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Cronin, L. "Pain descriptors of the qualities of primary dysmenorrhoea." Thesis, University of Bradford, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.355221.
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Wu, Bao-Kuan. "Effect of foot reflexology on dysmenorrhoea in adolescents: A randomised controlled trial in Taiwan." Thesis, Griffith University, 2010. http://hdl.handle.net/10072/365413.
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Dysmenorrhoea is the most common gynaecological complaint among adolescent females. Although many drugs are available and approved for the use in treatment of primary dysmenorrhoea, Taiwanese adolescents are influenced by traditional Chinese beliefs and tend to choose more natural ways to manage primary dysmenorrhoea. Foot reflexology, a non-pharmacological folk therapy, has been claimed to alleviate primary dysmenorrhoea. To date, no randomised trials have been conducted to investigate the effect of foot reflexology on primary dysmenorrhoea.
This randomised controlled trial was designed to examine the effect of Father Josef‘s method of reflexology on primary dysmenorrhoea in Taiwanese adolescent students. Data were collected from three secondary high schools and one junior college in 2008 in Taiwan with approval from Griffith University Human Research Ethics Committee. Participants aged 15 to 19 years with a pain score of 40 or more on the 0 to 100 Numeric Rating Scale for Period Pain (NRS for Period Pain) were asked to participate. One-hundred and twenty-two adolescent students were randomly allocated to a reflexology group or a massage group. The reflexology group received Father Josef‘s method of foot reflexology (n = 61); the massage group received foot massage with light touch (n = 61). Both groups received one treatment of 30 minutes duration within the first 48 hours of menstruation for two menstrual periods. Outcome measures included the Demographic Information Questionnaire, the NRS for Period Pain, the Chinese Menstrual Distress Questionnaire, the Chinese Menstrual Attitudes Questionnaire, and the Self-Care Scale for Dysmenorrhic Adolescents, along with eardrum temperature, heart rate and blood pressure.
Ninety-seven participants completed this study with 50 in the foot reflexology group and 47 in the foot massage group. The average age of menarche was 12.2 years. The majority of adolescents experienced their first episode of painful menstruation within two years after menarche. In addition, the prevalence of dysmenorrhoea positively correlates to a family history of dysmenorrhoea. The physician consultation rate in this study (46.7%) is higher than in previous studies (7.1% to 23.4%). Adolescents‘ attitudes toward menstruation and self-care behaviours for dysmenorrhoea are multidimensional and influenced by cultural factors, health beliefs, educational background and menstrual discomfort. The use of the Internet to search for health information among Taiwanese adolescents is becoming more popular. The study also found that the most frequently reported methods perceived as effective in managing dysmenorrhoea were heat application, rest and pain medication. In addition, Taiwanese adolescents most frequently turned to their mother for advice regarding methods for dealing with dysmenorrhoea. Among health professionals, nurses are most frequently asked for help by adolescents with dysmenorrhoea.
Using a mixed between–within subjects analysis of variance, NRS for Period Pain decreased significantly over the two treatment sessions and the six menstrual cycles in both the foot reflexology group and foot massage group. In treatment session 2, changes for NRS for Period Pain were statistically significantly lower in the foot reflexology group as compared with the foot massage group. Menstrual distress symptoms, heart rate and systolic blood pressure decreased significantly over time but group differences were not significant. Furthermore, there were no significant differences observed between the two groups on eardrum temperature or diastolic blood pressure; however, a within-group comparison identified that foot reflexology significantly elevated eardrum temperature and reduced diastolic blood pressure immediately after the treatment. In comparison, an increase in eardrum temperature in the foot massage group was not significant. Furthermore, a decrease in diastolic blood pressure in the foot massage group was significant in treatment session 1, but it was not significant in treatment session 2. No serious adverse events occurred during this study. Additional benefits of receiving foot reflexology are relaxation, improving quality of sleep and improving bowel habits.
In conclusion, this study has contributed to the body of knowledge about gynaecological characteristics, attitudes toward menstruation, self-care behaviours in managing dysmenorrhoea and effect of foot reflexology on Taiwanese adolescents with primary dysmenorrhoea. Although duplication of this study is needed, this is the first controlled study to provide evidence that foot reflexology and foot massage can be effective non-invasive interventions for relieving dysmenorrhoea. Findings from this study provide nurses with additional nursing interventions to offer young women with primary dysmenorrhoea.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing and Midwifery
Griffith Health
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Parker, Melissa, and n/a. "The MDOT Study: Prevalence of Menstrual Disorder of Teenagers; exploring typical menstruation, menstrual pain (dysmenorrhoea), symptoms, PMS and endometriosis." University of Canberra. Health Sciences, 2006. http://erl.canberra.edu.au./public/adt-AUC20070813.161519.
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There are few data available about the menstrual patterns of Australian teenagers and
the prevalence of menstrual disorder in this age group.
Aims
To establish the typical experience of menstruation in a sample of 16-18 year
old women attending ACT Secondary Colleges of Education.
To determine the number of teenagers experiencing menstrual disorder that
could require further investigation and management.
Method
The MDOT questionnaire was used to survey participants about their usual pattern of
menstruation, signs and symptoms experienced with menses and how menstruation
affected various aspects of their lives including school attendance, completion of
school work, relationships, social, sexual and physical activity. Data analysis included
exploration of aggregated data, as well as individual scrutiny of each questionnaire to
determine menstrual disturbance requiring follow up. Those participants whose
questionnaire indicated a requirement for further investigation, and who consented to
being contacted, were followed up through an MDOT Clinic.
Results
One thousand and fifty one (1,05 1) completed questionnaires - 98% response rate.
The typical experience of menstruation in the MDOT sample includes: bleeding
patterns within normal parameters for this age group; menstrual pain, 94%; cramping
pain, 71 %; symptoms associated with menstruation, 98.4%; PMS symptoms, 96%;
mood disturbance before or during periods, 73%; school absence related to
menstruation, 26%; high menstrual interference on one or more life activity, 55.8%;
asymptomatic menstruation, 1 %; True response to 'My periods seem pretty normal'
7 1.4%.
Statistically significant associations were found between each and all of: menstrual
pain, symptoms, interference on life activities and school absence. The prevalence of
significant menstrual disturbance in the sample is approximately 25% where: 2 1 %
experienced severe pain; 26% reported school absence; 33% had seen a GP about
periods; 26.9% think there is something wrong with periods; 23.5% require follow up
based on individual scrutiny of each questionnaire; 10- 14% require further
investigation to rule out endometriosis. Referral and investigation of menstrual pain,
symptoms, and diagnosis of menstrual pathology in the sample was low.
Conclusion
The MDOT questionnaire has helped to establish a clearer picture of typical
menstruation in the population sample. Where 1% of girls reported having
asymptomatic menstruation, the majority of teenagers in the study reported menstrual
pain and symptoms that could be experienced as part of the dysmenorrhoeic syndrome
of symptoms, PMS, or underlying pathology such as endometriosis. Due to the
overlap in symptoms and a propensity to be dismissive of menstrual pain and
symptoms, many girls are suffering menstrual morbidities that could be well managed
with NSAIDs and the oral contraceptive pill (OCP) if non-pathological, or
investigated further if a menstrual pathology is suspected.
Considering these results the reported school absence rate of 26% is not surprising.
Whilst this study does not cost the true impact of menstrual disturbance on schooling,
the results of the MDOT questionnaire reflect significant physical and emotional
impact on a considerable number of teenager's lives which could also have
repercussions on education, schooling performance and other areas of their lives.
Future research is planned to determine the MDOT questionnaire's validity for
identifying pathological menstrual disorder so it can act as a screening tool to
facilitate earlier detection. Replication of the MDOT study should be done in younger
teenagers (from menarche) to determine menstrual disturbance in the younger age
group.
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Skewis, Sally Sweitzer. "A Comparison of Imagery Relaxation and an Educational Treatment Modality for Dysmenorrhea." Thesis, North Texas State University, 1986. https://digital.library.unt.edu/ark:/67531/metadc331134/.
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This study is a comparison of four treatments involving education and imagery relaxation for the amelioration of dysmenorrhea. Treatment was presented to 76 subjects by videotape during a one-hour session. A six month follow-up was performed using one of the original instruments, the Symptom Severity Scale (Cox & Meyer, 1978) and a questionnaire designed for the study. Analysis of the test instruments indicated a significant treatment effect for the educational group. The second most effective treatment was a combined treatment utilizing imagery relaxation and education, although this group did not produce significant results. The no-treatment control group was more effective in diminishing symptoms than the fourth group, imagery relaxation alone. The lack of effectiveness of the imagery relaxation treatment was hypothesized to be due to lack of reinforcement of the technique. The educational treatment modality offered the individual an opportunity to learn about many different etiological facets of dysmenorrhea, including biological, learning, and cognitive factors. The presentation also introduced the individual to several different treatment modalities in order to provide an armamentarium of effective methods for diminishing or eliminating dysmenorrhea. These results suggest that there is a need for education about dysmenorrhea before menarche, in order to prepare, prevent, treat, and cope with this syndrome.
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Müller, Susanna Magdalena. "Behandlung der Dysmenorrhoe mit Fenaminsäure /." [S.l : s.n.], 1986. http://www.ub.unibe.ch/content/bibliotheken_sammlungen/sondersammlungen/dissen_bestellformular/index_ger.html.
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Liong, Chi-ki Jackie. "The association of primary dysmenorrhea with the perception of pain, work stress and lifestyles of nurses /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36396321.
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Roberts, Lisa Jeanne. "A psychosocial intervention for treating endometriotic dysmenorrhea." Scholarly Commons, 1991. https://scholarlycommons.pacific.edu/uop_etds/2834.
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The study attempted to reduce endometriotic dysmenorrhea through the adaptation of Longo, Clum, and Yaeger's psychosocial treatment regimen for genital herpes symptoms. Thirteen women were assigned to the psychosocial treatment group or a social support control group and followed through 6 weeks each of baseline, intervention, and follow-up. Treatment consisted of training in respiratory relief therapy and suggestive imagery, provision of information about endometriosis, and group discussions of maladaptive and adaptive adjustments, emotional aspects, and sexual intercourse. The social support control group received the same with the exception of respiratory relief therapy and suggestive imagery. A MANOVA of the pre-post-follow-up data for aggregate pain, aggregate distress, aggregate negative affect and hassles measures yielded equivocal results. Data from participants with reported pain above the mean were analyzed separately. Results partially replicated Longo, Clum, and Yaeger's findings, with an important reduction from pre to post and follow-up scores in aggregate pain for the psychosocial but not the social support group. (Abstract shortened with permission of author.)
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Kataoka, Masako. "Dysmenorrhea : evaluation with cine mode display MR imaging-initial experience." Kyoto University, 2005. http://hdl.handle.net/2433/144735.
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Liong, Chi-ki Jackie, and 梁姿琪. "The association of primary dysmenorrhea with the perception of pain, work stress and lifestyles of nurses." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B45011825.
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Carcelli, Susan Myrna Jones. "A Comparison Between Desensitization and Relaxation Training in the Treatment of Primary Dysmenorrhea." DigitalCommons@USU, 1985. https://digitalcommons.usu.edu/etd/5952.
