PREMENSTRUAL SENDROM YAŞAYAN ÜNİVERSİTE ÖĞRENCİLERİNİN YAŞAM KALİTELERİ VE BAŞ ETME YÖNTEMLERİNİN İNCELENMESİ

Öz

ÖZ

Amaç: Bu çalışmanın amacı, premenstrual sendrom semptomlarının üniversite öğrencilerinin yaşam kalitesi üzerine etkisini ve baş etmeye yönelik başvurdukları yöntemleri belirlemektir.

Yöntem: Bu araştırma 0cak – Mart 2015 tarihleri arasında Yüksek Öğretim Kurumu’na bağlı Kız Öğrenci Yurdu’nda gerçekleştirildi. Araştırmanın örneklemini adet siklusu düzenli ve araştırmaya katılmaya gönüllü 302 öğrenci oluşturdu. Veriler "Kişisel Bilgi Formu", "Premenstrüel Sendrom Ölçeği" ve "Premenstrüel Sendrom ile Başa Çıkma Yöntemleri Formu", SF36 Yaşam Kalitesi Ölçeği ile toplanmıştır.

Bulgular: Öğrencilerin yaş ortalamalarının 20.3±1.6 olduğu, öğrencilerin %58.1'inin premenstrual sendrom semptomu yaşandığı tespit edilmiştir. PMS semptomları yaşayan ve yaşamayan grupların Yaşam Kalitesi Ölçeği’nin Fiziksel Rol Güçlüğü, Bedensel Ağrı ve Genel Sağlık alt boyutlarında anlamlı farklılık tespit edilmiştir (p<0.05).Öğrencilerin PMS semptomlarından iştahta değişme (%58.7), uyku problemleri (%86.6) ve meme hassasiyeti (%81.3) ile yüksek oranda baş edemedikleri belirlenmiştir.

Sonuçlar: Öğrencilerin yarısından fazlasının premenstrual semptom yaşadıkları ve yaşam kalitelerinin de bu semptomlar nedeni ile olumsuz etkilendiği tespit edilmiştir. Öğrencilerin premenstrual semptomlarla baş etme yöntemlerinde yeterli olmadıkları belirlenmiştir.

Anahtar Kelimeler

• başa çıkma yöntemleri,premenstruel sendrom,yaşam kalitesi

The Methods They Appiıed for Coping and the Quality of Life of University Students Living The Premenstrual Syndrome

Öz

ABSTRACT

Aim: The aim of this study was to determine the effects of premenstrual syndrome symptoms on quality of life of university students and the methods they applied for coping.

Method: This research was carried out in the Girls Dormitory of the Higher Education Institution between January - March 2015. The sample of the study consisted of 302 students who had regular menstrual cycle and volunteered to participate in the study. The data were collected by "Personal Information Form", "Premenstrual Syndrome Scale" and "Coping Methods Form with Premenstrual Syndrome", SF36 Quality of Life Scale.

Results: The mean age of the students was 20.3 ± 1.6 and it was determined that 58.1% of students experienced premenstrual syndrome symptoms. A significant difference was found in the Physical Role Difficulty, Physical Pain, and General Health subscales of the Quality of Life Scale (p <0.05). It was determined that students could not cope with the symptoms of appetite change (58.7%), sleep problems (86.6%) and breast tenderness (81.3%).

Conclusion: It was determined that more than half of the students had premenstrual symptoms and their quality of life was negatively affected by these symptoms. It was determined that the students were not enough to cope with premenstrual symptoms.

