Amaç: Bu çalışma dismenore prevalansını ve dismenore ile uyku kalitesi arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Bu çalışma kesitsel olarak yapılmıştır. Bu çalışmaya dahil edilme kriterlerini karşılayan toplam 250 gönüllü üniversite öğrencisi katılmıştır. Veri toplamak için bir anket formu, Görsel Analog Ölçeği (VAS) ve Pittsburgh Uyku Kalitesi İndeksi (PUKI) kullanılmıştır. Bulgular: Bu grupta dismenore prevalansı %82.4 elde edilmiştir. Dismenoresi olan öğrencilerin %82’sinin uyku kalitesinin düşük olduğu saptanmıştır. Menstrüel dönemde uyku bölünmesi olan öğrencilerin % 96,8'inin, uykuya dalmakta güçlük çekenlerin % 96,3'ünün dismenoresi olduğu belirlenmiştir. Dismenoresi olan katılımcılarda, zayıf uyku kalitesi ile uyku bölünme sayısı, dismenore şiddeti ve daha az uyku süresi arasında farklı düzeylerde korelasyon olduğu saptanmıştır. Sonuç: Bu çalışmanın sonucunda dismenorenin uyku kalitesini olumsuz etkilediği belirlenmiştir. Bu sonuçlara doğrultusunda, dismenoreli öğrencilerin belirlenmesi ve uyku kalitelerini iyileştirmek için bununla başa çıkma yöntemleri konusunda eğitim verilmesi önerilebilir.
Purpose: This study was conducted to determine the prevalence of dysmenorrhea and the relationship between dysmenorrhea and sleep quality. Materials and Methods: This was a cross-sectional study. A total of 250 volunteer female university students, who met the inclusion criteria, participated in this study. To collect data a questionnaire form, the Visual Analog Scale (VAS) and Pittsburgh Sleep Quality Index (PSQI) were used. Results: The prevalence of dysmenorrhea in students was 82.4%. Eighty-two percent of the students with dysmenorrhea had poor sleep quality. It was determined that 96.8% of the students with sleep division in the menstrual period and 96.3% of those with difficulty falling asleep had dysmenorrhea. In participants with dysmenorrhea, there were different level of correlation between poor sleep quality and the number of sleep divisions, severity of dysmenorrhea), and less duration of sleep. Conclusion: Dysmenorrhea has a negative effect on sleep quality. In accordance with these results, it is advisable to identify students with dysmenorrhea and to give training on methods of coping with it to improve their sleep quality.
1. Taskın L. Obstetric and Women's Health Nursing, Ankara, Academician Medical Bookstore, 2016.
2. Coskun AM. Women's Health and Diseases Nursing Handbook, Istanbul, Koç University Publications, 2012.
3. Schorge JO, Schaffer JI, Halvorson LM, Hoffman BL, Bradshaw KD, Cunningham FG. Willams' Gynecology (Translate Eds Ceylan Y, Yıldırım G, Aslan H, Gul A and Gedikbası A). Istanbul, Nobel Medical Bookstores, 2010.
4. Pfeifer SM. NMS Obstetrics and Gynecology, Philadelphia, Lippincott Williams and Wilkins, 2008.
5. Beckmann CRB, Ling FW, Herbert WNP, Laube DW, Smith RP. Obstetrics and Gynecology, China, Lippincott Williams and Wilkins, 2014.
6. Iacovides HS, Avidon I, Bentley A. Diclofenac potassium restores objective and subjective measures of sleep quality in women with primary dysmenorrhea. Sleep. 2009;32:1019-26.
7. Woosley JA, Licshstein KL. Dysmenorrhea, the menstrual cycle, and sleep. Behavioral Med. 2014;40:14-21.
8. Baker FC, Driver HS, Rogers GG. High nocturnal body temperatures and disturbed sleep in women with primary dysmenorrhea. Am J Physiol. 1999;277:1013-21.
9. Oral E, Kırkan T, Yazıcı E, Gulec M, Cansever Z, Aydın N. Premenstrual symptom severity, dysmenorrhea, and school performance in medical students. Journal of Mood Disorders. 2012;2:143-52.
10. Potur DC, Bilgin NC, Komurcu N. Prevalence of dysmenorrhea in university students in Turkey: effects on daily activities and evaluation of different pain management methods. Pain Manag Nurs. 2014;15:768-77.
11. Oskay U, Can G, Tas D, Sezgin O. Perimenstrual complaints of the nursing students. Istanbul University, Florence Nightingale Journal of Nursing. 2008;16:157-64.
12. Cakır M, Mungan I, Karakas T, Girisken I, Okten A. Menstrual pattern and common menstrual disorders among university students in Turkey. Pediatr Int. 2007;49:938-42.
