健康心理课程,有效预防原发性痛经的发生。Objective:To understand the current situation of primary dysmenorrhea among female college students in a university in Shanxi,and analyze the influencing factors of dysmenorrhea.Methods:A self-administered questionnaire with two-dimensional code was distributed among 700 female college students in a university in Shanxi for investigation,and the status quo of primary dysmenorrhea of female college students was analyzed,and the influencing factors of dysmenorrhea were analyzed by multivariate Logistic regression.Results:642 valid questionnaires were collected,with the effective recovery rate was 91.7%.Among them,there were 295 cases with dysmenorrhea,and the incidence of dysmenorrhea was 46.0%.Logistic regression analysis showed that family history of dysmenorrhea and menstrual headache were risk factors for dysmenorrhea(all P<0.05).Compared with female college students with strong and unbalanced mental activity,quiet female college students with strong and balanced mental activity had a lower risk of dysmenorrhea(P<0.05).Compared with female college students with moderate menstrual flow,no study pressure,never sedentary during menstruation and better knowledge of menstrual health care,female college students with more menstrual flow,great study pressure,frequent sedentary during menstruation and less knowledge of menstrual health care increased the risk of dysmenorrhea(all P<0.05).Conclusions:The incidence of primary dysmenorrhea among female college students is high.Family,school and society should strengthen reproductive health awareness education for female college students,strengthen their guidance on harmonious and healthy behavior,and recommend schools offer healthy psychology courses,so as to effectively prevent the occurrence of primary dysmenorrhea.

关 键 词：痛经 学生 山西 发病率 影响因素分析 健康教育 调查和问卷 

分 类 号：R711.51[医药卫生—妇产科学]