Anahtar Kelimeler

• coping skills,premenstrual syndrome,quality of life

Kaynakça

1. Aba YA, Ataman H, Dişsiz M, Sevimli S. Genç Kadınlarda Premenstrual Sendrom, Fiziksel Aktivite ve Yaşam Kalitesi JAREN, 2018;4(2):75-82.
2. Al-Batanony MA, AL-Nohair SF. Prevalence of Premenstrual Syndrome and Its Impact on Quality of Life among University Medical Students, Al Qassim University, KSA.Public Health Research, 2014; 4(1): 1-6 DOI: 10.5923/j.phr.20140401.01.
3. American College of Obstetricians & Gynecologists. ACOG Practice Bulletin (No:15): Premenstrual Syndrome, Washington, DC: American College of Obstetricians & Gynecologists; 2015.https://www.acog.org/-/media/For-Patients/faq057.pdf?dmc=1&ts=20181110T1200475864
4. American Psychiatric Assosiation. Diagnostic and Statistical Manual of Mental Disorders. 4. Baskı (DSM-IV). Washington DC: American Psychiatric Assosiation, 1994.
5. Amjad A, Kumar R, Mazher SB. Socio-demographic Factors and Premenstrual Syndrome among Women attending a Teaching Hospital in Islamabad, Pakistan. J PIONEER MED SCI. 2014; Volume 4, Issue 4.
6. Arıöz A, Ege E. Premenstrüel sendrom sorunu olan üniversite öğrencilerinde, semptomların kontrolü ve yaşam kalitesinin artırılmasında eğitimin etkinliği. Genel Tıp Derg, 2013;23(3):63-9.
7. Association of Women’s Health, Obstetric & Neonatal Nurses (AWHONN). Evidence-Based Clinical Practice Guideline: Nursing Management for Cyclic Perimenstrual Pain and Discomfort. Washington, DC: Association of Women’s Health, Obstetric & Neonatal Nurses; 2003.
8. Aşcı Ö, Kahyaoğlu Süt H, Gökdemir F. Üniversite Öğrencilerinde Premenstrüel Sendrom Prevalansı ve Risk Faktörleri . DEUHFED, 2016; 9(3), 79-87.

