A Comparative Study On The Influencing Factors And Intervention Measures Of Primary Dysmenorrhea Between Uygur And Han College Girls

Objective:To understand the prevalence of primary dysmenorrhea among Uygur and Han female college students majoring in nursing in Jinan Vocational College of Nursing,to study and analyze the occurrence and related factors of primary dysmenorrhea among Uygur and Han female college students,and to conduct a retrospective analysis of self-intervention treatment for primary dysmenorrhea among female college students of two ethnic groups.The effective and reasonable intervention measures are put forward for female college students of different nationalities dysmenorrhea,providing scientific basis for health education and prevention and treatment of primary dysmenorrhea in colleges and universities.Research methods:The method of stratified cluster sampling was adopted in Jinan Vocational College of Nursing to select uygur and Han female college students majoring in nursing as research objects.The general information,current situation of menstruation,dysmenorrhea,coping style,living habits and social psychological factors of female college students were investigated using self-designed physical and mental condition questionnaire.The anxiety and depression of female college students were evaluated using self-rating depression scale SDS and self-rating anxiety scale SAS.R software(version 4.0.3)was used to sort out sample questionnaire data,calculate rate/proportion,analysis of variance,T test,Chi-square test and multivariate logistic regression analysis.Statistical results:1.The incidence of primary dysmenorrhea among female college students majoring in nursing in Jinan Vocational College of Nursing was 59.27%(342/577).The detection rate of dysmenorrhea among Uygur female college students was 58.71%(118/201),including mild 34.75%(41/118),moderate 53.39%(63/118),severe 11.86%(14/118).The detection rate of dysmenorrhea in Han female college students was 59.57%(224/376),including mild 44.20%(99/224),moderate 50.89%(114/224),severe 0.49%(11/224).2.Single factor analysis:there were statistically significant differences in learning pressure(χ2=8.624,P=0.013),menstrual anxiety(χ2=20.704,P<0.001)and family history of dysmenorrhea(χ2=27.053,P<0.001)among Uygur female college students with dysmenorrhea.Han Female college students with dysmenorrhea ate spicy and stimulating food(χ2=9.339,P=0.009),menstrual traits(χ2=11.681,P=0.009),learning stress(χ2=11.605,P=0.003),anxiety about menstruation(χ2=10.452,P=0.001)and family history of dysmenorrhea(χ2=63.680,P<0.001).3.Multivariate analysis:logistic regression analysis showed that the risk factors for Female Uyghur college students were:menstrual anxiety(OR:3.90,95%CI1:88-8.39),learning pressure(OR:2.41,95%CI:1-6.13),family history of dysmenorrhea(OR:8.65,95%CI:3.38-25.9).For female college students of Han nationality,the risk factors were frequent eating spicy and stimulating food(OR:2.56,95%CI:1.29-5.20)and family history of dysmenorrhea(OR:12.52,95%CI:6.24-28.31).4.Comparison of anxiety and depression:The depression rate of Female college students with dysmenorrhea of Uygur nationality(71.19%)was higher than that of Female college students with dysmenorrhea of Han Nationality(46.88%),and the difference was statistically significant(χ2=17.506,P<0.001).There was no significant difference in the anxiety of female college students with dysmenorrhea between the two nationalities(χ2=2.050,P=0.152).5.Exploration of self-intervention treatment measures:For 118 Uygur Female College Students with Dysmenorrhea,83.05%of the students chose the economical and applicable hot compress massage,63.56%of the students chose to reduce active bed rest,25.42%of the students chose to take analgesic drugs,6.78%of the students chose traditional Chinese medicine treatment.For 224 Han female college students with dysmenorrhea,83.05%of the students chose economical and applicable hot compress massage,59.82%of the students chose to reduce active bed rest,32.14%of the students chose to take analgesic drugs,11.16%of the students chose traditional Chinese medicine treatment.There was a difference in the improvement rate of han girls before and after intervention(χ2=26.397,P<0.001).There was no significant difference before and after uygur self-intervention(χ2=2.783,P=0.248).Conclusions:1.The incidence of primary dysmenorrhea in female college students majoring in nursing in Jinan Vocational College of Nursing is high,and the uygur and Han female college students are generally close to each other.Uighurs,however,have a higher rate of severe period pain than Han Chinese.2.The main risk factors of primary dysmenorrhea in Uygur female college students are adjacent menstrual anxiety,family history of dysmenorrhea,learning pressur and protective factor is menarche age.The main risk factors of primary dysmenorrhea in Han female college students are often eating spicy food,family history of dysmenorrhea and protective factors are older menarche,shorter menstrual cycle and no learning pressure.3.The depression of uygur female college students with dysmenorrhea is higher than that of Han female college students with dysmenorrhea.4.Uyghur and Han female college students tend to treat primary dysmenorrhea with an economical and effective way.The effect of self-intervention of dysmenorrhea girls in two nationalities is not good.