【摘要】：目的了解錦州市高校女大學(xué)生經(jīng)前期綜合征的現(xiàn)狀,分析影響女大學(xué)生經(jīng)前期綜合征的影響因素,為高校開展女性生殖健康教育提供參考依據(jù)。方法本研究采用便利抽樣的方法,自2015年10月~2016年5月向錦州市三所高校(錦州醫(yī)科大學(xué)、渤海大學(xué)、遼寧工業(yè)大學(xué))的女大學(xué)生發(fā)放調(diào)查問卷。所用問卷包括:一般情況調(diào)查表、經(jīng)前期綜合征量表、簡易應(yīng)對(duì)方式量表。共發(fā)放問卷1100份,最終回收有效問卷1012份,有效回收率為92.00%。采用SPSS17.0統(tǒng)計(jì)學(xué)軟件包分析相關(guān)數(shù)據(jù),P0.05為差異有統(tǒng)計(jì)學(xué)意義。對(duì)女大學(xué)生經(jīng)前期綜合征發(fā)生現(xiàn)況使用描述性統(tǒng)計(jì)學(xué)分析、對(duì)女大學(xué)生經(jīng)前期綜合征影響因素單因素分析使用?2檢驗(yàn)、對(duì)女大學(xué)生經(jīng)前期綜合征影響因素的多因素分析使用非條件Logistic回歸、對(duì)經(jīng)前期綜合征與應(yīng)對(duì)方式之間的關(guān)系使用Pearson相關(guān)分析。結(jié)果1、1012名女大學(xué)生中經(jīng)前期綜合征者337(33.30%)人,其中輕度經(jīng)前期綜合征者239(23.62%)人,中度經(jīng)前期綜合征者77(7.61%)人,重度經(jīng)前期綜合征者21(2.08%)人。女大學(xué)生經(jīng)前期綜合征常見癥狀依次為易激動(dòng)、焦慮、注意力不集中、嗜睡、抑郁、腹脹腹瀉、緊張、神經(jīng)質(zhì)、偏頭痛、坐立不安、失眠、手足腫脹。2、單因素分析顯示,院校、年級(jí)、體質(zhì)指數(shù)、初潮年齡、痛經(jīng)、對(duì)月經(jīng)態(tài)度、應(yīng)對(duì)方式等因素影響女大學(xué)生經(jīng)前期綜合征發(fā)病率,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。3、女大學(xué)生經(jīng)前期綜合征量表總分與積極應(yīng)對(duì)方式呈負(fù)相關(guān),差異有統(tǒng)計(jì)學(xué)意義(r=-0.548,P0.05),與消極應(yīng)對(duì)方式呈正相關(guān),差異有統(tǒng)計(jì)學(xué)意義(r=0.735,P0.05)。4、非條件Logistic回歸分析顯示,初潮年齡(OR=0.683,95%CI:0.526-0.888)、痛經(jīng)(OR=2.191,95%CI:1.529-3.140)、對(duì)月經(jīng)態(tài)度(OR=2.705,95%CI:1.987-3.682)、消極應(yīng)對(duì)方式(OR=1.873,95%CI:1.444-2.430)是女大學(xué)生經(jīng)前期綜合征的影響因素。結(jié)論1、錦州市在校女大學(xué)生經(jīng)前期綜合征的發(fā)病率(33.3%)高于常模(30%),應(yīng)引起人們的高度重視。2、女大學(xué)生經(jīng)前期綜合征受多種因素的影響,初潮年齡、痛經(jīng)、對(duì)月經(jīng)態(tài)度、應(yīng)對(duì)方式影響女大學(xué)生經(jīng)前期綜合征的發(fā)生。3、開展女大學(xué)生經(jīng)期保健知識(shí)健康教育及PMS預(yù)防控制非常必要,應(yīng)將生殖健康教育引入大學(xué)生健康教育計(jì)劃中,從而提高女大學(xué)生生殖健康水平。
[Abstract]:Objective to understand the present situation of premenstrual syndrome of female college students in Jinzhou City, and to analyze the influencing factors of premenstrual syndrome of female college students, so as to provide reference for female reproductive health education in colleges and universities. Methods from October 2015 to May 2016, questionnaires were sent to female college students in three colleges and universities in Jinzhou City (Jinzhou Medical University, Bohai University, Liaoning University of Technology) by means of convenient sampling. The questionnaires used include: general situation questionnaire, premenstrual syndrome scale and simple coping style scale. A total of 1100 questionnaires were sent out, and 1012 valid questionnaires were finally recovered, and the effective recovery rate was 92.00%. SPSS17.0 statistical software package was used to analyze the relevant data, P 0.05 for the difference was statistically significant. Descriptive statistical analysis was used to analyze the occurrence of premenstrual syndrome in female college students, 2 tests were used to analyze the influencing factors of premenstrual syndrome in female college students, non-conditional Logistic regression was used to analyze the influencing factors of premenstrual syndrome in female college students, and Pearson correlation analysis was used to analyze the relationship between premenstrual syndrome and coping style. Results 1 among 1012 female college students, 337 (33.30%) were premenstrual syndrome, 239 (23.62%) were mild premenstrual syndrome, 77 (7.61%) were moderate premenstrual syndrome, and 21 (2.08%) were severe premenstrual syndrome. The common symptoms of premenstrual syndrome in female college students were irritability, anxiety, inattention, lethargy, depression, abdominal distension and diarrhea, tension, neuroticism, migraine, restlessness, insomnia, swelling of hands and feet. 2. Univariate analysis showed that college, grade, body mass index, menarche age, dysmenorrhea, attitude to menstruation, coping style and other factors affected the incidence of premenstrual syndrome. The difference was statistically significant (P 0.05). 3, the total score of female college students' premenstrual syndrome scale was negatively correlated with positive coping style, the difference was statistically significant (r 鈮，

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