9. Borenstein, JE, Dean BB, Leifke E. Differences in symptom scores and health outcomes in premenstrual syndrome. Journal of Women’s Health, 2007; 16 (8), 1139-1144.
10. Brahmbhatt S, Sattigeri BM, Shah H, Kumar A, Parikh D. A prospective survey study on premenstrual syndrome in young and middle aged women with an emphasis on its management. Int J Res Med Sci, 2013;1(2):69-72 www.msjonline.org. ISSN 2320-6071 | eISSN 2320-6012.
11. Chandraratne NK, Gunawardena NS. Premenstrual syndrome: the experience from a sample of Sri Lankan adolescents. J Pediatr Adolesc Gynecol 2011;24:304-10.
12. Chou PB, Morse CA. Understanding premenstrual syndrome from a Chinese medicine perspective. J Altern Complement Med., 2005; 11(2), 355–61. 13.
13. Cirillo PC, Passos RB, Bevilaqua MC, Lopez JR, Nardi AE. Bipolar disorder and Premenstrual Syndrome or Premenstrual Dysphoric Disorder comorbidity: a systematic review. Rev Bras Psiquiatr, 2012;34,p.467-79.
14. Çıtak N, Terzioğlu F. Abant İzzet Baysal Üniversitesi’nde öğrenim gören kız öğrencilerin primer dismenoreye ilişkin bilgi ve uygulamaları. Sağlık ve Toplum Dergisi, 2002; 12 (3):69.
15. Eke AC, Akabuike JC, Maduekwe K. Predictors of premenstrual syndrome among Nigerian university students. International Journal of Gynecology and Obstetrics, 2011; 112, 63-64.
16. Erbil N, Karaca A, Kırış T. Investigation of premenstrual syndrome and contributing factors among university students. Turk J Med Sci, 2010; 40:565-573.
17. Eser E, Fidaner H, Fidaner C, Yalçin Eser S, Elbi H, Göker E. WHOQOL-100 ve WHOQOL-Bref’in Psikometrik Özellikleri. 3P (Psikiyatri Psikoloji Psikofarmakoloji) Dergisi. 1999; 7: 23-40.
18. Gençdoğan B. Premenstrual Sendrom İçin Yeni Bir Ölçek. Premenstrual Sendrom Ölçeği (PMSÖ)", Türkiye’de Psikiyatri, 2006; 8(2): 81-87.
19. Halbreich U, Backstrom T, Eriksson E, O'brien S, Calil H, Ceskova E, Dennerstein L, Douki S, Freeman E, Genazzani A, Heuser I, Kadri N, Rapkin A, Steiner M, Wittchen HU, Yonkers K. Clinical diagnostic criteria for premenstrual syndrome and guidelines for their quantification for research studies. Gynecol Endocrinol, 2007; 23:123.
20. Harris DS, Wolkowitz OM, Reus V. Psychoneuroendocrinology. Kaplan & Sadock's Comprehensive Textbook Of Psychiatry, BJ Sadock, VA Sadock, P Ruiz.-9. baskı, Lippincott Williams & Wilkins, Philadelphia, USA. 2009.
21. Jeong BS, Lee JH, Chang N, Kang BM, Joe SH, Kim CY Han OS. Treatment-Seeking Behaviors among Korean University Women with Premenstrual Symptoms. Korean J Psychopharmacol, 2001;12(3):201-210.
22. Kelderhouse K, Taylor JS. A review of treatment and management modalities for premenstrual dysphoric disorder. Nurs Womens Health. 2013;17(4):294-305.
23. Khajehei M1 Aetiology, Diagnosis and Management of Premenstrual Syndrome Journal of Pain & Relief. Khajehei, J Pain Relief 2015, 4:4 DOI: 10.4172/2167-0846.1000193.
24. Kırcan N, Ergin F, Adana F, Arslantaş H. Hemşirelik öğrencilerinde premenstrüel sendrom prevalansı ve yaşam kalitesi ile ilişkisi. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi. 2012; 13(1): 019-025.
25. Kısa S, Zeyneloğlu S, Güler N. Üniversite öğrencilerinde premenstrual sendrom görülme sıklığı ve etkileyen faktörler. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2012;1(4):284- 297. 11. Lee LK, Chen PCY, Lee KK, Kaur J. Menstruation among adolescent girls in Malaysia: a cross-sectional school survey. Singapore Med J, 2006; 47:869-874.
26. Lustyk MK, Widman L, Paschane A, Ecker E. Stress, quality of life and physical activity in women with varying degrees of premenstrual symptomatology. Women Health, 2004;39:35-44.
27. Mahesh A, Tirmizi ZS, Ali SS. (2011). Frequency and associated factors of premenstrual syndrome in medical college girls. Medical Channel, 17 (1), 34-38.
28. Mishell, D. Premenstrual disorders: Epidemiology and disease burden. The American Journal of Managed Care, 2005;11, 473-479.