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The use of relaxation, desensitization, and relaxation plus desensitization in the treatment of primary dysmenorrhea was investigated in this study. Subjects were 45 university women who experienced either congestive or spasmodic dysmenorrhea. Each subject was individually treated in four, one-hour sessions during the first 20 days of her menstrual cycle. Subjects were divided into three groups: Group 1 obtained four hours of progressive relaxation training, group 2 was asked to self-relax while being administered scenes from a standardized menstrual hierarchy, and group 3 obtained both relaxation training and desensitization. Type of dysmenorrhea was assessed by the Menstrual Symptom Questionnaire (MSQ). Symptom intensity and duration were assessed by the Retrospective Symptom Scale, the Menstrual Semantic Differential, the Menstrual Activities Scale, and the Menstrual Behavior Scale, and were administered pre-test, posttest, and three-month follow-up. Skin temperature during session 4 was obtained to evaluate the level of relaxation.
Differences among treatment groups were analyzed using a one-way analysis of variance. t-tests for correlated samples were used to analyze within group changes form pretreatment to posttreatment.
Results suggest all three treatments to be equally effective in reducing symptoms, negative attitudes, pain mitigating behaviors, and invalid hours. Symptom relief was not associated with skin temperature increases. The possibility of placebo playing a role in these results cannot be ruled out. Finally, the division of primary dysmenorrhea into spasmodic and congestive types by the MSQ is inaccurate, most probably due to the confounding nature of the scoring system.
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Lopes, Karina Narciso. "Avaliação dos limiares sensitivo e doloroso em mulheres com dismenorreia primária moderada ou grave." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/17/17145/tde-26082016-112528/.
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A dismenorreia primária ou menstruação dolorosa na ausência de patologia pélvica é uma condição comum e muitas vezes debilitante considerada uma das queixas mais frequentes no dia-a-dia da clínica ginecológica, afetando entre 45 e 95% das mulheres que menstruam. Não há consenso na literatura sobre os limiares experimentais dessas mulheres. Na dor pélvica crônica, a diminuição dos limiares sensitivo e doloroso estão associados aos quadros de sensibilização central e hiperalgesia, necessitando de tratamento focado nesse quadro sindrômico. Se os limiares dolorosos das mulheres com dismenorreia seguirem um padrão compatível como o encontrado em mulheres com dor pélvica crônica, poderemos melhorar o tratamento dessas pacientes, abordando também as alterações neuroplásticas e do humor. Objetivo primário: Avaliar os limiares experimentais de voluntárias portadoras de dismenorreia primária moderada ou grave. Métodos e Procedimentos: Na entrevista, as participantes foram submetidas a uma avaliação psicométrica com as escalas EVA (escala visual analógica de dor), Questionário de McGill (analisa várias dimensões da dor), Escala de Ansiedade e Depressão para Hospital Geral (HAD), avaliação sócio-demográfica, antropométrica e ainda um questionário relacionado ao ciclo menstrual em geral, abordando ainda questões relacionadas a história familiar, absenteísmo no trabalho ou escola, uso e eficiência medicamentosa, prática e frequência de atividade física, entre outras. Em seguida, foram analisados os limiares sensitivo e doloroso através do aparelho de eletroestimulação nervosa transcutânea TENS e o limiar doloroso por meio de pressão transcutânea, algômetro. Resultados: Participaram do estudo 48 voluntárias divididas em dois grupos: Grupo Estudo, composto por 24 mulheres (com dismenorreia primária moderada ou grave) e o Grupo Controle composto por 24 mulheres (sem dismenorreia ou com dismenorreia primária leve). A mediana do limiar doloroso obtido através da estimulação nervosa transcutânea foi de 10,11mA no grupo de estudo e 11,92mA no grupo controle e na algometria de 1,86kg/cm² e 2,28kg/cm² respectivamente. Entre as mulheres com dismenorreia primária moderada ou grave 70 % relataram que a mãe ou irmã já sofreram ou sofrem de cólicas menstruais, 70 % não praticam nenhum tipo de atividade física, 58,3%possui algum grau de ansiedade pelo HAD e 12,5% de depressão pelo HAD, 87,5% fazem uso de medicação para dor durante o período menstrual e 33,3% faltaram de suas atividades nos últimos três meses devido a dismenorreia.Primary dysmenorrhea or painful menstruation in the absence of pelvic pathology is a common condition and often debilitating considered one of the most frequent complaints in day-to-day gynecologic practice, affecting between 45 and 95% of menstruating women. There is no consensus in the literature on the experimental thresholds of these women In chronic pelvic pain, decreased sensory and pain thresholds are associated with the frames of central sensitization and hyperalgesia, requiring treatment focused on this syndromic. If the painful threshold of women with dysmenorrhea follow a pattern consistent as found in women with chronic pelvic pain, we can improve the treatment of these patients also addressing the neuroplastic and mood changes. Specific Objective: Evaluate voluntary experimental thresholds with moderate or severe primary dysmenorrhea. Methods and Procedures: In the interview, participants were subjected to psychometric assessment to the VAS scales (visual analog pain scale), McGill Questionnaire (analyzes various dimensions of pain), Anxiety Scale and Depression for General Hospital (HAD), socio-demographic, antropometric assessment and also a questionnaire related to the menstrual cycle in general, adressing issues related to family history, absenteeism at work or school, use and drug efficiency, practice and frequency of physical activity, among others. Then the sensitive and painful thresholds were analyzed through transcutaneous electrical nerve stimulation TENS device and the pain threshold through transcutaneous pressure algometer. Results: The study included 48 volunteers divided into two groups: Study Group, composed of 24 women (with moderate or severe primary dysmenorrhea), the control group composed of 24 women (no or mild dysmenorrhea primary dysmenorrhea). The median pain threshold obtained by transcutaneous nerve stimulation was 10,11mA corresponding to the study group and the control group 11,92mA and algometry of 1,86kg / cm² and 2,28kg / cm² respectively. Among women with moderate or severe primary dysmenorrhea 70 % reported that the mother or sister have suffered or are suffering from menstrual cramps, 70 % do not practice any physical activity, 58.3 % have some degree of anxiety by the HAD and 12.5 % of depression by the HAD, 87.5 % make use of medication for pain during the menstrual period and 33.3 % missed their activities in the last three months because of dysmenorrheal.
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Burchett, Tabitha S. "Efficacy of the Arvigo Techniques of Maya Abdominal Therapy on Dysmenorrhea Symptoms in Women." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/honors/109.
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Dysmenorrhea is one of the most reported symptoms by women in OB/GYN departments with an effect on up to 95% of women. Because pain experienced during menstrual cycles influences the mental and physical health of women, it is important to find practical and effective relief.
Complementary and alternative medicine (CAM) is a new clinical and scientific field in the practice of Western medicine. The use of CAM by the public has increased dramatically in recent years and among the practiced modalities lies a fairly new massage technique aimed at treatment of uterine abnormalities attributed to misplacement. The Arvigo Techniques of Maya Abdominal Therapy™ (ATMAT) is rooted in traditional practices by the Maya people of Belize. It is a non-invasive, slow, penetrating external massage of the abdomen that repositions the uterus in women. This study is aimed to measure the patient’s perception of menstrual pain before and after therapy with completion and return of a Short-Form McGill Pain Questionnaire. Each type of data represents a quantitative index of pain quality and intensity as a result of ATMAT. Percent change calculated through paired t-test analysis will provide data on the effectiveness of the therapy.
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Carlsson, Tommy, and Klara Naji. "Icke- farmakologiska behandlingsmetoder för kvinnor med primär dysmenorré : Evidensbaserad omvårdnad." Thesis, Uppsala University, Department of Public Health and Caring Sciences, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-112463.
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Bakgrund: Primär dysmenorré, svår menstruationssmärta utan sjukdomsrelaterad bakomliggande orsak, är det vanligaste gynekologiska besväret för unga kvinnor. Idag fokuseras behandlingen av menstruationssmärta på läkemedel. Det har dock visats att kvinnor även använder sig av ickefarmakologiska metoder för att lindra sin smärta. Syftet med denna litteraturöversikt var att undersöka om det finns evidens för att följande ickefarmakologiska behandlingsmetoder kan lindra primär dysmenorré: akupunktur, akupressur, kostvanor och kostterapi, massage, transkutan elektrisk nervstimulering (TENS), värme samt örtterapi.
Metod: Sökningar genomfördes i databaserna AMED, CINAHL, Cochrane Library samt Pubmed. På grund av få artikelträffar och låg kvalitet hos artiklarna exkluderades massage och värme. Totalt inkluderades 18 engelskspråkiga artiklar, publicerade mellan år 1999-2009, vilka redovisade resultat från sammanlagt 92 studier. Sammanlagt 23 studier undersökte akupunktur, 11 undersökte akupressur, 46 undersökte örtterapi, 3 undersökte kostterapi och kostvanor samt 9 undersökte TENS. Kvalitetsgranskning genomfördes enligt en mall från Forsberg & Wengström (2008).
Resultat: Det finns evidens för att akupressur, TENS och örtterapi lindrar primär dysmenorré. Vilka specifika akupunkter och örter som har en smärtlindande effekt är dock oklart. Sjuksköterskan kan ge råd till patienter med primär dysmenorré att prova TENS för att lindra sina menstruationssmärtor.
Background: Primary dysmenorrhea, menstrual pain without disease-related underlying reason, is the most common gynaecological discomfort for young women. Today the treatment regime for menstrual pain is focused on pharmacologic treatments. However, it has been observed that women also use non-pharmacologic methods to ease their pain. The objective for this literature review was to determine if there is evidence for the following non- pharmacologic treatment-methods to ease primary dysmenorrhea: acupuncture, acupressure, dietary habits and dietary therapies, massage, transcutaneous electrical nerve stimulation (TENS), heat and herbal therapy.
Method: Searches were performed in databases AMED, CINAHL, Cochrane Library and PubMed. Because of a small number of search-results and low quality of the articles massage and heat was excluded. A total of 18 English-speaking articles published between 1999-2009 were identified. They reviewed results from 92 studies. Altogether 23 studies reviewed acupuncture, 11 acupressure, 46 herbal therapy, 3 dietary therapies and dietary habits and 9 TENS. Quality assessment was performed according to a template from Forsberg & Wengström (2008).
Results: There is evidence that acupressure, TENS and herbal therapy ease primary dysmenorrhea. Which specific acupoints and herbs that are pain relieving could not be concluded. The nurse can give advice to patients with primary dysmenorrhea to test TENS to ease their menstrual pain.
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Ma, Yihua. "Zhong yi yao zhi liao tong jing (yuan fa xing tong jing) de wen xian yan jiu /." click here to view the abstract and table of contents, 2006. http://net3.hkbu.edu.hk/~libres/cgi-bin/thesisab.pl?pdf=b1998747xa.pdf.
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Malone, Kathrynmay. "Menstrual Management: Strategies and Sources of Information in Adult Menstruators." University of Cincinnati / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1623166026629723.
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Rasweswe, Melitah Molatelo. "The indigenous perspective of the meaning and treatment modalities of dysmenorrhea among the Batlokwa women of Limpopo province." Thesis, University of Pretoria, 2020. http://hdl.handle.net/2263/80293.
