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Research Article | Volume 3 Issue 1 (Jan-June, 2024) | Pages 1 - 6
Self-Care Practices in Primary Dysmenorrhea among Nursing Students at AL- Diwaniyah Governorate
 ,
1
Lecturer, PHD. Maternal and Neonatal Health Nursing College of Nursing / University of Al-Qadisiyah, Iraq, 58002
2
Lecturer, PhD. Adults Nursing, College of Nursing, University of Al-Qadisiyah, Iraq, 58002
Under a Creative Commons license
Open Access
Received
Nov. 9, 2023
Revised
Nov. 19, 2023
Accepted
March 19, 2024
Published
March 30, 2024
Abstract

Objective: To evaluate nursing students' self-care practices during primary dysmenorrhea.

 

Methodology: Students pursuing a Bachelor of Science in Nursing at the College of Nursing in the Governorate of Al-Diwaniyah participated in a descriptive study selected by non-probability convenience sampling technique from February to July 2023 .The students enrolled in the study from first through fourth grades who reported having dysmenorrhea, or menstrual pain, during their previous three periods. Students with known pelvic pathologies were not allowed to participate. Information gathered using the relevant literature was concerned in the development of a semi-structured questionnaire. It included socio-demographic information and self-care techniques for students to treat primary dysmenorrhea, to which categorical answers (Yes, No) were applied. SPSS version 27 was used for the data analysis process. The results of the study were presented using descriptive statistics, such as frequencies and percentages.

 

Results: The students' demographic characteristics. As for age (29%) of the students were between 21-23 years age group with (22%) of them were studying in the second year of the academic program and (68%) of them were urban residents. Regarding menstrual characteristics (47%) of participants 5 days and less their menstrual flow duration, about (62%) of the study participants reported regular menstruation. Additionally, about (66%) of participants reported a family history with primary dysmenorrhea. Students' self-care practices showed that applying a warm compress or hot water bag to relieve dysmenorrhea pain was the most common non-pharmacological method (78%), followed by relaxing or resting on the bed (70%). As far as the students' pharmacological practices for treating primary dysmenorrhea, the most often used analgesic was paracetamol (84%) followed by mefenamic acid (53%) and ibuprofen (35%) as the least often used analgesics.

 

Conclusions: proactive and successful self-care techniques that enhance participants' quality of life and educational experience. The students used a variety of non pharmacological and pharmaceutical self-care techniques, such as applying a warm compress or hot water bag, relaxing in bed for a while, and using paracetamol as an analgesic, to relieve pain during primary dysmenorrhea.

           

Recommendations: It's critical to educate women about the causes, therapies, and appropriate self-care practices associated with primary dysmenorrhea. Promoting health professional consultation is necessary to assist students experiencing primary dysmenorrhea. 

 

Keywords
Introduction

One of the most common causes of pelvic pain and menstrual disorders is dysmenorrhea, which is defined as recurrent spasmodic pain in the lower abdomen during menstruation [1]. Primary and secondary dysmenorrhea are the two clinical subtypes of dysmenorrhea [2].

 

Primary dysmenorrhea is characterized by excruciating menstrual cramps that are unrelated to any uterine pathology and are frequently accompanied by headaches, back pain, fatigue, nausea, vomiting, and unstable emotions [3]. Primary dysmenorrhea affects 45–95% of women worldwide who are childbearing age, with a 2–29% pain prevalence [4]. beginning in the first eight to seventy-two hours of the menstrual cycle. Up to 75% of women experience it at some point in their reproductive lives [5].

 

Based on the most recent update to the WHO's guidelines for self-care practices. The ability of individuals, families, and communities to maintain health, prevent disease, and deal with illness and disability with or without the assistance of health professionals is known as self-care [6].

 

 Self-care is a new primary healthcare strategy that is easy to learn and affordable. It also has the potential to save resources for the health system by lowering the costs of patient care and follow-up [7-10).

 

Self-care has been shown to be beneficial for patients with chronic illnesses and has a significant impact on their prognosis and clinical outcome. It is commonly utilized by postpartum women, people with spinal cord injuries, people who have had cancer surgery, and others [11-12]. In the meantime, it has been demonstrated that nursing students, as a unique group, can benefit from adopting self-care behaviors in order to relieve stress, facilitate their transition to nurse status, and collaborate with patients to establish a safe clinical setting [13].

 

The creation and application of personal health routines and coping mechanisms for enhancing one's own health, averting or reducing illness, and preserving wellbeing is known as self-care. Most of the time, these tasks are carried out without expert assistance [14]. 


There is a dearth of available research in Iraq regarding the self-care strategies employed by women to ease the discomfort associated with menstruation. Regretfully, knowledge is prioritized over practices in the majority of published international studies. Thus, the purpose of this study was to assess how nursing students took care of themselves when they had primary dysmenorrhea.