29. Özcan, H, Subaşı, B. Psychopathology in Premenstrual Syndrome. Journal of Mood Disorders, 2013; 3(4), ss:146-9.
30. Öztürk S, Tanrıverdi D. Premenstrual Sendrom ve Baş etme. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2010;13(3):57-61.
31. Pal SA, Dennerstein L, Lehert P. Premenstrual symptoms in pakistani women and their effect on activities of daily life. J Pak Med Assoc, 2011;61(8):763-8.
32. Panay N. Management of premenstrual syndrome: evidence based guidelines Obstetrıcs, Gynaecology and Reproductıve Medıcıne, 2011;21:8.
33. Pınar G, Çolak M, Öksüz E. Premenstrual Syndrome in Turkish college students and its effects on life quality.Sexual & Reproductive Healthcare,2011;2(1),21-27.
34. Prungsin T, Taneepanichskul S. Revalence And Qualıty Of Life (Qol) With Premenstrual Syndrome (Pms) Among The Working Women In Reproductive Age Group In Bangkok, Thailand. J Health Res, 2016; vol.30,Supplement 2.
35. RCOG Green Top Guideline No 48. In: Panay N, ed. The management of premenstrualsyndrome, https://obgyn.onlinelibrary.wiley.com/doi/epdf/10.1111/1471-0528.14260 2016.
36. Rapkin AJ, Winer SA. Premenstrual syndrome and premenstrual dysphoric disorder: quality of life and burden of illness. Expert Rev Pharmacoecon Outcomes Res, 2009; 9:157.
37. Rizk DE, Mosallam M, Alyan S,Nagelkerke N. Prevalence and impact of premenstrual syndrome in adolescent schoolgirls in the United Arab Emirates. Acta Obstet Gynecol Scand, 2006; 85: 589-598.
38. Sadler C, Smith H, Hammond J, Bayly R, Borland S, Panay N Crook D, Inskip H;. Life style factors, hormonal contraception, and premenstrual symptoms: the United Kingdom Southampton Women's Survey.Journal of Women's Health, 2010; 19(3): 391-396.
39. Seedhom AM, Mohammed, ES, Mahfouz EM. Life style factors associated with premenstrual syndrome among El-Minia University students, Egypt. ISRN Public Health, Article, 2013; ID 617123, 6 pages.
40. Selçuk KT, Avcı D, Yılmaz FA. Hemşirelik öğrencilerinde premenstrual sendrom prevalansı ve etkileyen etmenler. Psikiyatri Hemşireliği Dergisi, 2014; 5 (2), 98-103.
41. Tanrıverdi G, Selçuk E, Okanlı A, Üniversite Öğrencilerinde Premenstrual Sendrom Prevelansı Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 2010; 13:1.
42. Taghizadeh Z, Shirmohammadi M, Arbabi M, Mehran A, The Effect of Premenstrual Syndrome on Quality of Life in Adolescent Girls. Iran J Psychiatry 2008; 3:105-109.
43. Taylor D. Perimenstruel syndrom ve syndromes: guidelines for symptom management and self care. Obstetrics & Gynecology. 2005;5(5):229-241.
44. Tenkir A, Fisseha N, Ayele B. Premenstrual syndrom: prevelance and effect on academic and social performances of students in Jimma University, Ethiopia. Ethiopian Journal of Health Development, 2003; 17(3):181-188.
45. Thakre SB, Thakre SS, Ughade S, Thakre AD. Urban-Rural Differences in Menstrual Problems and Practices of Girl Students in Nagpur, India. Indian Pediatrics 2012;49(9):733-6.
46. Titilayo A, Agunbiade OM, Banjo O, Lawani A. Menstrual discomfort and its influence on daily academic activities and psychosocial relationship among undergraduate female students in Nigeria. Tanzan J Health Res, 200;11(4):181‐188.
47. Türkçapar F, Türkçapar MH. Premenstrüel Sendrom ve Premenstrüel Disforik Bozuklukta TanI ve Tedavi: Bir gözden Geçirme Klinik Psikiyatri, 2011; 14:241-253.
48. Ünsal A, Tozun M, Aslan G, Ayranci U, Alkan G. Evaluation of dysmenorrhea among women and its impact on quality of life in a region of western Turkey. Pakistan Journal of Medical Sciences, 2010;26(1):142‐147.
49. Weisz G, Knaapen L. Diagnosing and treating premenstrual syndrome in five western nations. Social Science & Medicine, 2009; 68: 1498–1505.
50. Yeşiltepe Ü, Şahin N. Genç Kızların Premenstrüel Sorunları. Sağlık ve Toplum, 2004; 4: 55-9.
51. Yücel U, Bilge A, Oran N, Ersoy MA, Gençdoğan B, Özveren Ö. Adolesanlarda premenstrüel sendrom yaygınlığı ve depresyon riski arasındaki ilişki. Anadolu Psikiyatri Dergisi, 2009; 10(1):5561.