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The world, including developing countries such as South Africa, is burdened with deeply rooted women sexual health challenges such as dysmenorrhea. Dysmenorrhoea, also known as, "period pains", while not life-threatening, has been troubling many women of childbearing age since ancient times. Many interventions and drugs are available and approved for use in the treatment of dysmenorrhea. However, dysmenorrhea remains least understood, many cultures and religions of the African countries still regard it as a "taboo" subject because it is a sexual and reproductive issue, and means of coping are considered indigenously "women’s knowledge”, as such increasingly, women negotiate with cultural beliefs and practices in the management of dysmenorrhea. South Africa, as a multicultural society, allows the practice of different types of health care systems such as dysmenorrhea management. Extensive efforts are being made by the government and the healthcare sector to understand and document the indigenous health knowledge for safe practices in improving the overall health of South Africans. Moreover, this study was conducted.
This study aimed to understand the indigenous perspectives of the meaning and treatment modalities of dysmenorrhea among Batlokwa women. Purposive and snowball sampling was used to select participants. The findings were used to develop strategies to empower Batlokwa women with dysmenorrhea knowledge. This study was premised on a conviction that Batlokwa women have a unique perspective on dysmenorrhea meaning and treatment modalities based on their ethnicity background.
The study was conducted in two phases. Phase 1 was the empirical phase which was qualitative and was divided into two parts to address the first two objectives of the study. The population for Phase 1 constituted of the Batlokwa Traditional Health Practitioners (THPs) and Indigenous Knowledge Holders (IKHs). In part one modified photovoice approach was used to collect data in four different stages:
• • Stage 1 – brainstorming and photograph taking training
• • Stage 2 – taking photographs
• • Stage 3 – Individual interviews
• Stage 4 – modified Lekgotla discussion
Data analysis for part one followed steps of photovoice data analysis guided by questioning the acronym “PHOTO” (Hussey 2006). The process involved photograph selection, contextualising and codifying. Photovoice enabled Batlokwa women (Traditional Health Practitioners and Indigenous Knowledge Holders) to share indigenous dysmenorrhea knowledge. Photographs taken by the participants were used to understand their perspectives regarding the meaning and treatment modalities of dysmenorrhea. Part two used in-depth interviews to collect data from women. In-depth interviews were conducted with different women to enhance the knowledge gained from the photovoice study. It was also to capture additional information that should have been missed during the photovoice study. Content data analysis was used in part two to provide detailed guidance for the coding process and analysis.
The Africana Womanism theory was used as a framework to guide the study process and discussion of the findings and was grounded within critical realism worldview. This provided means to follow a systematic structure of understanding how the indigenous dysmenorrhea knowledge surfaced and maintained within the Batlokwa ethnicity. Five major themes were identified: holistic understanding of dysmenorrhea meaning; self-naming and definition of dysmenorrhea; diagnostic processes in indigenous health care practices; treatment modalities of dysmenorrhea; roles of THPs and IKHs in treatment and prevention of dysmenorrhea.
Phase 2 addressed the third objective, which developed strategies to empower Batlokwa women with dysmenorrhea knowledge. Experts from indigenous knowledge holders, traditional health practitioners, health and education sectors. To reach consensus, a modified Lekgotla discussion utilising an expert panel reviewed items for importance, clarity, applicability, validity and reliability, with items subsequently amended or removed as such clear strategies which apply to the demographic group was developed to empower Batlokwa women with dysmenorrhea knowledgeThesis (PhD (Nursing))--University of Pretoria, 2020.
Nursing Science
PhD (Nursing)
Unrestricted
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Xiong, Jiawei. "Zhen jiu zhi liao tong jing de qu xue gui lü tan tao /." click here to view the abstract and table of contents, 2006. http://net3.hkbu.edu.hk/~libres/cgi-bin/thesisab.pl?pdf=b19987055a.pdf.
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馬漪華. "中醫藥治療痛經(原發性痛經)的文獻研究." HKBU Institutional Repository, 2006. http://repository.hkbu.edu.hk/etd_ra/749.
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Markum, Rosemary Wilson. "Menstrual-Related Distress and Willingness Versus Unwillingness to Seek Treatment." Thesis, North Texas State University, 1985. https://digital.library.unt.edu/ark:/67531/metadc331721/.
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The purpose of this study was to delineate variables which relate to reported willingness to seek treatment for menstrual-related distress, and to assess treatment preferences in a population of women often tapped for menstrual research that of college students. Of the 198 volunteers included in the study, 71 stated that they were willing to seek some form of treatment for menstrual-related distress, and 127 stated that they were not willing to do so. The Adjective Checklist (ACL), Menstrual Attitude Questionnaire (MAQ), and Menstrual Distress Questionnaire (MDQ), along with a personal data sheet were administered to subjects. In addition, they were asked to read three paragraph-long descriptions of self-administered, medical, and behavioral treatments for menstrual-related distress and to indicate their preference for each.
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Iatan, Adina. "Men det är väl bara mensvärk? : En studie om hur det är att leva med endometrios." Thesis, Stockholms universitet, Psykologiska institutionen, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-132237.
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Endometrios är en kronisk sjukdom som drabbar en av tio kvinnor världen över. Vanliga symptom är menstruationssmärta, samlagssmärta och en nedsatt fertilitet. Diagnosen endometrios ställs oftast i samband med en titthålsoperation och kan i många fall dröja upp till flera år. Tidigare forskning på området har funnit att individer som lever med endometrios kan uppleva en minskad livskvalité, komplikationer med sociala relationer samt emotionella besvär. Syftet med föreliggande studie var att studera kvinnors upplevelse av endometrios. Åtta kvinnor intervjuades, samtliga bosatta i Stockholmsområdet. Resultatet visar på flera olika psykologiska aspekter som sjukdomen för med sig. En minskad livskvalité, komplikationer med sociala relationer och en nedsatt arbetsförmåga är aspekter som påverkas av de upplevda symptomen. En nedsatt fertilitet kan vidare skapa en reducering av individens självkänsla. Slutsatsen är att en tidigare diagnos och ökad forskning skulle kunna bidra till underlättande av endometriosdrabbades vardag och därmed förbättra deras livskvalité.
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熊嘉瑋. "針灸治療痛經的取穴規律探討." HKBU Institutional Repository, 2006. http://repository.hkbu.edu.hk/etd_ra/745.
Full text
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Tsolakis, Natalie. "The homeopathic treatment of primary dysmenorrhoea." Thesis, 1995. http://hdl.handle.net/10321/1867.
Full textAbstract:
Dissertation submitted in partial compliance with the requirements for the Master's Diploma in Technology: Homeopathy, Technikon Natal, 1995.The purpose of this study was to determine the effectiveness of homeopathic treatment on primary dysmenorrhoea in terms of patient's perception to the treatment. A sample of thirty patients was randomly chosen from the greater Durban area in response to advertisements that had been placed in various advertising media. They were then screened for the delimitations and sent to a registered gynaecologist for an internal examination and confirmatory diagnosis of primary dysmenorrhoea. Each patient then underwent a medical and homeopathic consultation and examination on the first day of their menstrual cycle, and a patient perception questionnaire was completed with the researcher so as to establish a baseline. The study followed a double-blind protocol with a neutral member dividing the sample into a control and treatment group. The treatment group received simillimum treatment in the form of a chronic remedy taken twice a week and one or two symptomatic remedies taken on a daily basis. The control group received placebo. For the duration of the eight month trial period, each patient was reassessed on their first day of their menstrual cycle to allow for any needed changes to their treatment regimen, and to allow for the patient's perception to the treatment to be recorded in the researcher's presence.
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Mamokiti, Eunice Mokabane. "The efficacy of the homeopathic similimum in the treatment of the symptoms of primary dysmenorrhoea in black females." Thesis, 2011. http://hdl.handle.net/10210/3775.
Full textAbstract:
M.Tech.Dysmenorrhoea is the most common of all gynaecological complaints, leading to absence from work or school and the inability to participate in sports or other activities (Edmundson et al, 2006). Headache, nausea, constipation or diarrhoea, and urinary frequency are common concomitant symptoms; vomiting occasionally occurs (Beers et al, 2006). In research by Klein and Litt, although black adolescents reported no increased incidence of dysmenorrhoea, they were absent from school more frequently than whites (Callis, 2006). Primary dysmenorrhoea is defined as severe or incapacitating uterine cramping during ovulatory menses, in the absence of demonstrable disorders of the pelvis (Carr and Bradshaw, 2005). Primary dysmenorrhoea is related to excessive production of prostaglandins which cause ischaemia in the myometrium of the uterus, with increased contraction and vasoconstriction (Callis, 2006). The aim of this study was to evaluate, using case studies, the effect of the homeopathic similimum in the treatment of the symptoms of primary dysmenorrhoea in black females. Evaluation was based on the evaluation of symptoms form (Appendix E), which rated the common symptoms namely lower abdominal pain, nausea, vomiting, diarrhoea, constipation, fatigue, irritability, mood swings, menstrual flow and breast tenderness, and on the history taken and follow up consultation, looking at overall symptom change of each participant. The research study used a convenience sample of ten black females, aged between eighteen and twenty-five, who had been suffering from primary dysmenorrhoea for the previous three or more months. The volunteers were recruited by advertising posters (Appendix A) on the University of Johannesburg campuses. They were given an information and consent form (Appendix B) to read, understand and complete if they agreed with the given information and explained procedures. They were then screened for suitability using a screening questionnaire (Appendix C). From this questionnaire ten suitable participants were selected. A full case history of each participant was taken and a full physical examination (Appendix F) was conducted on each of the ten suitable participants. The full case and physical examination findings were evaluated and a homeopathic similimum remedy was selected under supervision of the research supervisor. Data was collected from the evaluation of symptoms form (Appendix E), and this was statistically analysed and is presented graphically. From the case history (Appendix C) and follow-up (Appendix D) forms, data was analysed by the researcher and it was discussed in terms of clinical efficacy. The outcome of this study showed the statistical and clinical effectiveness of homeopathic similimum treatment in reducing or improving primary dysmenorrhoea and the symptoms associated with it, in black females.
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Rampersad, Rekha. "Chiropractic effectiveness in the treatment of primary dysmenorrhoea." Thesis, 2009. http://hdl.handle.net/10210/2830.
Full text
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Mokabane, Mamokiti Eunice. "The efficacy of the homeopathic similimum in the treatment of the symptoms of primary dysmenorrhoea in black females." Thesis, 2012. http://hdl.handle.net/10210/5124.
