Üniversite öğrencilerinde menstrual düzensizlik durumu ve etkileyen faktörlerin belirlenmesi
Araştırma üniversite öğrencilerinde menstrual düzensizlik durumu ve etkileyen faktörlerin belirlenmesi amacıyla yapılmıştır. Yöntem: Araştırma İnönü Üniversitesi Sağlık Yüksekokulu'nda 15 Kasım - 01 Aralık 2012 tarihleri arasında tanımlayıcı olarak yürütülmüştür. Araştırmanın evrenini, Ebelik (n=212) ve Hemşirelik (n=466) bölümlerinde öğrenim gören kız öğrenciler (678 öğrenci) oluşturmuştur. Örneklem seçimi yapılmayıp öğrencilerin tamamı araştırma kapsamına alınmış 365 gönüllü öğrenci araştırmanın örneklemini oluşturmuştur. Veriler, "Kişisel Bilgi Formu" aracılığı ile elde edilmiştir. Verilerin değerlendirilmesinde tanımlayıcı istatistiklerin yanı sıra ki-kare, Fisher's Exact test ve bağımsız gruplarda t testi kullanılmıştır. Bulgular: Araştırmaya katılan öğrencilerin yaş ortalaması 20,28±1,99 olup; %46'sı ebelik, %54'ü hemşirelik bölümü öğrencisidir. Ortalama menarş yaşı 13,45±1,55 olan öğrencilerin ortalama menstruasyon süresi 5,61±1,88 gündür. Öğrenciler arasında menstrual düzensizlik sıklığı %23,8'dir. Araştırmada öğrencilerin yaşı, kronik hastalık varlığı ve günlük ortalama uyku süresi ile menstrual düzensizlik yaşama arasında ilişki saptanmamıştır (p>0.05). Düzenli egzersiz yapmayanlarda, psikiyatrik hastalığı olanlarda, düzenli ilaç kullananlarda, oral kontraseptif kullananlarda, sigara içenlerde ve Beden Kitle İndeksi yüksek olanlarda menstrual düzensizlik daha fazla görüldü (p
A study on the status of and factors in irregular menstruation in university students
The purpose of this study is to identify the status of and factors in irregular menstruation in university students.Methods: The present descriptive study was conducted at Health College of Inonu University between November 15 and December 01, 2012. The population was comprised of a total of 678 female students who studied Midwifery (n=212) and Nursing (n=466). No specific sample was chosen; therefore, all the participants were included within the scope of the study. However, the sample was comprised of a total of 365 students who volunteered to participate in the study. The data were obtained through the "Personal Information Form" and analyzed via such statistics as Pearson's Chi-Squared test, Fisher's exact test and t-test for independent groups. Results: The mean age of the participants was 20.28±1.99. While 46% of them studied midwifery, the remaining 54% studied nursing. The mean menarche age was 13.45±1.55 whereas the mean menstruation length was 5.61±1.88. The prevalence of irregular menstruation in the students was 23.8%. The study could not yield a correlation between irregular menstruation and age, presence of chronic disease and average daily sleep time with irregular menstruation (p>0.05). Those students who do not exercise regularly, had psychiatric disorders, regular drug users, in users of oral contraceptives, smoked and had higher Body-Mass Indices were more likely to suffer from irregular menstruation (p<0.05). Conclusıons: The study concluded that nearly one-fourth of the students had irregular menstruation. The finding is promising in that all these risk factors (obesity, smoking, sedentary living, medication and oral contraceptive use) are avoidable with changes in behaviors, for which healthcare professionals are significantly responsible
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- Hahn KA, Wise LA, Riis AH, Mikkelsen EM, Rothman KJ, Banholzer K, Hatch EE. Correlates of menstrual cycle characteristics among nulliparous Danish women. Clinical Epidemiology. 2013; 19(5):311-19.
- Shinde CD, Patil PG, Katti K, Geetha KN. Study of endometrial thickness by ultrasonography in regular and irregular menstrual cycles. Journal of the Indian Medical Association. 2013; 111(10):674-7.
- Palm-fischbacher S, Ehlert U. Dispositional resilience as a moderator of the relationship between chronic stress and irregular menstrual cycle. Journal of Psychosomatic Obstetrics & Gynaecology. 2014; 35(2):42-50.
- Dars S, Sayed K, Yousufzai Z. Relationship of menstrual irregularities to BMI and nutritional status in adolescent girls. Pak J Med Sci. 2014; 30(1):140-44.
- Kollipaka R, Arounassalame B, Lakshminarayanan S. Does psychosocial stress influence menstrual abnormalities in medical students? Journal of Obstetrics and Gynaecology. 2013; 33:489-93.
- Gölbaşı Z, Doğaner G, Erbaş N. 6-8. sınıf adolesan kızlara akran eğitimi yöntemiyle uygulanan menstruasyon sağlığı eğitiminin bilgi ve davranışlar üzerindeki etkisi. TAF Prev Med Bull. 2012; 11(2):191-198.
- Özdemir F, Pasinlioğlu T. Adet düzensizliği şikayeti olan bekâr adölesanların anksiyete düzeylerinin incelenmesi. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi. 2007; 10(1):30-40.
- Hızlı D, Köşger H, Hacıvelioğlu S, Köşüş N, Köşüş A, Kamalak Z, Akçal B, Kafalı H, Turhan N. Türk adölesan kızlarda vücut kitle indeksinin akne, hirsutism ve menstrüel düzensizlik semptomları üzerine etkisi. GMJ. 2013; 24(3): 67-69.