13. Cıtak N, Terzioglu F. Determination of female students' knowledge and their applications regarding dysmenorrhea studied at Abant Izzet Baysal University. Health and Society. 2002;12:69-80.
14. Erdoğan M. Primary dysmenorrhea and body mass index in young girls (Master Thesis). Aydın, Adnan Menderes University, 2013.
15. Miro E, Cano MC, Espinozo FL. Time estimation during prolonged sleep deprivation and its relation to activation measures. J Human Factors and Ergonomics Society. 2003;45:148-59.
16. Ertuğrul A, Rezaki M. Neurobiology of sleep and its effects on memory. Turkish Journal of Psychiatry. 2004;15:300-8.
17. Dikmen YD. Sleep and sleep-related applications. In: Basic Concepts and Skills in Health Practices (Ed FA Ay):686-98. Istanbul, Istanbul Medical Publishing, 2013.
18. Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of Nursing, Canada, Elsevier Mosby, 2008.
19. Wooten V. Principles and Practice of Sleep Medicine, Philadelphia, Elsevier Saunders, 1994.
20. Yıldırım G, Pınar SE, Duger C. The relationship between pain perceived by the patient and hospitalized in the algology clinic and their sleep and quality of life. Pain. 2015;27:89-96.
21. Hamzekhani M, Gandomani SJ, Tavakol Z, Kiani M. The relation between sleep quality and primary dysmenorrhea students University of medical sciences shahroud. J Adv Pharm Edu Res. 2019;9:100-4.
22. Aykut M. Günay O. Gün İ. The impact of biological, socio-demographic and nutritional factors on the prevalence of dysmenorrhea. Erciyes Medical Journal. 2007;29:393-402.
23. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research. 1989; 28:193-213.
24. Agargun MY, Kara H, Anlar O. The validity and reliability of the Pittsburgh sleep quality index. Turkish Journal of Psychiatry. 1996;7:107-15.
25. Subasinghe AK, Happo L, Jayasinghe YL, Garland SM, Gorelik A, Wark JD. Prevalence and severity of dysmenorrhoea and management options reported by young Australian women. Aust Fam Physician. 2016;45:829-34.
26. Abd El-Mawgod MM, Alshaibany AS, Al-Anazi AM. Epidemiology of dysmenorrhea among secondary school students in Northern Saudi Arabia. J Egypt Public Health Assoc. 2016;91:115-9.
27. Hailemeskel S, Demissie A, Assefa N. Primary dysmenorrhea magnitude, associated risk factors, and its effect on academic performance: evidence from female university students in Ethiopia. Int J Womens Health. 2016;8:489-96.
28. Al-Jefout M, Seham AF, Jameel H, Randa AQ, Ola AM, Oday AM, et al. Dysmenorrhea: Prevalence and impact on quality of life among young adult jordanian females. J Pediatr Adolesc Gynecol. 2015;28:173-85.
29. Ghaderi F, Asghari Jafarabadi M, Mohseni Bandpei MA. Dysmenorrhea and self-care strategies in Iranian female students: a regression modeling of pain severity and underlying factors. Int J Adolesc Med Health. 2016;29:1-8.
30. Nooh AM, Abdul-Hady A, El-Attar N. Nature and prevalence of menstrual disorders among teenage female students at Zagazig University, Zagazig, Egypt. J Pediatr Adolesc Gynecol. 2016;29:137-42.
31. Kural M, Noor NN, Pandit D, Joshi T, Patil A. Menstrual characteristics and prevalence of dysmenorrhea in college going girls. J Family Med Prim Care. 2015;4:426–31.
32. Araujo P, Hachul H, Santos-Silva R, Bittencourt LR, Tufik S, Andersen ML. Sleep pattern in women with menstrual pain. Sleep Med. 2011;12:1028-30.
33. Lundström V, Eneroth P, Swahn ML. Diurnal variation of uterine contractility. Br J Obstet Gynaecol. 1984;91:155-9.
34. Sahin S, Ozdemir K, Unsal A, Arslan R. Review of frequency of dysmenorrhea and some associated factors and evaluation of the relationship between dysmenorrhea and sleep quality in university students. Gynecol Obstet Invest. 2014;78:179-85.
35. Öztürk A. Dismenorrhea prevalence in women who applied to gynaecology and obstetrics polyclinic and affecting factors. Med Network Clin Sci Doctor. 2004;10:208-13.
36. Wang ZY, Liu Z-Z, Jia C-X, Liu X. Age at menarche, menstrual problems, and daytime sleepiness in Chinese adolescent girls. Sleep. 2019;42:1-8.
37. Kelley GA, Kelley KS. Exercise and sleep: a systematic review of previous meta-analyses. J Evid Based Med. 2017;10:26-36.