Full textAbstract:
M.Tech.Dysmenorrhoea is the most common of all gynaecological complaints, leading to absence from work or school and the inability to participate in sports or other activities (Edmundson et al, 2006). Headache, nausea, constipation or diarrhoea, and urinary frequency are common concomitant symptoms; vomiting occasionally occurs (Beers et al, 2006). In research by Klein and Litt, although black adolescents reported no increased incidence of dysmenorrhoea, they were absent from school more frequently than whites (Callis, 2006). Primary dysmenorrhoea is defined as severe or incapacitating uterine cramping during ovulatory menses, in the absence of demonstrable disorders of the pelvis (Carr and Bradshaw, 2005). Primary dysmenorrhoea is related to excessive production of prostaglandins which cause ischaemia in the myometrium of the uterus, with increased contraction and vasoconstriction (Callis, 2006). The aim of this study was to evaluate, using case studies, the effect of the homeopathic similimum in the treatment of the symptoms of primary dysmenorrhoea in black females. Evaluation was based on the evaluation of symptoms form (Appendix E), which rated the common symptoms namely lower abdominal pain, nausea, vomiting, diarrhoea, constipation, fatigue, irritability, mood swings, menstrual flow and breast tenderness, and on the history taken and follow up consultation, looking at overall symptom change of each participant. The research study used a convenience sample of ten black females, aged between eighteen and twenty-five, who had been suffering from primary dysmenorrhoea for the previous three or more months. The volunteers were recruited by advertising posters (Appendix A) on the University of Johannesburg campuses. They were given an information and consent form (Appendix B) to read, understand and complete if they agreed with the given information and explained procedures. They were then screened for suitability using a screening questionnaire (Appendix C). From this questionnaire ten suitable participants were selected. A full case history of each participant was taken and a full physical examination (Appendix F) was conducted on each of the ten suitable participants. The full case and physical examination findings were evaluated and a homeopathic similimum remedy was selected under supervision of the research supervisor.
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"Mechanisms of Bak Foong Pills in the treatment of dysmenorrhoea." Thesis, 2005. http://library.cuhk.edu.hk/record=b6074073.
Full textAbstract:
Dysmenorrhoea, defined as cramping pain in the lower abdomen occurring during menstruation, is known to affect up to 90% of women of childbearing age to varying degrees. The underlying causes of this condition are believed to be due to a number of factors, but are mainly attributed to increased myometrial activity, increased prostaglandin production and hormonal influences. Although there are pharmaceutical treatments available, they mainly concentrate on symptomatic relief, with the main treatment being the use of non-steroidal anti-inflammatory drugs (NSAIDs) to directly relieve the pain. Other treatments include the use of the combined oral contraceptives which are believed to influence myometrial contractility via regulation of hormonal activity. However due to the gastric and contraceptive side effects of these treatments respectively, other alternative treatments are becoming increasingly popular. One such treatment is the use of Bak foong pills (BFP), a traditional Chinese medicine used in China for the treatment of various gynaecological disorders including primary dysmenorrhoea. The aims of the current project were therefore to highlight the major beneficial effects of BFP and attempt to elucidate its major mechanisms of action in treating dysmenorrhoea.The study demonstrated that BFP's anti-dysmenorrhoeal properties were due to a combination of hormonal, myometrial relaxant and analgesic effects. Treatment of mice with BFP caused an estrogen-like effects as demonstrated with increased cystic fibrosis transmembrane conductance regulator (CFTR) mRNA expression. Furthermore, serum estrogen and progesterone levels were also elevated in BFP treated rats. BFP was also able to significantly reduce myometrial contractions, indicating that BFP's anti-dysmenorrhoeal effect may be aided by reduced contractility of the myometrium following treatment. The uterine relaxation caused by BFP was not dependant on increases in nitric oxide or cAMP, but appeared to affect calcium mobilization. Investigation of the analgesic effect of BFP, assessed using a visceral pain model in mice showed that following sub-chronic (72 hour) treatment with BFP, there was a significant reduction in pain response, demonstrating that BFP had direct analgesic effect. (Abstract shortened by UMI.)
Rowlands Dewi Kenneth.
"July 2005."
Adviser: Hsiao Chang Chan.
Source: Dissertation Abstracts International, Volume: 67-07, Section: B, page: 3533.
Thesis (Ph.D.)--Chinese University of Hong Kong, 2005.
Includes bibliographical references (p. 148-165).
Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
School code: 1307.
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Evans, Susan Florence. "Investigations into the lived experience and aetiology of dysmenorrhoea and pelvic pain in young women." Thesis, 2021. http://hdl.handle.net/2440/130106.
Full textAbstract:
Almost every woman will experience dysmenorrhoea at some time in her life, although the
severity, duration and persistence of dysmenorrhoea vary widely. This thesis investigates
the lived experience of women with severe dysmenorrhoea through observational studies
of women’s symptoms, through laboratory studies investigating aetiologies for
dysmenorrhoea, and by linking these studies to develop conclusions with strong
translational relevance. While dysmenorrhoea may be associated with the more
extensively researched medical condition endometriosis, this thesis is intentionally painfocused
rather than endometriosis lesion-focused to ensure maximal translational
potential to address the unmet needs of women with pain.
In summary, this thesis addresses the differences between the one in five young women
who suffer severe menstrual pain, and those women who are unaffected by pain. It
investigates whether there is evidence for activation of the innate immune system in pelvic
pain, and specifically Toll-Like Receptors (TLRs), and whether the hormonal environment
influences this immune activation. It concludes with the novel hypothesis that a common
aetiological factor linked to activation of Toll-Like Receptors within the uterus underlies the
pain experience in women with dysmenorrhoea, chronic pelvic pain and endometriosis.Thesis (Ph.D.) -- University of Adelaide, School of Medicine, 2021
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Lindsey, Kerry Lynn. "Prostaglandin-synthesis inhibitory activity from the leaves of Siphonochilus aethiopicus used in the treatment of dysmenorrhoea." Thesis, 1999. http://hdl.handle.net/10413/10276.
Full textAbstract:
Plants used by southern African traditional healers for the treatment of menstrual pains
were screened for prostaglandin-synthesis inhibitors and the ability to reduce isolated
uterine muscle contraction using the cyclooxygenase (Cox-1) and in vitro uterine
bioassays respectively. Prostaglandins are synthesized from arachidonic acid and the
enzyme that drives this reaction is cyclooxygenase. The excessive production of
prostaglandins by the myometrium and endometrium induces uterine contractions.
Inhibition of cyclooxygenase and hence of the prostaglandin biosynthetic pathway may lead to relief of menstrual pain.
Nine plants used by traditional healers for menstrual pains were assayed for
cyclooxygenase inhibitory activity. Several plant extracts exhibited high inhibitory
activity in the assay. The highest activities were obtained with ethanolic extracts of
Siphonochilus aethiopicus, Cenchrus cilliaris and Solanum mauritianum. None of the
ethanolic plant extracts were able to relax or reduce the contractions of a
precontracted guinea pig uterus. Bioassay guided fractionation was used in an attempt
to isolate the active compound(s) from the leaves of Siphonochilus aethiopicus.
Isolation techniques employed were serial solvent extraction, bulk extraction, silica gel,
Sephadex LH20 column, and high pressure liquid chromatography. Biological activity
was followed through each purification step using the cyclooxygenase bioassay as a guide with respect to anti-inflammatory activity.Thesis (M.Sc.)-University of Natal, Pietermaritzburg, 1999.
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Christie, Lisa. "A qualitative study on the effect of the homoeopathic similimum in the treatment of primary dysmenorrhoea." Thesis, 2014. http://hdl.handle.net/10210/11750.
Full textAbstract:
M.Tech. (Homoeopathy)This research investigated the individualised treatment of females suffering primary dysmenorrhoea, using homoeopathic medication. Primary dysmenorrhoea is defined as painful menstruation thought to be due to excessive production of hormones known as prostaglandins, as well as ischaemia of the myometrium during menstruation. Treatment focused on the physical manifestations in each participant as an individual, as well as the constitutional and emotional aspects of the individual. Each subject participated in five homoeopathic consultations, over a period of four months. The first consultation took place pnor to a menstrual period, whereas follow-up consultations usually took place after each menstrual period. Using each participant's unique physical, emotional and mental symptoms the researcher used a holistic approach in determining their appropriate homoeopathic remedy, known as the similimum. Participants completed four questionnaires recording the severity of the seven possible symptoms experienced just prior to and during menstruation on a scale of 0 - 10 (with 0 indicating no discomfort and 10 indicating extreme discomfort). During the first menstrual period, participants received no homoeopathic treatment and no placebo, thereby creating a baseline from which the results from the remaining three months of treatment were compared. These results, together with the progression of each participant's symptoms as noted by the researcher at each consultation, were used to determine the effect of the similimum on severity of pain during menstruation and the necessity for allopathic pain medication during the dysmenorrhoea. In striving to abide by the laws and principles of the classical homoeopathic approach, each participant was evaluated as a totality. The intent of this research was to evaluate the effect of the homoeopathic similimum on ten participants with primary dysmenorrhoea. The study aimed to provide a safe and effective alternative therapy for primary dysmenorrhoea. The research results showed that the homoeopathic similimum had a significant effect on reducing the severity and duration of pain as well as associated symptoms of primary dysmenorrhoea. In addition, the need for allopathic pain medication was significantly reduced. The improvements were most significant after two to three months of treatment with the homoeopathic similimum, as opposed to only one month of treatment.
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Shange, Nondumiso Caroline. "The efficacy of a phytotherapeutic complex (Angelica sinensis, Dioscorea villosa, Matricaria chamomilla, Viburnum opulus and Zingiber officinalis) compared with homoeopathic similimum in the treatment of primary dysmenorrhoea." Thesis, 2016. http://hdl.handle.net/10321/1621.
Full textAbstract:
Submitted in partial compliance with the requirements of the Master’s Degree in Technology: Homeopathy, Durban University of Technology, Durban, South Africa, 2016.INTRODUCTION Dysmenorrhoea is defined as difficult menstrual flow or painful menstruation. Dysmenorrhoea is the most common gynaecological complaint in younger women who present themselves to clinicians. Primary dysmenorrhoea is defined as painful menstrual cramps without any evident pathology present. It refers to any degree of perceived cramping pain experienced during menstruation. Around 50% of menstruating females suffer from primary dysmenorrhoea. Prevalence decreases with age, with prevalence being highest in the 20 to 24 year old age group. This trial intended to evaluate the effectiveness of a phytotherapeutic complex in the treatment of primary dysmenorrhoea compared to homoeopathic similimum in a 30 cH plussed potency. This study aimed to provide the safe and effective alternative therapy for primary dysmenorrhoea, especially for the population that is contradicted to use the readily available forms of treatments. TRIAL DESIGN This double-blind randomised parallel clinical trial, aimed to determine the effectiveness of a phytotherapeutic complex consisting of Angelica sinensis1:10, Dioscorea villosa1:10, Matricaria chamomilla 1:10, Viburnum opulus 1:10, and Zingiber officinalis 1:10 in the treatment of primary dysmenorrhea, compared to homoeopathic similimum in a 30cH plussed potency. METHODOLOGY A sample group of 26 participants were voluntarily selected for the study on the basis of an inclusion and exclusion criteria. These participants were then randomly divided into two groups, 17 in the group receiving the phytotherapeutic complex, 8 in the control group receiving the similimum and 1 drop-out. Each participant had to attend a total of four consultations with the researcher over a three month period, at the Durban University of Technology (DUT) Homoeopathic Day Clinic. At each consultation the participant completed the Moos Menstrual Distress Questionnaire (MDQ) (Appendix B) as well as the Pain Rating Scale (PRS) (Appendix C). Intra-group analysis was performed using the non-parametric test for analysis of variance: Friedman’s test. Inter-group analysis was conducted using the Mann- Whitney U test for two independent samples. RESULTS Results from the intra-group analysis showed that in both groups most measured parameters relating to experience during the previous menstrual flow showed statistically significant reductions in intensity. This is to say that both the group receiving phytotherapy and the group receiving similimum experienced reductions in their symptoms as measured by both the MDQ and the PRS. Results from the inter-group analysis showed that there is no significant difference between the phytotherapy and similimum group in all symptoms except the water retention category, with regard to symptom perception during the last menstrual flow of the trial. CONCLUSION The conclusion reached in this study was that both the phytotherapeutic complex treatment and the homoeopathic similimum treatment were effective at reducing the clinical features of primary dysmenorrhea, but there was no significant difference between the phytotherapy and similimum group in all except the water retention category during the last menstrual period as measured by the MDQ Further, there was no statistically significant difference between groups treated with phytotherapy compared to similimum as measured by the PRS.
