IMPACT AND MANAGEMENT PRACTICE OF PRIMARY DYSMENORRHEA AMONG FEMALE UNDERGRADUATES OF COLLEGE OF HEALTH SCIENCES, NNAMDI AZIKIWE UNIVERSITY, NNEWI CAMPUS
Keywords:
Dysmenorrhea, Impact, Pain intensity, Management Practice, Female undergraduatesAbstract
Background of study: After menarche many adolescent girls face different gynecological
problems. Of these, primary dysmenorrhea is one of the most common. It presents as cramping
pain in the lower abdominal during menstruation. These can have significant impacts on
Academics and an overall effect on QoL. Because of these concerns, the questions about its
impact and management are raised so as to determine better ways to cope with the condition.
Aims and Objective: The aim of the study was to determine the impact and management practice
of primary dysmenorrhea among female undergraduates in College of Health Sciences, Nnamdi
Azikiwe on University, Nnewi Campus and determine what interactions exist among age and
family history with certain variables. Method: A descriptive cross-sectional study was conducted
among 362 randomly selected female undergraduates of College of Health Sciences. The
instruments used were WALIDD score, Visual Analogue scale and a validated questionnaire
adapted from a survey from similar research to assess the impact and management practice of
participants. Data obtained were summarized into descriptive statistics of mean, frequency and
standard deviation; Spearman’s rank order correlation and Mann-Whitney U test were used for
hypothesis. Result: Results showed that 270 participants (95%) had some degree of
dysmenorrhea, there was significant negative impact on their academics (78.1%), there was
significant negative relationship between Age and experience of Physiological and
Psychological symptoms (r=-0.125, p=0.040). There was no significant relationship between
Age and academic impact of dysmenorrhea (r=0.091, p=0.134). Conclusion: The study showed
a high prevalence of primary dysmenorrhea, a great number of students took medications
without prescriptions, and only a few used alternative methods in managing dysmenorrhea.
There was a significant association of family history with pain intensity of dysmenorrhea.
Findings suggest alternative methods of pain management such as Aerobic exercises,
Transcutaneous Electrical Nerve Stimulation, Kinesiotape and others.