| 摘要: | 本研究目的旨在探討大學女學生面臨痛經時的因應策略及其使用輔助與另類療法之概況。此研究採橫斷式問卷調查，研究對象為南部某所大學校內女生宿舍大學部一至四年級女生共103人。測量工具主要參照「經期生理不適量表」、「簡式—簡易疼痛量表」以及輔助與另類療法使用在痛經的相關研究所改編的自擬結構式問卷。研究成效之指標為「自覺健康狀態量表」、「痛經的疼痛程度」、「痛經對於生活各層面的影響程度」以及「各式療法的使用現況」。研究資料以電腦套裝軟體SPSS 12.0.1 for Windows英文版進行統計分析，以卡方檢定、單因子變異數分析、單變項及多變項羅吉斯迴歸分析，進而探討有、無痛經及痛經者有、無使用輔助與另類療法，其與基本資料屬性及自覺健康狀態量表之相關性，研究結果顯示痛經盛行率為62.1%；年齡、身體質量指數、初經年齡以及月經來潮天數跟痛經的發生皆無統計意義。在痛經因應策略的5個面向方面，尋求醫藥途徑方面來改善痛經佔59.4%，其中使用最多為自行服用成藥佔32.3%，高過於尋求中醫師(29.0%)及西醫師(19.4%)的診治。在痛經疼痛程度及其影響生活程度與5個面向的療法間之關聯性方面，疼痛程度為高度者與低度者比較，其尋求醫藥途徑來改善痛經現象具備統計意義（勝算比=8.00，95%信賴區間=1.93-33.18，p=0.004）；在痛經影響生活層面程度方面，其尋求醫藥途徑來改善痛經現象具備統計意義（勝算比=8.00，95%信賴區間=1.79-35.74，p=0.006）。此外，本研究樣本之痛經者使用輔助與另類療法來改善痛經情形佔87.5%，其中以服用黑糖或其他食物(75.0%)及中藥湯方(68.8%)佔多數。處理痛經之相關資訊來源管道最多為「親友告知」(81.3%)，其次為「同儕告知」(67.2%)，而資訊來源為「口耳相傳的民間偏方」亦佔23.4%。未來研究可進一步探討這些民間偏方之安全性及療效。錯誤的健康資訊有可能危害自身及他人的健康，學校的護理教育可融入對於治療痛經的內容，結合西方醫學及輔助與另類療法，提供具成效且安全的療法資訊給予學生作為參考。
The objective of the present study is to investigate the use of complementary and alternative medicine (CAM) in the management of dysmenorrhea among female dormitory students. The study used a cross-sectional design to survey 103 female undergraduate students living in the dormitory of a university located in south Taiwan. The Menstrual Distress Questionnaire, the Brief Pain Inventory-Short Form, and a series of questions on the use of CAM in the management of dysmenorrhea were included in the self-administrated questionnaire. The outcome measures included the self-rated health condition from the Short-Form 36 (SF-36) instrument, menstrual pain severity, interference with life tasks caused by menstrual pain, and the use of CAM. Chi-square tests, Analysis of Variance, and logistic regression analyses were conducted using SPSS version 12.0.1 for Windows. The results indicated that the prevalence of dysmenorrhea was 62.1%. There were no statistically significant associations between age, body mass index, age of menarche, or duration of menstruation with dysmenorrhea. Among the five dysmenorrhea management strategy domains, 59.4% of the respondents chose “seeking medical treatment” and of it, 32.3% was the use of over-the-counter medications. This proportion was higher than those seeking medical help from Western (19.4%) or Chinese (29.0%) medical doctors. In addition, the odds ratio of seeking medical treatment was significantly higher in individuals who were at the highest tertile of pain severity compared with those at the lowest tertile (odds ratio=8.00, 95% confidence interval=1.93, 33.18, p=0.004). The odds ratio of seeking medical treatment was also significantly higher in individuals who were at the highest tertile of interference with life tasks caused by menstrual pain compared with those at the lowest tertile (odds ratio=8.00, 95% confidence interval=1.79, 35.74, p=0.006). Furthermore, 87.5% of the respondents with dysmenorrhea had used CAM to management their dysmenorrheal and of it, the use of brown sugar drinks (75.0%) and Chinese herbal formula (68.8%) ranked at the top of the list. The two most popular sources of information for managing dysmenorrhea were found to be “friends and relatives” (81.3%) and “peers” (67.2%). “Folk remedies from word of mouth” also represented 23.4% of the information source. Future studies can evaluate the safety and the effectiveness of these folk remedies. Misleading health information may adversely affect our health, information on the management of dysmenorrhea, integrating Western medicine with complementary and alternative medicine, can be incorporated into the health education curriculum in schools. |