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Iacovides, Stella. "The impact of primary dysmenorrhoea on pain perception, quality of life, and sleep in young healthy women." Thesis, 2014.
Find full textAbstract:
Primary dysmenorrhoea, or painful menstruation in the absence of pelvic pathology, is a common, and often debilitating, gynaecological condition that affects between 45 to 95% of menstruating women. Despite the high prevalence, dysmenorrhoea is often poorly treated, and even disregarded, by health professionals, pain researchers, and the women themselves, who may accept it as a normal part of the menstrual cycle. The overall purpose of this thesis is two-fold: first, to contribute knowledge about the impact and consequences of recurrent severe menstrual pain on pain sensitivity, mood, quality of life and sleep in women with primary dysmenorrhoea, and secondly, to investigate day-time and night-time treatment of recurrent primary dysmenorrhoeic pain. For this thesis, I completed five separate studies on three different groups of young, otherwise healthy women with a history of severe primary dysmenorrhoea, and age-matched controls without dysmenorrhoea. The first two studies, presented in Chapter 2, addressed the question of whether women with primary dysmenorrhoea are hypersensitive to experimental pain. I used clinically-relevant experimentally-induced muscle pain stimuli (intramuscular injection of hypertonic saline and ischaemia) in referred and non-referred sites of menstrual pain, at different phases of the menstrual cycle. Women with dysmenorrhoea, compared to women without dysmenorrhoea, had increased sensitivity to deep-muscle pain both within the area of referred menstrual pain and at a remote pain-free site. Further, the increased muscle pain sensitivity was evident even in phases of the menstrual cycle when women did not have menstrual pain, illustrating that the changes in pain perception extend outside of the painful menstruation phase. These findings suggest that women with dysmenorrhoea show long-lasting changes in pain processing possibly because of the recurrent dysmenorrhoeic pain. A secondary aim of the study presented in Chapter 2a, was to determine the impact of menstrual cycle phase on experimentally-induced muscle pain sensitivity in women with and without primary dysmenorrhoea. My results suggest that menstrual cycle phase has no effect on pain sensitivity in either group of women.
As part of my studies, I investigated the impact of dysmenorrhoeic pain on quality of life and mood. I found that women with dysmenorrhoea had a significantly reduced quality of life (Chapter 3) and poorer mood (Chapter 2a and Chapter 5), during menstruation compared to their pain-free follicular phase, and compared to the menstruation phase of the pain-free control women. These data highlight the negative impact that primary dysmenorrhoea has on young women, for up to a few days every month.
Non-steroidal anti-inflammatory drugs (NSAIDs) are often prescribed as the first-line therapy for menstrual pain. Yet, severe dysmenorrhoeic pain is often poorly managed, especially at night, when the pain likely disrupts sleep. I conducted two studies investigating the effectiveness of diclofenac potassium, a readily-available NSAID with a low side-effect profile, compared to placebo, in alleviating severe primary dysmenorrhoeic pain across the day (Chapter 4), and during the night (Chapter 5). I also investigated the effectiveness of diclofenac potassium in improving subjective and objective sleep quality (Chapter 5). I found that the daily recommended dose (150 mg) of diclofenac potassium, administered at three timepoints across the first 24 hours of menstruation, significantly reduced perceived menstrual pain, compared to placebo. I confirmed that dysmenorrhoeic pain reduces polysomnographic and subjective measures of sleep quality compared with the pain-free follicular phase. I also showed, for the first time, that diclofenac potassium is effective, compared to placebo, in alleviating nocturnal pain, along with restoring subjective sleep quality and polysomnographic measures of objective sleep quality in women with severe primary dysmenorrhoea.
My studies have addressed several gaps in the knowledge about primary dysmenorrhoea. I have shown that women with primary dysmenorrhoea are hypersensitive to deep muscle pain, supporting the hypothesis of other researchers that the recurrent menstrual pain experienced by these women is associated with central sensitisation, and may predispose women with primary dysmenorrhoea to other chronic painful conditions. Therefore, limiting the monthly noxious input into the central nervous systems of these women, by means of effective treatment of dysmenorrhoea, may improve their long-term health. The research presented in this thesis further highlights the efficacy of diclofenac potassium in relieving not only day-time and night-time dysmenorrhoeic pain, but also in restoring objective and subjective pain-induced sleep disturbances in women with dysmenorrhoea. Further, my research has shown that dysmenorrhoeic pain has an immediate negative impact on quality of life and mood during menstruation. The results of this thesis show the multi-factorial impact of dysmenorrhoea and should stimulate further research about the long-term benefits of effective treatment of menstrual pain.
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Ngoie, Carole Monga. "The efficacy of a homoeophathic complex (Angelica sinensis, Dioscorea villosa 6cH, Matricaria chamomilla 6cH, Viburnum opulus 6cH, and Zingiber officinalis 6cH) compared with homoeopathic similimum (30 cH plussed) in the treatment of primary dysmenorrhoea." Thesis, 2018. http://hdl.handle.net/10321/3082.
Full textAbstract:
Submitted in partial compliance with the requirements of the Master’s Degree in Technology in Homoeopathy, Durban University of Technology, Durban, South Africa, 2018.Dysmenorrhoea is the term used to describe painful menstrual cramps, and is the most commonly encountered gynaecological disorder. It affects more than 50% of women of reproductive age, of which 10% to 12% experience severe dysmenorrhoea that interferes with their daily lives by incapacitating them for 1 to 3 days each month. Dysmenorrhoea is estimated to be the single greatest cause of working hours lost by women and school absence in teenage girls (Dawood 2008; Lindeque 2015: 6-9). Primary dysmenorrhoea is defined as painful, spasmodic cramping in the lower abdomen just before and/or during menstrual bleeding, in the absence of any identifiable macroscopic pathology. It is related to increased levels of inflammatory markers such as vasopressin, prostaglandins (PGF2α) and leukotrienes from the secretory endometrium. These induce ischaemia due to excessive prolonged uterine contractions, increased the sensitivity of pain fibres, and cause vasoconstriction (Iacovides, Avidon and Baker 2015: 1-17; Stewart and Deb 2014: 296-302). This double-blinded randomised study aimed to establish the efficacy of a homoeopathic complex (consisting of Angelica sinensis 6cH, Dioscorea villosa 6cH, Matricaria chamomilla 6cH, Viburnum opulus 6cH and Zingiber officinalis 6cH) compared to a homoeopathic similimum in 30cH plussed potency in the treatment of the symptoms of primary dysmenorrhoea, in terms of the participants’ perception of the treatment. Thirty female students, who signed the inform consent forms (Appendices B and D), from the Durban University of Technology were selected based on specified inclusion and exclusion criteria after they underwent an abdominal ultrasound examination (Appendix D) by a gynaecologist. They were randomly divided by means of convenience sampling according to a randomisation sheet into two groups. There were 20 in the experimental group which received the homoeopathic complex, and 10 in the control group which received the homoeopathic similimum. The study took place at the Homoeopathic Day Clinic, located at the Durban University of Technology. It was conducted over a period of three menstrual cycles per participant. The initial consultation took place prior to a menstrual period and the subsequent three follow-ups took place once a month, a week after each menstrual period. During each consultation, a detailed homoeopathic case history was conducted and a physical examination including an abdominal examination was performed. In addition, the participants were required to complete the Moos Menstrual Distress Questionnaire (Moos 1968) (Appendix G) and the Pain Rating Scale (British Pain Society 2006) (Appendix H). SPSS version 23.0 software was used to analyse the data collected from these questionnaires. The quantitative variables across the groups were compared using the Kruskal-Wallis test since the captured data was non-parametric. The one-way analysis of variance (ANOVA) was used to compare intra-group data. Quantitative variables were expressed as a mean ± standard deviation. A p-value less than 0.05 was considered significant. The intra-group analysis using the PRS and the MDQ scales (Appendices G and H) showed statistically significant changes in the subcategories of pain in the simillimum group, while these changes were noticed in the complex group only with the PRS scale, when different follow up mean pain score was compared to that at baseline. The different comparisons and p-values can be found in the Appendix G1. The homoeopathic complex group showed more statistically significant changes in the subcategories of behaviour change, negative affect, and control (Appendix G1); while the homoeopathic similimum also revealed other statistically significant changes in the autonomic response and appetite change subgroups (Appendix G1). The inter-group analysis did not reveal any statistically significant change between the groups, although a decrease in the majority of the various mean scores was observed throughout the study. The study’s results led to the conclusion that both the homoeopathic complex and homoeopathic similimum were effective (Appendix G1) in the treatment of symptoms of primary dysmenorrhoea during various follow-ups, as well as reducing the need for allopathic pain medications in the participants during the study. However that efficacy shown by the presence of statistically significant results could not been maintained throughout the study from the baseline to the third follow-ups, this could be due to the smaller sample size of the participants, the need for a better suited similimum remedy with a higher potency for the control group; or the need for another complex remedy, It was also noted that there was no evidence that one treatment was more beneficial than the other even though a decrease in the mean scores was observed in both groups.
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Beránková, Klára. "Přínos fyzioterapie v léčbě pacientek trpících dysmenoreou." Master's thesis, 2016. http://www.nusl.cz/ntk/nusl-348243.
Full textAbstract:
Title of thesis: The Benefits of Physiotherapy in the Treatment of Patients Suffering from Primary Dysmenorrhoea. The concept of the problem: Primary dysmenorrhoea is one of the most common gynecological affections, which affects the female population of working age. It is characterized as a set of symptoms associated with menstruation, of which the main is pain and general fatigue, anorexia, nausea, to the pathological changes in mood, in the sence depression or syncopes. This menstrual period becomes considerable discomfort for women and it distorts her life also from psychosocial page. Given the critical role of women in family and society, it is necessary to deal with this situation and seek effective methods of conservative treatment of primary dysmenorrhoea. Objectives: Determination the effectiveness of acupressure therapy as a possible means of medical rehabilitation in the conservative treatment of primary dysmenorrhoea. Extending expertise of physiotherapy intervention of primary dysmenorrhoea and their implementation into the attention of patients and a general public as well as into the attention of other physiotherapists, gynecologists and other health workers. Methods: The theoretical part deals with the issue at the level of the search and theoretical owerview of current knowledge of...
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Chien, Chi-Tsung, and 簡吉聰. "Brain Plasticity of Primary Dysmenorrhea: Default Mode Network Abnormalities in Primary Dysmenorrhea." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/96919637195251329333.