Methodology

From February to July 2023, a descriptive study was carried out among B.Sc. nursing students at the College of Nursing at Al-Diwaniyah governorate, who were chosen using a non-probability convenience sampling technique. Participants in the study were B.Sc. Nursing students enrolled from first through fourth grade who reported having primary dysmenorrhea, or menstrual pain, during the previous three periods. Students with a history of pelvic pathology who declined to participate were not allowed to participate. The relevant literature was concerned in the development of a semi-structured questionnaire. It included sociodemographic information and self-care techniques for students to manage the discomfort of primary dysmenorrhea; responses to these items were categorically answered (Yes, No). SPSS version 27 was used for the data analysis process. To present the study findings, descriptive statistics such as frequencies and percentages were employed.

Results

Results

 

Table (1): Distribution of Socio-demographic & Menstrual Characteristics of the samples

 

 

Demographic data

Rating

Frequency

Percent

Age /years

18-20

30

30

21-23

29

29

24-26

21

21

Grade

First

17

17

Second

22

22

Third

20

20

Fourth

21

21

Residence

Urban

68

68

Rural

12

12

Duration of Menstrual Flow

more  than 5 days

33

33

5 days and less

47

47

Regularity of Menstrual Cycle

Regular

62

62

Irregular

18

18

Family History with   primary dysmenorrhea

Yes

66

66

No

14

14

 

Table (1) shows that (30%) of the students were between 18-20 years age group with (22%) of them were studying in the second year of the academic program and (68%) of them were urban residents. Regarding menstrual characteristics (47%) of participants five days and less their menstrual flow duration , Approximately (62%) of participants experience a regular menstruation. Furthermore, roughly (66%) of participants reported a family history with primary dysmenorrhea.

 

Table (2):  Self-care Practices for the Students to Relieve Primary Dysmenorrhea

 

Self-care Practices for the Students 

Rating

Frequency

Percent

Non-Pharmacological practices

Drink warm fluids 

No 

55

55

Yes 

45

45

Relaxation /Bed rest 

No 

30

30

Yes 

70

70

Hot water  bag  or warm compress 

No 

22

22

Yes 

78

78

exercise /Yoga/ Meditation

No 

77

77

Yes 

23

23

Use type of herbs

No 

43

43

Yes 

57

57

Pharmacological practices

 

 

Paracetamol

No

16

16

Yes

84

84

Mefenamic acid

No 

47

47

Yes 

53

53

Ibuprofen

No 

65

65

Yes 

35

35

 

 Table (2) demonstrates how students used self-care techniques to treat dysmenorrhea. These included applying a warm compress or hot water bag to relieve pain (78%) and relaxing or resting on their beds (70%) as non-pharmacological methods. Paracetamol (84%) was the most often used analgesic by students for primary dysmenorrhea, followed by mefenamic acid (53%) and ibuprofen (35%).These are the pharmacological practices used by students to relieve pain during dysmenorrhea. 

 

Discussion

This study set out to find out how Al-Diwaniyah governorate's undergraduate female nursing students manage primary dysmenorrhea on their own.  According to earlier research, it was intriguing to learn that students employed a variety of non-pharmacological techniques to relieve their pain. As well as, our findings demonstrate that the high percentage of participants applied a warm compress or hot water bags, took their time for relaxation, and rested in bed during menstruation. Also, more than half of students took different types of herbs. While, a low percentage of students drank hot beverages or engaged in physical activity to cope with primary dysmenorrhea. All of these practices were thought to be safe and harmless ways to relieve primary dysmenorrhea. Consequently, it is advisable to promote the use of these practices. 

 

Nonetheless, the earlier findings align with the outcomes of a cross-sectional investigation conducted by Agrawal and Venkat (2009) and Al-Kindi and Al-Bulushi (2011) [15-16]. They found that while some teenagers with dysmenorrhea used non-pharmacological treatments like applying heat and sleeping, the majority of them self-medicated with drugs.

 

Non-pharmacological interventions to lessen the negative effects of dysmenorrhea are typically straightforward, risk-free, and affordable. A lot of these precautions ought to be taught by mothers, healthcare providers, and school nurses [17].

 

According to (Pillitteri, 2010) [18], girls should get enough sleep and rest, engage in moderate exercise, and carry out all other regular activities. Certain menstruation discomforts can be relieved by applying heat to the belly, the lumbar region, the external genital organs, and taking warm baths.

 

Many young women manage their menstrual pain and other related symptoms with self-care techniques, avoiding the need to consult a doctor. These strategies involve rest, exercise, using herbs and using analgesics [19].