- Radivojevic UD, Lazovic GB, Kravic-Stevovic TK, Puzigaca ZD, Canovic FM, Nikolic RR, Milicevic SM. Differences in anthropometric and ultrasonographic parameters between adolescent girls with regular and irregular menstrual cycles: a case-study of 835 cases. Journal of Pediatric and Adolescent Gynecology. 2014; 27(4):227-31.
- Jappe LM, Cao L, Crosby RD, Crow SJ, Peterson CB, Le Grange D, Engel SG, Wonderlich SA. Stress and eating disorder behavior in anorexia nervosa as a function of menstrual cycle status. International Journal of Eating Disorders. 2014; 47(2):181-88.
- Bilgiç Çelik D, Dağlar G. Adolesanda jinekolojik sorunlar ve üreme sağlığı üzerine etkileri. Ş.E.E.A.H. Tıp Bülteni. 2013; 47(4):157-66.
- Nohara M, Momoeda M, Kubota T, Nakabayashi M. Menstrual cycle and menstrual pain problems and related risk factors among Japanese female workers. Industrial Health. 2011; 49(2):228-34.
- Rigon F, Sanctis V, Bernasconi S, Bianchin L, Bona G, Bozzola M, Buzi F, Radetti G, Tatò L, Tonini G, Sanctis C, Perissinotto E. Menstrual pattern and menstrual disorders among adolescents: an update of the Italian data. Italian Journal of Pediatrics. 2012; 38:38.
- Cakır M, Mungan I, Karakas T, Girişken I, Okten A. Menstrual pattern and common menstrual disorders among university students in Turkey. Pediatrics International. 2007; 49(6): 938-42.
- World Health Organization (WHO) expert consultation. 2004. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. The Lancet: 157-163. http://apps.who.int/bmi/index. jsp?introPage=intro_3.html Erişim tarihi: 28.09.2014.
- Chang PJ, Chen PC, Hesieh CJ, Chiu L. Risk factors on the menstrual cycle of healthy Taiwanese college nursing students. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2009; 49(6): 689-694.
- Iliyasu Z, Galadanci HS, Abubakar IS, Ismail AO, Aliyu MH. Menstrual patterns and gynecologic morbidity among university students in Kano, Nigeria. J Pediatr Adolesc Gynecol. 2012; 25(6): 401-06.
- Agarwal A, Venkat A. Questionnaire study on menstrual disorders in adolescent girls in Singapore. J Pediatr Adolesc Gynecol. 2009; 22(6):365-71.
- Bata MS. Age at menarche, menstrual patterns, and menstrual characteristics in Jordanian adolescent girls. International Journal of Gynecology and Obstetrics. 2012; 119(3):281-83.
- Gumanga SK, Kwame-Aryee RA. Menstrual characteristics in some adolescent girls in Accra, Ghana. Ghana Medical Journal. 2012; 46(1):3-7.
- Jahanfar S. Genetic and environmental determinants of menstrual characteristics. Indian J Hum Genet. 2012; 18(2):187-192.
- Mumford SL, Steiner AZ, Pollack AZ, Perkins NJ, Filiberto AC, Albert PS, Mattison DR, Wactawski-Wende J, Schisterman EF. The utility of menstrual cycle length as an indicator of cumulative hormonal exposure. J Clin Endocrinol Metab. 2012; 97(10):1871-79.
- Nwankwo TO, Aniebue UU, Aniebue PN. Menstrual disorders in adolescent school girls in Enugu, Nigeria. Pediatr Adolesc Gynecol. 2010; 23(6):358-63.
- Rowland AS, Baird DD, Long S, Wegienka G, Harlow SD, Alavanja M, Sandler DP. Influence of medical conditions and lifestyle factors on the menstrual cycle. Epidemiology. 2002; 13(6):668-74.
- Harlow SD, Lin X, Ho MJ. Analysis of menstrual diary data across the reproductive life span applicability of the bipartite model approach and the importance of within-woman variance. J Clin Epidemiol. 2000; 53(7):722-33.
- Cooper GS, Sandler DP, Whelan EA, Smith KR. Association of physical and behavioral characteristics with menstrual cycle patterns in women age 29-31 years. Epidemiology. 1996; 7(6): 624-28.
- Harlow SD, Campbell BC. Host factors that influence the duration of menstrual bleeding. Epidemiology. 1994; 5(3): 352-55.
- Sternfeld B, Jacobs MK, Quesenberry CP Jr, Gold EB, Sowers M. Physical activity and menstrual cycle characteristics in two prospective cohorts. Am J Epidemiol. 2002; 156(5):402-09.
- Barron ML, Flick LH, Cook CA, Homan SM, Campbell C. Associations between psychiatric disorders and menstrual cycle characteristics. Archives of Psychiatric Nursing. 2008; 22(5):254-65.
- Bisaga K, Petkova E, Cheng J, Davies M, Feldman JF, Whitaker AH. Menstrual functioning and psychopathology in a county-wide population of high school girls. J Am Acad Child Adolesc Psychiatry. 2002; 41(10):1197-204.
- Rasgon NL, Altshuler LL, Fairbanks L, Elman S, Bitran J, Labarca R, Saad M, Kupka R, Nolen WA, Frye MA, Suppes T, McElroy SL, Keck PE Jr, Leverich G, Grunze H, Walden J, Post R, Mintz J. Reproductive function and risk for PCOS in women treated for bipolar disorder. Bipolar Disorders. 2005; 7(3):246-59.
- Edozien LC. Mind over matter: psychological factors and the menstrual cycle. Current Opinion in Obstetrics & Gynaecology. 2006; 18(4):452-56.
- Barcelos RS, Zanini Rde V, Santos Ida S. Menstrual disorders among women 15 to 54 years of age in Pelotas, Rio Grande do Sul State, Brazil: a population-based study. Cad Saude Publica. 2013; 29(11):2333-46.
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