Full textAbstract:
碩士國立陽明大學
腦科學研究所
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Objective: Dysmenorrhea is a common painful disorder with fluctuation according to menstrual cycle in women during productive age. Recent studies of chronic pain have showed altered cortical activity unrelated to pain, but the correlations between the structural impairments and psychological or cognitive dysfunctions are not clearly known. Here we propose that primary dysmenorrhea causes not only abnormal responses to stimuli due to altered central representation, but also harms the default-mode network (DMN), a functional connectivity of cortical regions known to be active at rest. Methods: Resting state fMRI scanning were performed in 17 primary dysmenorrhea (PDM) patients and 15 matched healthy women. Independent component analysis was used to dissect their functional connectivity. The DMN was chose according to the template and was compared between two groups. Results: No significant changes in functional connectivities were noted across menstrual cycle. But PDM showed increased functional connectivity to DMN in left lateral globus pallidus, right superior frontal gyrus, cuneus, middle frontal gyrus, insula, precentral gyrus, middle temporal gyrus, and superior temporal gyrus. Conclusion: Functional connectivity might not be influence across menstrual cycle. Like other chronic pain studies, dysmenorrhea indeed changes the functional connectivity to DMN. This might be due to long-term cyclic pain stimulation.
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Guimarães, Inês Sousa Pinto. "Primary Dysmenorrhea: Assessment and Treatment." Master's thesis, 2020. https://hdl.handle.net/10216/128744.
Full textAbstract:
Dismenorreia primária é definida como dor menstrual na ausência de patologia pélvica. Caracteriza-se pelo excesso de produção de prostaglandinas pelo endométrio que provocam hipercontractilidade uterina, resultando em isquemia e hipoxia do músculo uterino e, subsequentemente, dor. É a patologia ginecológica mais comum em mulheres em idade fértil. É uma das causas mais frequentes de dor pélvica contudo, é subdiagnosticada, subtratada, e até desvalorizada pelas próprias mulheres que a aceitam como parte do ciclo menstrual. Tem grandes implicações na qualidade de vida, como limitação das atividades diárias e stress psicológico, sendo uma das principais causas de absentismo escolar e laboral. O seu diagnóstico é essencialmente clínico, baseando-se na história clínica e num exame físico sem alterações. É importante excluir causas secundárias de dismenorreia. O tratamento pode ter diferentes abordagens (farmacológica, não farmacológica e cirúrgica), sendo que a primeira linha de tratamento consiste na utilização de anti-inflamatórios não esteroides (AINEs) e, em casos de mulheres que desejem contraceção, no uso de anticoncecionais hormonais. Tratamentos alternativos como a utilização de calor tópico, modificação do estilo de vida, estimulação elétrica nervosa transcutânea, suplementos alimentares, acupuntura e acupressão podem ser uma opção nos casos de contraindicação da utilização dos tratamentos convencionais. O tratamento cirúrgico apenas se encontra indicado em casos raros de mulheres com dismenorreia grave e refratária aos tratamentos.Primary dysmenorrhea is defined as menstrual pain in the absence of pelvic pathology. It is characterized by overproduction of prostaglandins by the endometrium, causing uterine hypercontractility which result in uterine muscle ischemia, hypoxia and subsequently pain. It is the most common gynecological pathology in women in their reproductive years. It is one of the most frequent causes of pelvic pain, however it is underdiagnosed, undertreated, and even undervalued by women themselves who accept it as part of the menstrual cycle. It has major implications for quality of life such as limitation of daily activities and psychological stress, being one of the main causes of school and work absenteeism. Its diagnosis is essentially clinical, based on clinical history and normal physical examination. It is important to exclude secondary causes of dysmenorrhea. Treatment may have different approaches (pharmacological, non-pharmacological and surgical), but the first line of treatment is the use of non-steroidal anti-inflammatory drugs (NSAIDs) and in cases of women who want contraception, the use of hormonal contraceptives. Alternative treatments such as topical heat, lifestyle modification, transcutaneous electrical nerve stimulation, dietary supplements, acupuncture and acupressure, may be an option in cases of conventional treatments' contraindication. Surgical treatment is only indicated in rare cases of women with severe dysmenorrhea refractory to treatment.
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Guimarães, Inês Sousa Pinto. "Primary Dysmenorrhea: Assessment and Treatment." Dissertação, 2020. https://hdl.handle.net/10216/128744.
Full textAbstract:
Dismenorreia primária é definida como dor menstrual na ausência de patologia pélvica. Caracteriza-se pelo excesso de produção de prostaglandinas pelo endométrio que provocam hipercontractilidade uterina, resultando em isquemia e hipoxia do músculo uterino e, subsequentemente, dor. É a patologia ginecológica mais comum em mulheres em idade fértil. É uma das causas mais frequentes de dor pélvica contudo, é subdiagnosticada, subtratada, e até desvalorizada pelas próprias mulheres que a aceitam como parte do ciclo menstrual. Tem grandes implicações na qualidade de vida, como limitação das atividades diárias e stress psicológico, sendo uma das principais causas de absentismo escolar e laboral. O seu diagnóstico é essencialmente clínico, baseando-se na história clínica e num exame físico sem alterações. É importante excluir causas secundárias de dismenorreia. O tratamento pode ter diferentes abordagens (farmacológica, não farmacológica e cirúrgica), sendo que a primeira linha de tratamento consiste na utilização de anti-inflamatórios não esteroides (AINEs) e, em casos de mulheres que desejem contraceção, no uso de anticoncecionais hormonais. Tratamentos alternativos como a utilização de calor tópico, modificação do estilo de vida, estimulação elétrica nervosa transcutânea, suplementos alimentares, acupuntura e acupressão podem ser uma opção nos casos de contraindicação da utilização dos tratamentos convencionais. O tratamento cirúrgico apenas se encontra indicado em casos raros de mulheres com dismenorreia grave e refratária aos tratamentos.Primary dysmenorrhea is defined as menstrual pain in the absence of pelvic pathology. It is characterized by overproduction of prostaglandins by the endometrium, causing uterine hypercontractility which result in uterine muscle ischemia, hypoxia and subsequently pain. It is the most common gynecological pathology in women in their reproductive years. It is one of the most frequent causes of pelvic pain, however it is underdiagnosed, undertreated, and even undervalued by women themselves who accept it as part of the menstrual cycle. It has major implications for quality of life such as limitation of daily activities and psychological stress, being one of the main causes of school and work absenteeism. Its diagnosis is essentially clinical, based on clinical history and normal physical examination. It is important to exclude secondary causes of dysmenorrhea. Treatment may have different approaches (pharmacological, non-pharmacological and surgical), but the first line of treatment is the use of non-steroidal anti-inflammatory drugs (NSAIDs) and in cases of women who want contraception, the use of hormonal contraceptives. Alternative treatments such as topical heat, lifestyle modification, transcutaneous electrical nerve stimulation, dietary supplements, acupuncture and acupressure, may be an option in cases of conventional treatments' contraindication. Surgical treatment is only indicated in rare cases of women with severe dysmenorrhea refractory to treatment.
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Bromfield, Bridget Francoise. "Chiropractic management of primary dysmenorrhea." Thesis, 1996. http://hdl.handle.net/10321/2056.
Full textAbstract:
A dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Technikon Natal, 1996.The purpose of this investigation was to determine the efficacy of chiropractic treatment in the management of primary dysmenorrhea. The sample consisted of 30 patients who were randomly assigned to 2 groups, the control and experimental. This single blind study consisted of 16 visits, twice a week for the first 4 weeks and thereafter once a week for the next 8 weeks. During a menstrual cycle, prior to commencement of treatment, the patients were required to complete a Short-Form McGill Pain Questionnaire on the last day of dysmenorrhea and a Numerical Pain Rating Scale 101 on each day of experienced menstrual pain. These questionnaires were completed at home. Treatment for the experimental group consisted of soft tissue massage of the lumbar and thoraco-lumbar paravertebral. musculature combined with spinal manipulative therapy of the areas of fixation in the' lumbar and sacra-iliac regions. The control group received purely soft tissue massage of the lumbar and thoraco-lumbar paravertebral musculature. The areas of fixation were determined by motion palpation, joint challenge and tenderness to spinal palpation. There was no follow-upvisit conducted in this study. An analysis of the data revealed a statistically signiflcant improvement in the experimental group in terms of the Short Form McGill Pain Questionnaire (p=< 0,001) as well as for the control group (p=< 0,01), whilst in terms of the Numerical Pain Rating Scale 101 the experimental group showed an improvement (p=< 0,05) but the control group failed to show a significant change (p= 0,068).
M
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Hung, Hsiaoting, and 洪筱婷. "Occupational Health Nurse’s Cognition of Dysmenorrhea." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/24884809626125073512.
Full textAbstract:
碩士長榮大學
醫務管理學系碩士班
100
Dysmenorrhea is a common health issue for occupational women. Occupational health nurses are the most direct health caregivers whose cognition of dysmenorrhea will influence nursing behaviors. This study aims to learn about the level of the dysmenorrheal cognition of occupational health nurses and whether personal attributes and work experiences can influence such. This study adopts the investigative method, taking the members of the Taiwan Association of Occupational Health Nurses as the survey respondents. 280 valid questionnaires were retrieved in total and the recovery ratio was at 67%. The questionnaires contained personal attributes, work experiences and the cognition scale of dysmenorrhea. The cognition scale was divided into dysmenorrheal pathology and pharmacology, dysmenorrheal assessment, dysmenorrheal disposition - three perspectives after exploratory factor analysis, with 43 questions involved in total. Then, a statistical analysis was conducted using descriptive statistics, one-way ANOVA, the Pearson Correlation Coefficient verification and the Regression Pattern. The results showed that the cognition rate of stress-associated causes of primary dysmenorrhea was at 89.3%, while the prostaglandin was only at 39.9%. The endometriosis and pelvic inflammation are the most common attributes of secondary dysmenorrhea and the cognition rates were only at 64.9% and 55.4%. The recognition rate of primary dysmenorrhea was higher than that of secondary dysmenorrhea. The cognition rates of correct occasion to take NSAIDs and oral contraceptives were at 54.3% and 45.0%, and the cognition rate about the anti-platelet aggregation character of the NSAIDs went as lowas 15.0%. What’s more, the cognition that people with large menstrual volume should use it with caution was also poor, only at 21.8%. As for the item identification about NSAIDs, mefenamin acid was the highest at 55.7%, diclofenac potassium was the lowest at only 14.6%. However, as much as 62.9% of the occupational health nurses have mistakenly classified the acetaminophen. The older the age and the lower the qualification was, the later the people took the medicine so the better the cognition of dysmenorrheal pathology and pharmacology would be. Nurses with obstetrics and gynecological working experience had a better cognition of dysmenorrheal assessment, while occupational nurses with low qualification and without obstetrics and gynecological working experience had a better cognition of the dysmenorrheal disposition. Overall, the cognition of occupational health nurses about dysmenorrheal assessment and evidence-based nursing disposition is not enough. Most of the occupational health nurses can’t distinguish the types of the dysmenorrhea just by the symptoms. With secondary dysmenorrhea, most patients put off seeking medical treatment. Only forty percent of the occupational health nurses know about the association between PG and primary dysmenorrhea. The cognition of occasions to take NSAIDs and high precautions are not enough. This may easily reduce the effect of pain remission and increase the dangers of taking medicines. Aside from dysmenorrhea being the major health complaint of occupational women, it is also a critical issue of the reproductive health. Thus, it is suggested that the professional training of all future occupational health nurses be strengthened in relation to menstrual health literacy.