 

Previous research also revealed that rest was the most popular non-pharmacological approach for pain management [3,19,20]. 

 

Findings from the current study reflect those of previous research which revealed that young women usually use complementary and alternative therapies to reduce the need for analgesics [3].

 

Based on the students' pharmacological practices, it was found that the most commonly used analgesic is (paracetamol) which a high percentage of them used for the pain during dysmenorrhea. While, more than half of them used mefenamic acid, and the low percentage of students take ibuprofen which is considered a less commonly used analgesic. Nonetheless, these procedures save the money, time-consuming and need for clinical consultations by providing simple access to over-the-counter medications. For this reason to be concerned about safety regarding misdiagnosis, adverse effects, and drug abuse.

 

Sometimes self-medication can be dangerous if the patient doesn't know enough about the condition and the drugs they are taking [21].

 

According to a recent Lebanese study, the majority of female dysmenorrhea patients (76.4%) said they used analgesics to manage their pain [4].

 

The present findings seem to be consistent with a study conducted in Saudi Arabia, which found that about two-thirds of respondents reported using analgesics to relieve menstrual pain [22] 

 

In contrast, a study by Sarraf et al. found that the majority of students (90.48%) used mefenamic acid as their primary analgesic for dysmenorrhea [5].

 

Because over-the-counter medications are readily available, 38–80% of patients with primary dysmenorrhea self-medicate. This could result in the wrong medications being chosen and insufficient therapeutic dosage [23].

Conclusions and Recommendations

Primary dysmenorrhea is a significant and long-lasting factor affecting women's health and a major concern for students' academic performance and future fertility. Self-care techniques that are proactive and effective can help them feel less uncomfortable while also improving their quality of life and education. The nursing students enrolled in the study used a combination of non pharmacological and pharmacological self-care techniques, such as applying a warm compress or hot water bags, period of relaxation with bed rest, and using paracetamol as an analgesic to relieve pain during primary dysmenorrhea. However, performing self-medication without medical advice is considered inappropriate because they lack sufficient knowledge about the right therapeutic dosages and frequency of drug intake.

 

Recommendations

Based on the study conclusions ,the following recommendations are presented: 
Raising awareness of primary dysmenorrhea's causes, treatments, and suitable self-care techniques is crucial. Promoting health professional consultation is necessary to assist students experiencing primary dysmenorrhea. 

References
  1. MBernardi, Mariagiulia, et al. "Dysmenorrhea and related disorders." F1000Research 6 (2017). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5585876/  

  2. Shabani, Fatemeh, et al. "The effects of Rosa foetida extract along with self-care education on primary dysmenorrhea: study protocol for a randomized clinical trial." Trials 23.1 (2022): 637.https://link.springer.com/article/10.1186/s13063-022-06583-4 

  3. Abubakar, Usman, et al. "Use of complementary and alternative therapies for the treatment of dysmenorrhea among undergraduate pharmacy students in Malaysia: a cross sectional study." BMC complementary medicine and therapies 20 (2020): 1-8.https://link.springer.com/article/10.1186/s12906-020-03082-4 

  4. Karout, Samar, et al. "Prevalence, risk factors, and management practices of primary dysmenorrhea among young females." BMC women's health 21 (2021): 1-14. https://link.springer.com/article/10.1186/s12905-021-01532-w 

  5. Sarraf, Deependra Prasad, Basant Kumar Karn, and Smita Singh. "Pattern of Self-medication in Primary Dysmenorrhea among Nursing Students at a Nursing College in Eastern Nepal." Nepal Journal of Health Sciences 2.2 (2022): 1-8. https://www.researchgate.net/profile/Deependra-Sarraf/publication/372495805_Pattern_of_Self-medication_in_Primary_Dysmenorrhea_among_Nursing_Students_at_a_Nursing_College_in_Eastern_Nepal/links/64ba6192b9ed6874a536f201/Pattern-of-Self-medication-in-Primary-Dysmenorrhea-among-Nursing-Students-at-a-Nursing-College-in-Eastern-Nepal.pdf 

  6. World Health Organization. "WHO guideline on self-care interventions for health and well-being, 2022 revision: executive summary." (2022). https://www.who.int/china/zh/publications-detail/9789240052239.

