STUDY ON THE QUALITY OF LIFE OF FEMALE STUDENTS WITH DYSMENORRHEA AT HUE UNIVERSITY OF MEDICINE AND PHARMACY
Main Article Content
Abstract
Background: Dysmenorrhea is a common condition among young women, significantly affecting their quality of life during menstruation. Objectives: To investigate some clinical characteristics of dysmenorrhea in modern and traditional medicine, and to evaluate the quality of life among female students with dysmenorrhea at Hue University of Medicine and Pharmacy. Materials and Methods: A cross-sectional descriptive study was conducted on 201 regular female students. Data were collected using a structured questionnaire, including the Visual Analogue Scale (VAS) to assess pain intensity, the Retrospective Symptom Scale (RSS-Cox) to evaluate menstrualrelated symptoms, and the EQ-5D-5L instrument to assess quality of life. Results: The prevalence of dysmenorrhea among the study participants was 86.1%. According to traditional medicine, 61.3% exhibited excess patterns, 38.7% had deficiency patterns; 7.3% had heat patterns, and 25.4% had cold patterns. The most common traditional medicine patterns included qi stagnation and blood stasis (45.1%), dual deficiency of qi and blood (27.7%), cold-damp stagnation (22.5%), liver-kidney deficiency (3.5%), and damp-heat accumulation (1.2%). Based on VAS scores, 34.1% reported mild pain, 40.5% moderate pain, and 25.4% severe pain. The mean RSS-Cox 1 and RSS-Cox 2 scores were 18.43 ± 10.75 and 14.69 ± 9.88, respectively. Absenteeism due to pain was reported in 24.3% of participants. The mean EQ-5D-5L score was 0.75 ± 0.20, with the lowest score observed in the cold-damp stagnation group. The average EQ-5D-5L score decreased progressively with increasing pain severity. There was a strong negative correlation between EQ-5D-5L and RSS-Cox 1, and a moderate negative correlation with RSS-Cox 2. Conclusions: Dysmenorrhea has a high prevalence and significantly impacts the quality of life among female students. According to traditional medicine, most cases show signs of excess and cold patterns, particularly qi stagnation with blood stasis and cold-damp stagnation, which are more prevalent than other types. There is a correlation between RSS-Cox scores and decreased quality of life as measured by EQ-5D-5L.
Keywords
Dysmenorrhea, quality of life, female students, Hue University of Medicine and Pharmacy
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
2. Committee on Adolescent Health Care. Dysmenorrhea and endometriosis in the adolescent. American College of Obstetricians and Gynecologists. 2018. 132(6), 1517-1518, https://doi.org/10.1097/AOG.0000000000002981.
3. Guimarães I., Póvoa A.M. Primary Dysmenorrhea. Assessment and Treatment. Revista brasileira de ginecologia e obstetrician. 2020. 42(8), 501-507, https://doi.org/10.1055/s-0040-1712131.
4. Lin J., Liao W., Mo Q., Yang P., Chen X., et al. A systematic review of the efficacy comparison of acupuncture and traditional Chinese medicine in the treatment of primary dysmenorrhea. Annals of palliative medicine. 2020. 9(5), 3288-3292, https://doi.org/10.21037/apm-20-1734.
5. Đoàn Văn Minh, Nguyễn Thị Kim Liên, Nguyễn Quang Tâm, Lê Thị Minh Thảo, Trần Nhật Minh. Khảo sát đặc điểm Thống kinh và nhu cầu điều trị bằng Y học cổ truyền của sinh viên nữ Trường Đại học Y-Dược. Tạp chí Y Dược học. 2021. 11(01), 79-86, https://doi.org/10.34071/jmp.2021.1.11.
6. Mai V.Q., Sun S., Minh H.V., Luo N., Giang K.B., et al. An EQ-5D-5L Value Set for Vietnam. Quality of Life Research. 2020. 29(7), 1923-1933, https://doi.org/10.1007/s11136-020-02469-7.
7. Vũ Hà My. Đánh giá tác dụng giảm đau của phương pháp nhĩ châm trên bệnh nhân đau bụng kinh nguyên phát. Đại học Y Hà Nội. 2022.24.
8. Chen S., Wu X., Liu C., Fu W., Pan Z. Discussion about traditional Chinese medicine causes, pathogenesis and distribution of syndromes of primary dysmenorrhea among female college students based on questionnaire investigation. International Conference on Bioinformatics and Biomedicine. 2013. 9-14, https://doi.org/10.1109/bibm.2013.6732626.
9. Lê Minh Hoàng, Lê Ngọc Diễm, Quách Tú Vy, Trần Thị Thảo, Trần Thị Quyên và cộng sự. Khảo sát đặc điểm Thống kinh và mong muốn điều trị bằng Y học cổ truyền của sinh viên nữ trường Đại học Y Dược Cần Thơ năm 2023. Tạp chí Y học Cộng đồng. 2024. 65(3), 83-91, https://doi.org/10.52163/yhc.v65i3.1063
10. Ma Y.X., Ma L.X., Liu X.L., Ma Y.X., Lv K., et al. A comparative study on the immediate effects of electroacupuncture at Sanyinjiao (SP6), Xuanzhong (GB39) and a non-meridian point, on menstrual pain and uterine arterial blood flow, in primary dysmenorrhea patients. Pain medicine. 2010. 11(10), 1564-1575, https://doi.org/10.1111/j.1526-4637.2010.00949.x.
11. Wang L., Wang X., Wang W., Chen C., Ronnennberg A.G., et al. Stress and dysmenorrhoea: a population based prospective study. Occupational and Environmental Medicine. 2004. 61(12), 1021-1026, https://doi.org/10.1136/oem.2003.012302.
12. Armour M., Parry K., Manohar N., Holmes K., Ferfolja T., et al. The Prevalence and Academic Impact of Dysmenorrhea in 21,573 Young Women. A Systematic Review and Meta-Analysis. Journal of women’s health. 2019. 28(8), 1-11, https://doi.org/10.1089/jwh.2018.761.
13. Hồ Ngọc Lan Nhi, Lý Nhật Anh, Trần Đình Hiếu, Đỗ Trần Hoàng Minh, Phan Tuấn Kiệt và cộng sự. Rối loạn kinh nguyệt và các yếu tố liên quan ở sinh viên nữ trường Đại học Y khoa Quốc gia Thành phố Hồ Chí Minh. Tạp chí Y học Thành phố Hồ Chí Minh. 2024. 27(01), 93100, https://doi.org/10.37005/hcmjmed.2024.01.04.