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Tseng, Shu-Ting, and 曾姝婷. "The effects of auricular acupressure on dysmenorrhea." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/91455279281992005087.
Full textAbstract:
碩士國立台北護理學院
中西醫結合護理研究所
97
The purpose of this study was to investigate the effects of auricular acupressure on Visual Analog Scale for Pain, Short-form Menstrual Distress Questionnaire (MDQ-SF) and electrical conductance in dysmenorrhea women. Cohort study design was adopted in this study. A total number of 48 subjects were recruited in this study from nursing colleges in Taiwan. They were alternately assigned into two study groups. The experimental group (n=27) received auricular acupressure by seed-pressure method and pressed on each of the acupressure points 15 times, repeated 3 times per day for two consecutive menstrual cycles. Whereas the control group (n=21) rested 20 min without receiving auricular acupressure. Visual Analog Scale for Pain and Short-form Menstrual Distress Questionnaire (MDQ-SF) in self-writing form were adopted to assess symptoms and signs during the menstruation. Electrical conductance was evaluated by Ryodoraku. Pre- and post-treatment tests were performed in both experimental and control groups. Visual Analogue Scale for Pain, Short-form Menstrual Distress Questionnaire (MDQ-SF) and electrical conductance values decreased significantly after auricular acupressure by seed-pressure method changed significantly in the experimental group (p<0.05); no significant difference was observed in the control group. Whereas the experimental group, there were significant effects in three MDQ-SF subscales: menstrual pain (p<.002), negative affects (p<.007) and autonomic reactions (p<.008).The urinary bladder meridian changed significantly in both the experimental and control groups from the beginning to the end of the study (p<0.05). In conclusion, Auricular acupressure, as a treatment of dysmenorrhea, is opening and harmonizing an obstructed meridian in women with painful menstrual periods.
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Chang, Chu-hui, and 張菊惠. "Worksite empowerment-oriented action research on dysmenorrhea." Thesis, 2002. http://ndltd.ncl.edu.tw/handle/72553437851374218998.
Full textAbstract:
博士國立臺灣大學
衛生政策與管理研究所
90
Many researchers and practitioners committed to feminism have suggested that biases (i.e., unexamined assumptions) such as sexism and biological determinism characterize the medical and psychiatric literature on the menstrual cycle. Pain during the menstrual period is of two types: primary, in which the pelvic organs are normal and secondary, in which pathological lesions are found on pelvic examination or laparoscopic examination of the pelvic organs. Currently primary dysmenorrhea is thought to be due to increased contractility of the myometrium or decreased uterine blood flow from the excessive contractions or increased sensitization of pain fibers to mechanical and chemical stimuli. These three mechanisms of pain production are due to the release of certain prostoglandins from the endometrium during menses which then go directly into the myometrium producing these effects. Situational or psychological factors may accentuate or decrease the pain. Dysmenorrhea is a common health concern for on-line female workers in high-technology manufactories and it is also one frequent reason that causes females absent. In this program, the participants’ shifting schedule (night shift- two days working and two days off by turn), working environment, long-time standing and heavy loading may make their painful problems worse. The purposes of this study were not only to garner more knowledge and skills for coping with dysmenorrhea, but also further to gain greater control of her menstruation health through the group. Twelve on-line female workers of the night shift and ten office workers of the day shift, aged between 23 to 39 and one-third were married, joined this program for three months. They participated in 10 meetings during three months. In the beginning, participants decided what topics they were interested the most. Topics include nutrition/dieting/regimen, stress/emotion/PMS, exercise/stretch activity, acupoint massages, menstruation cycle, ovulation observation, epistemology of dysmenorrhea, disease related to menstrual pain (endometriosis, myoma, ovarioncus), experiences of gynecology, etc. All participants recorded their menstruation diary. Individual interviews were conducted not only during group meetings but also after the program ended up to evaluate their perceptions and action taken to prevent the menstrual pain. Researchers also facilitated the factory nurses to engage in empowering practice together for sustainable development later. The menstruation diary recorded the health status and menstrual health behaviors as well as the signs of menstrual cycle. Base on it, researcher can realize the menstrual health status further to give specific health consulting. At the same time, the girl also aware herself more than before. The process of empowerment encouraged participants to review their own experiences and reflected what was working on them and what was not. Through the participation in self-help group, not only was the health information received, but also was the menstruation consciousness awaked. Participants learned and utilized various coping skills that enable themselves to regain control over their bodies; on the other hand, the program also showed participants how to develop and mobilize social support to make the task of coping easier.
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Pirritano, Rosette. "Osteopathic treatment to patients with primary dysmenorrhea." Thesis, 2004. https://vuir.vu.edu.au/864/.
Full textAbstract:
The aim of this study is to study whether the pain associated with primary dysmenorrhea as well as the amount of medication used can be reduced via the application of osteopathic techniques including muscle energy technique, high velocity low amplitude technique and visceral manipulation. Twenty (N=20) female participants aged between 18 and 25 were recruited into the study via notices displayed around the Victoria University teaching clinic. Participants were randomly allocated to either an experimental group or control group. Baseline menstrual pain scores were obtained from both groups using the Mankoski pain scale. The control group rated their pain for three cycles without receiving any treatment. The experimental group received one treatment per cycle for three cycles between days 8-10 of their menstrual cycle. Tha Mankoski pain scale was used to rate the pain experienced each cycle. Medication diaries were kept by both groups.
Within the limitations of the study, the results support the hypothesis that osteopathic treatment can decrease the pain associated with primary dysmenorrhea as well as the amount of medication taken. The results of this study present valuable outcomes for women with primary dysmenorrhea and osteopaths wishing to provide relief to such patients. However, further research is needed to establish whether or not the benefits are lasting.
This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.
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Pirritano, Rosette. "Osteopathic treatment to patients with primary dysmenorrhea." 2004. http://eprints.vu.edu.au/864/1/Pirritano_et.al_2004.pdf.
Full textAbstract:
The aim of this study is to study whether the pain associated with primary dysmenorrhea as well as the amount of medication used can be reduced via the application of osteopathic techniques including muscle energy technique, high velocity low amplitude technique and visceral manipulation. Twenty (N=20) female participants aged between 18 and 25 were recruited into the study via notices displayed around the Victoria University teaching clinic. Participants were randomly allocated to either an experimental group or control group. Baseline menstrual pain scores were obtained from both groups using the Mankoski pain scale. The control group rated their pain for three cycles without receiving any treatment. The experimental group received one treatment per cycle for three cycles between days 8-10 of their menstrual cycle. Tha Mankoski pain scale was used to rate the pain experienced each cycle. Medication diaries were kept by both groups. Within the limitations of the study, the results support the hypothesis that osteopathic treatment can decrease the pain associated with primary dysmenorrhea as well as the amount of medication taken. The results of this study present valuable outcomes for women with primary dysmenorrhea and osteopaths wishing to provide relief to such patients. However, further research is needed to establish whether or not the benefits are lasting. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.
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Lu, I.-Chen 1964. "Dysmenorrhea and related factors in Taiwanese adolescent girls." Thesis, 2010. http://hdl.handle.net/2152/ETD-UT-2010-05-1198.
Full textAbstract:
The purpose of this cross-sectional, correlational study was to validate the factors that are related to dysmenorrhea in Taiwanese adolescents. The specific aims were to describe the perceived dysmenorrhea pain symptom experience (SE), related self-care strategies (SCS), and perceived effectiveness of self-care strategies (PESS); to explore the relationships between SE, SCS, and PESS; and to explore the influence of contextual factors on SE, SCS, and PESS. A conceptual framework based on the revised Symptom Management Model was developed and guided this study. A nonprobability sample of 165 adolescent participants was recruited from a technology university located in southern Taiwan. Inclusion criteria for participants were: (1) Taiwanese female adolescent, (2) age 15-19 years old, and (3) willing to participate in this study. All participants and their parents completed the consent forms and completed the questionnaires in their classrooms during free studying time. Five instruments were used and data was analyzed by using the SPSS Version 14.0 including descriptive statistical techniques, Pearson’s correlations, ANOVA, and multiple regression analysis.
The findings showed the prevalence of dysmenorrhea in this sample was 87.3%. There were 82.4% of participants who reported dysmenorrhea had influenced their daily activity, and 12.7% of participants who reported school absenteeism because of dysmenorrhea. Most of participants used self–care strategies for dysmenorrhea including avoiding cold food or drinks, drinking brown sugar and ginger soup, etc. The most frequently used self-care strategies and their effectiveness were described. Age, age of the first period, total menstrual years, eating cold food or drinks, self-care strategies, and mother’s perceived support of self-care strategies were significantly related to the log of symptom experience of dysmenorrhea. Total menstrual years and self-care strategies were identified as significant predictors of dysmenorrhea.
This study added to the body of nursing science regarding dysmenorrhea in Taiwanese adolescents. In particular, the findings supported the existence of relationships between self-care strategies and perceived effectiveness of self-care strategies. Building on these findings, future research should be conducted to design interventions that reduce the pain associated with dysmenorrhea for this population.text
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Wu, Shih-Ju, and 吳適儒. "The Effects of Warm-water Footbath on Dysmenorrhea." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/45060234792336210958.
Full textAbstract:
碩士國立臺北護理健康大學
中西醫結合護理研究所
102
The purpose of this study was to investigate the effects of foot bath on autonomic nerve for women with dysmenorrhea. Quasi-experimental design was adopted in this study. Sixty-eight female volunteers (aged 16–20 years) from the northeast nursing college in Taiwan undertook footbaths at 42 °C for 20 min during menstruation day1-day 2, with additional mechanical stimulation (air bubbles and vibration). The experiment used convenience sampling and Quasi-experimental design assignment to experimental or control group. A Short-Form was used for pain evaluation McGill Pain Questionnaire (SF-MPQ) and Autonomic responses were evaluated by spectral analysis of heart rate variability. Our results showed that the experimental group on Sort-form MPQ scales showed significant difference (p <0.01) in the experimental group before and after the treatment.；However, that the effect of foot bath on significant changes in the measured autonomic responses, indicating decreased in parasympathetic and sympathetic ratio at day 1; Parasympathetic activity tended to increase at day 1 and significant decreases stiffness index. In conclusion, warm water footbath is effective in relieving the menstrual distress of women with dysmenorrhea. It can be performed by a self-treating way, and shows no specific side-effect .Because these physiological changes are likely to be of benefit to health and improving menstrual symptoms, our findings support the use of footbath in nursing practice.
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Chen, Huei-Mein, and 陳惠敏. "The therapeutic effect of acupressure on primary dysmenorrhea." Thesis, 2002. http://ndltd.ncl.edu.tw/handle/31740865686070691969.