  7. Who, “Self-care is a new approach to primary health care,” (2021), https://www.who.int/zh/multi-media/details/self-care-is-a-new-approach-to-primary-healthcare

  8.  Bell, John, et al. "Self-care in the twenty first century: a vital role for the pharmacist." Advances in therapy 33 (2016): 1691-1703. https://link.springer.com/article/10.1007/s12325-016-0395-5 

  9. Remme, Michelle, et al. "Self care interventions for sexual and reproductive health and rights: costs, benefits, and financing." bmj 365 (2019). https://www.bmj.com/content/365/bmj.l1228.abstract 

  10. Armour, Mike, et al. "The effectiveness of self-care and lifestyle interventions in primary dysmenorrhea: a systematic review and meta-analysis." BMC complementary and alternative medicine 19 (2019): 1-16. https://link.springer.com/article/10.1186/s12906-019-2433-8

  11. Abdollahi, Abbas, Azadeh Taheri, and Kelly A. Allen. "Self‐compassion moderates the perceived stress and self‐care behaviors link in women with breast cancer." Psycho‐oncology 29.5 (2020): 927-933.https://onlinelibrary.wiley.com/doi/abs/10.1002/pon.5369 

  12.  van Diemen, Tijn, et al. "Learning self-care skills after spinal cord injury: a qualitative study." BMC psychology 9 (2021): 1-12. https://link.springer.com/article/10.1186/s40359-021-00659-7  

  13. Green, Cheryl. "Teaching accelerated nursing students’ self‐care: A pilot project." Nursing open 7.1 (2020): 225-234. https://onlinelibrary.wiley.com/doi/abs/10.1002/nop2.384 

  14. Hassan, Manal Hassan Ahmed, A. Hassan, and G. Nursing. "Effect of intervention guidelines on self care practices of pregnant women with urinary tract infection." Life Sci J 12.1 (2015): 113-24.http://www.lifesciencesite.com/lsj/life120115/029_27818life120115_212_224.pdf 

  15. Al-Kindi, Rahma, and Anbarin Al-Bulushi. "Prevalence and impact of dysmenorrhoea among Omani high school students." Sultan Qaboos University Medical Journal 11.4 (2011): 485. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3206751/ 

  16. Agarwal, Anupriya, and Annapoorna Venkat. "Questionnaire study on menstrual disorders in adolescent girls in Singapore." Journal of pediatric and adolescent gynecology 22.6 (2009): 365-371. https://doi.org/10.1016/j.jpag.2009.02.005 

  17. Adika, V. O., et al. "Perception and behaviour on use of sanitary pads during menstruation among adolescent school girls in Bayelsa State, Nigeria." Advances in Applied Science Research 2.6 (2011): 9-15.https://fr.ircwash.org/sites/default/files/Adika-2011-Perception.pdf 

  18. Pillitteri, Adele. Maternal & child health nursing: Care of the childbearing & childrearing family. Lippincott Williams & Wilkins, 2010.https://books.google.com/books?hl=en&lr=&id=apeLf0mPx1QC&oi=fnd&pg=PA92&dq=18.%09Pillitteri+A.+Maternal+and+child+health+nursing:+Care+of+the+childbearing+and+childrearing+family,+6thed.+Philadelphia:+Lippincott+Williams+%26Wilkins%3B+2010:415-446.&ots=V9diyHSuB3&sig=tksEsfSZuxuzzulNpLJMrz0BiVw 

  19.  Saeed, Awaz Aziz. "Associated clinical manifestations and self-management approaches of primary dysmenorrhea among adolescent students in Erbil City, Iraq." Medical Journal of Babylon 15.2 (2018): 150-154. https://journals.lww.com/mjby/fulltext/2018/15020/associated_clinical_manifestations_and.8.aspx 

  20. Armour, Mike, et al. "The prevalence and academic impact of dysmenorrhea in 21,573 young women: a systematic review and meta-analysis." Journal of women's health 28.8 (2019): 1161-1171. https://www.liebertpub.com/doi/abs/10.1089/jwh.2018.7615 

  21. Yesuf, Teshager Aklilu, Nigist Assefa Eshete, and Eskinder Ayalew Sisay. "Dysmenorrhea among university health science students, northern Ethiopia: impact and associated factors." International Journal of Reproductive Medicine 2018 (2018). https://www.hindawi.com/journals/ijrmed/2018/9730328/abs/ 

  22. Fatima, Afreen, et al. "Self-medication practice in primary dysmenorrhea among medical and paramedical students-A cross-sectional questionnaire study." National Journal of Physiology, Pharmacy and Pharmacology 7.5 (2017): 458. https://njppp.com/fulltext/28-1481104538.pdf 

  23. Alsaleem, Mohammed Abadi. "Dysmenorrhea, associated symptoms, and management among students at King Khalid University, Saudi Arabia: An exploratory study." Journal of family medicine and primary care 7.4 (2018): 769-774. https://journals.lww.com/jfmpc/fulltext/2018/07040/dysmenorrhea,_associated_symptoms,_and_management.20.aspx 

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Research Article
Self-Care Practices in Primary Dysmenorrhea among Nursing Students at AL- Diwaniyah Governorate
Published: 30/03/2024
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