Full textAbstract:
碩士高雄醫學大學
護理學研究所
90
Abstract The aim of this study was to assess the effects of acupressure at Sanyinjiao (SP6) upon pain, anxiety, blood pressure, respiration rate, pulse rate,menstrual distress and attitude to menstruation of adolescent girls with primary dysmenorrhea. The study made use of an experimental design incorporating a random assignment, with study participants consisting of female students attending a technical college in Tainan county. All participants had no prior history of gynecological disease or secondary dysmenorrhea. Further, the study enrolled only subjects that scored higher than a score of five on the Visual-Analog Scale for Pain (VASP) arising from their particular medical condition. A total of 69 subjects participated in this study, of which 35 were assigned to the experimental and 34 to the control group. The experimental group was subjected to acupressure at SP6 for 20 minutes, while subjects in the control group were required to rest in bed in the school health center for 20 minutes without receiving any treatment. Fifty subjects had completed the four to six-week follow-up period, of which 30 from the experimental group and 20 from the control group. Six instruments were will be used to collect data: 1) the Visual Analog Scale for Pain (VASP), 2) the Short-Form McGill Pain Questionnaire (MPQ-SF), 3) the Menstrual-Distress Questionnaire (MDQ), 4) the Visual Analog Scale for Anxiety (VASA), 5) the Adolescent Menstrual Attitude Questionnaire (AMAQ) and 6) the Acupressure Self-Assessment Form. Statistical analysis of all collected data was performed using the chi-square test, two-sample t test and repeated measures two-way ANOVA. Results revealed a significant reduction of menstrual pain levels following the application of acupressure at SP6 performed by the researcher for a period of 20 minutes, the level of heavy pain, tiring-exhaustion and fear during menstruation, and anxiety level during menstruation were also noted to significantly decrease. No significant differences in menstrual distress, pulse rate, respiration rate and blood pressure were found for both groups. In four to six-week follow-up, the application of acupressure at SP6 for a period of 20 minutes by those participants, there was significant decrease in the levels of aching, heavy pain and fear during menstruation. It was found that acupressure at SP6 significantly improved subjects’ menstrual attitude. No significant differences were found in anxiety and menstrual distress subsequent to applying acupressure for 20 minutes. The results of this study can be used as a reference for self-care of primary dysmenorrhea. Acupressure at SP6 can be integrated into clinical practice and health education, in order to enhance the quality of life of adolescents with primary dysmenorrhea.
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Rhinehart, Elizabeth Dale. "Perimenstrual cramps :: diagnostic issues, medication use, and coping." 1987. https://scholarworks.umass.edu/theses/2132.
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Cheng, Hsiu-Fen, and 鄭琇分. "Effect of Aromatherapy on women’s Dysmenorrheal." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/90853873941454133353.
Full textAbstract:
碩士中臺科技大學
護理系碩士班
104
OBJECTIVE: The purpose of this study are to explore the effect of aromatherapy on dysmenorrhea by using high tech device-Auracom, Biofeedback Device. DESIGN: This study is a quasi experiment nonequivalent control group pretest- posttest design. SUBJECTS: The subjects of this experiment will include 26 senior high school women with menstrual cramps. They will be randomized by 15 for the experimental group and 11 for the control group. The included criteria include: students who rated their menstrual cramps to be greater than 3 on a 10-point visual analogue scale, who has no systemic or reproductive diseases, and who do not use contraceptive drugs. INTERVENTION: Subjects will be randomized into two groups: (1) an experimental group (n =15) who received aromatherapy, (2) a control group (n = 11). Aromatherapy will be applie topically to the experimental group in the form of an abdominal massage using two drops of lavender (Lavandula officinalis), one drop of clary sage (Salvia sclarea), two drops of Marjoram（Origanum majorana) and one drop of geranium(Pelargonium graveolens) in 5 cc of sunflower oil. The control group will using sunflower oil only. OUTCOME MEASURES: The Auracom-Biofeedback Device will be use to measure the result for this study. Through this Device, the study can analysis: (1) Energy distribution characters of menstruation cramps women (2) Comparison between before management and after The bio-information signal of a person immediately changes after the aromatherapy treatment. Data collection will include menstrual cramps, dysmenorrhea, the change of symptoms(low abdominal pain, lumbago, headache, nausea, fatigue, edema). Menstrual cramps, dysmenorrhea and general, menstrual characteristics of subjects will be measure the first day of the pre menstrual period before treatment (pre-test), menstrual cramps, dysmenorrhea, the change of symptoms will be measure the first and second day of post menstrual period after treatment (posttest). RESULTS: This study is an ongoing process, the results indicated after the administration of Compound essential oils ,the aromatherapy group improve the scores in two different questionnaires significantly and Auracom. Data will be analyzed by Wilcoxon Signed-Rank Test, Spearman's rho Correlation Coefficient, Cronbach's alpha with SPSS 18.0 Program. CONCLUSIONS: The researchers expect to suggest that aromatherapy using topically applied lavender, clary sage, Marjoram and geranium is effective in decreasing the severity of menstrual cramps. Aromatherapy can be offer as part of the nursing care and education to women experiencing menstrual cramps or dysmenorrheal in the future. Key Words：Aromatherapy , Dysmenorrhea , Auracom
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Chuang, Mei-Hua, and 莊美華. "The Effectiveness of Acupressure in the Improvement of Dysmenorrhea." Thesis, 2001. http://ndltd.ncl.edu.tw/handle/53556288291662422202.
Full textAbstract:
碩士國立陽明大學
臨床護理研究所
89
The purpose of this study was to examine the effectiveness of acupressure in the improvement of dysmenorrhea. Sixty Subjects were recruited from two nursing junior colleges in northern and southern Taiwan, by convenience sampling agreed to participated in this study. A quasi-experimental research design was used for this study. Subjects were randomly assigned to a acupressure group and a control group, each group consisted of 30 subjects. The acupressure group received compressure to the acupuncture point, while the control group only received accompany and rest. Treatment given to both groups account for 10 minutes. The short form of McGill pain questionnaire was used for data collection at right before the treatment, immediately after the treatment, one hour after treatment, two hours after treatment, and four hours after treatment. Descriptive analysis and GLM repeated measures were used to analyze the data. The results of the study showed significant differences of sensory of pain,affective of pain, item of total score of pain in intensity of pain between acupressure group and control group. However, there were no significant differences among item of Numerical Rating Scale(NRS) and Present Pain Intensity(PPI) in intensity of pain. The result of this research can be provided as references for nurses in managing of patient’s dysmenorrhea problem, and suggestions are made for further research in this field. Key words：Acupressure, Dysmenorrhea
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Liu, Chiu-Hsia, and 劉秋霞. "The effects of Far Infrared Ray on Primary Dysmenorrhea." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/09081053036358672940.
Full textAbstract:
碩士國立台北護理學院
中西醫結合護理研究所
93
Abstrsct The purpose of the study was to investigate the effects of far-infrared ray（FIR） on pain status, stress level and free radical（Malondialdehyde；MDA）, anti-oxidative enzyme （superoxide dismutase；SOD） serum concentration in primary dysmenorrhea women. The quasi-experimental design was used in this study. The sample consisted of 31 subjects were recruited from nursing college in northern Taiwan by convenience sampling. The subjects were treated by FIR on acupuncture points（RN6, RN4, RN3）. The measurements included Demographical form, Numerical Rating Scale（NRS）, Short-form McGill Pain Questionnaire（MPQ-SF）, Stress questionnaire（PSTR） and examined serum of MDA and SOD concentration levels. Research data were analysed by Descriptive statistics, Pearson Correlation, and Paired t-test. The results of this study showed：（1）there was the statistically significant association between pain status and stress. （2）there was the statistically significant association between pain intensity, pain level, sensory of pain and free radical（MDA）, but no statistically significant association between affective of pain and free radical（MDA）. （3）there was no statistically significant association between pain status and anti-oxidative enzyme（SOD）. （4） there was no statistically significant association between stress and free radical（MDA）, anti-oxidative enzyme（SOD）.（5） after implementing the intervention of FIR, there was the statistically significant differences association between pre-test and post-test on pain status. （6） after implementing the intervention of FIR, there was the statistically significant differences association between pre-test and post-test on free radical（MDA）, but no statistically significant differences association between pre-test and post-test on anti-oxidative enzyme（SOD）. The study can provide another the way of pain relief of self-care and suggest that the nurses of health center of school can plan activities of menstrual health and stress coping management, in order to promote the development of body and mind healthiness.
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Hwa, Yang-Chi, and 楊琪華. "Dysmenorrhea Self-Care Behaviors and Related Factors in Adolescents." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/61310600267972819757.
Full textAbstract:
碩士高雄醫學大學
護理學研究所碩士班
92
The high prevalence rates of dysmenorrhea in adolescents have great effects on menstrual health life. To make the adolescents learn and own the ability in self-care behaviors, we could put more emphasis on the knowledge of adolescent dysmenorrhea. The purpose of the study was to find out the related factors of self-care behaviors about adolescent dysmenorrhea, and to offer some concrete suggestions to health education. It is also expected to develop appropriate nursing interventions to enhance the comfort of adolescents during menstruation. This study used the approach of stratified sampling. The subjects of the study were from female students in senior high and vocational high schools in Tainan. They have suffered from dysmenorrhea cramps for more than twice during the last six months and the valid sample size is 368. Three instruments were used to collect data: Personal Demographic Questionnaire, the Adolescent Menstrual Attitude Questionnaire, and the Adolescent Dysmenorrhea Self-Care Scale. Frequency distribution, t-test and one-way ANOVA, Pearson product-moment correlation, and stepwise multiple regression were used to illustrate the data. The findings of this study were as follows: (1) In the Adolescent Menstrual Attitude Questionnaire, the average score was 2.89. It showed that the menstrual attitude was neutral. The sequential order from high to low in terms of the standardize score was “Openness Toward Menarche”, “Acceptance Of Menarche”, “Negative Feelings”, “Living With Menstruation”, “Positive Feelings”, and “Menstrual Symptoms”. (2) Correlation analysis showed that subjects who suffered less dysmenorrhea pain and took no medical treatment had higher positive menstrual attitude. (3) In the Adolescent Dysmenorrhea Self-Care Scale, the average score was 3.51. It showed that the subjects’ average attitude toward dysmenorrhea self-care behaviors was 50% agreement. The sequential order from high to low in terms of the standardize score was “Behaviors Of Expressing Feelings”, “Utilizing Resources”, “Researching Knowledge”, “Seeking For Assistance”, “Self-Control”, and “Controlling External Factors”. (4) Correlation analysis showed that subjects who were elder ,suffered higher dysmenorrhea, took medical treatment, and received dysmenorrhea self-care health education had more dysmenorrhea self-care behaviors. (5) Among the menstrual attitude domains, the positive feelings, menstrual symptoms, openness toward menarche and living with menstruation were significantly correlated to menstrual self-care behaviors. The stronger positive feelings and higher openness toward menarche, the more behaviors of dysmenorrhea self-care. The more negative attitude toward menstrual symptoms and worse life qualities during menstruation, the more behaviors of dysmenorrhea self-care. (6) The significant predictors of dysmenorrhea self-care behaviors included dysmenorrhea level, taking medical treatment or not, receiving dysmenorrhea self-care health education or not, and several menstrual attitude domains containing the positive feelings, openness toward menarche, menstrual symptoms, and living with menstruation. Twenty-four percent of the variance in dysmenorrhea self-care behaviors could be explained by these seven variables. Based on this study, appropriate adolescent dysmenorrhea nursing service and menstrual health instruction can be developed. Furthermore, it can help to improve the adolescents’ quality of life during menstruation.