• The Journal of Korean Obstetrics and Gynecology
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• v.18 no.4
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• pp.144-152
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• 2005

Purpose : The purpose of this study is to identify the clinical effects of acupuncture and herbal medication in the treatment of primary dysmenorrhea during five or seven days before menstruation. Methods : This study was carried out to the 17 female students in kyungwon university without pelvic or other systemic disease and its history. We investigated general and menstrual characteristics through questionnaires and treated sample patients with crossover acupuncture treatment(Sojangjeonggyeok & $SP_6$) and herbal medication(Hyunburikyungtang-gagam) during five or seven days before menstruation two times. And the change of pain was measured by the method of VAS after menstration monthly two times. Results : The improvement frequency of pain after treatment according to VAS all got better after one, two months of treatment. Especially, the mean${\pm}$S.E. of VAS score after 2nd month treatment was decreased significantly compared with that of 1st month treatment(p<0.05). And Between acupuncture treatment and herbal medication groups had no significant differences on the efficacy of treatment. Conclusion : The acupuncture treatment or herbal medication during five or seven days before menstruation will be efficacious against primary dysmenorrhea.

• Journal of Korean Biological Nursing Science
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• v.9 no.1
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• pp.49-57
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• 2007

Purpose: The purpose of this study was to identify the effect of tourmaline Gemstone therapy on dysmenorrhea and painful menstruation in middle school female students. Method: This study employed a one-group pretest-posttest design. Data was collected from 15 subjects from September 1 to November 31, 2005. Tourmaline Gemstone therapy was provided once during a peak time of dysmenorrhea and painful menstruation. The instrument used were modified Moos's MDQ(Menstrual Distress Questionnaire) tool and VAS. Data was analyzed with the use SPSS. Result: There was a statistically significant difference in the dysmenorrhea(t=5.50, p=.000) and painful menstruation(t=6.49, p=.000) after the intervention with tourmaline gemstone therapy. Conclusion: Tourmaline Gemstone therapy using a Tourmaline Gemstone therapy has a positive effect on decreasing dysmenorrhea and painful menstruation.

• Women's Health Nursing
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• v.9 no.1
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• pp.39-49
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• 2003

This study is an attempt to provide fundamental information on how to manage menstruation discomforts by surveying the subjective viewpoint s on menstruation from female college students. Utilizing 40 Q-samples in Seoul between May 1 and June 30, 2001, data has been collected from 30 randomized P-samples. Data analysis involves the PC QUANL Program, Q-factor analysis, and Principal Component Analysis. The result of the data analysis gives four types of categorizat ion as follows : The first is the "inconvenience-recognizing" type that includes 10 subjects out of 30. During menstruation, this type of subject usually complained of physical discomfort such as pain in the lower back and abdomen. Even though they considered menstruation to be troublesome, they did nothing about the in convenience. The second is the "positively-accepting" type that includes 7 subjects out of 30. This type of subject takes menstruation as natural and even a privilege for a woman. They think they are blessed to conceive a new life through their biological cycle. Therefore unlike other types, they rarely complained of any physical and psychological discomfort caused by menstruation. The third is the "destined course" type that includes 6 subjects out of 30. This type of subject endures the discomfort caused by menstruation with out any medication or medical treatment. They appeared to take menstruation a s fate without having any specially negative or positive attitude. The fourth is the "negatively-accepting" type that includes 7 out 30. This type of subject takes menstruation as negative, even if it is unavoidable for a woman. Menstruation, very negatively taken, felt uncomfortable and caused them to have pain in the lower back and abdomen and an oversensitive nervous system. The four types of attitude towards menstruation show their own characteristic features in dealing with menstruation. Understanding these features in detail will enhance nursing implementation which is related to menstruation. This study is intended to provide fundamental information with which nurses can deal with menstruation problems by investigating subjective viewpoints about menstruation. This study is a stepping stone on which further study on this subject can build to develop an effective and efficient way to deal with menstruation discomforts.

• The Journal of Korean Obstetrics and Gynecology
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• v.22 no.4
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• pp.135-148
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• 2009

Purpose: The purpose of this study is to recognize correlation between stress and menstrual pattern among low-income women. Methods: From 5th October to 24th October 2009 we researched 14 low-income mothers by questionnaires to investigate their stress and menstrual patterns. Results: The mean level of their stress was $6.71{\pm}2.92$. The less the income was, the higher the stress was. Among the women, the stress of those who do not had husbands was also high. Most of the women's menarche came late and their menstrual cycle was long. The menstrual color was a little dark and they had blood clots and pain during menstruation. Their mental states also often changed over the period and they had pattern of blood stasis. The study observed that the higher the stress was, the worse the menstrual pain was. Conclusion: Low-income women are under stress by their socioeconomic status and their menstrual patterns often change. Stress has correlation with menstruation.

• Journal of Korean Academy of Nursing
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• v.23 no.2
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• pp.224-244
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• 1993

This study was designed to develop and test a model of the theoretical structure of factors influencing womens’ attitudes toward menstruation, specifically, premenstrual discomfort or pain, negative affect, disability and role acceptance. The conceptual framework was built through a review of the literature. For the purpose of testing the model, data were collected from April to June, 1992 with the use of Menstrual Distress Questionnaire, Menstrual Attitude Questionnaire, Sex Role Acceptance Scale. Data analysis was done with the SPSS PC/sup +/ for descriptive statistics and PC-LXSREL 7.13 for covariance structure. The study subjects consisted of 320 women college students in 2 three-year nursing junior colleges and 1 department of nursing of a college of medicine. The mean age of the subjects was 19, the mean age at monarch was 13.7, the mean menstrual cycle was 29.7 days and the mean menstrual duration was 5.3 days. The amount of menstrual discharge was moderate and the menstrual cycle variability was within 3 days. The score for pain, negative affect and disability were higher during the perimenstrual period than intermenstrual period. The fit of the hypothetical model with the six paths and the empirical data was high [X²(df=4)=. 57 (P=.966), GFI =.999, AGFI =.997, RMR=.008]. The hypotheses were supported on acceptable level of significance. 1) The higher the pain and negative affect, the stronger the disability. 2) The higher the pain, negative affect and disability, the more negative the attitudes toward menstruation. 3) The lower the women's role acceptance, the more negative the attitudes toward menstruation. The model was supported by the empirical data, and thus these results may help nurses and nursing scientists to understand and support these phenomena of womens’ health experience.

• Women's Health Nursing
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• v.7 no.4
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• pp.610-621
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• 2001

In order to find out whether Hand Acupuncture Therapy and Moxibustion Heat Therapy is effective to relieve dysmenorrhea syndrome, we performed a Quasi-experiment on a group of fourty females. The experiment was carried out during the period from April 20 to August 20, 1999. The group was divided into two sub-groups called "a Hand Acupuncture Therapy sub-group" and "a Moxibustion Heat Therapy sub-group" consisting of 20 females respectively. Hand Acupuncture Therapy and Moxibustion Heat Therapy were performed four times a week. Especially, in case of Moxibustion Heat Therapy, subjects were treated twice a times. The data analyzed by an SAS program. The results are as follows : 1) Hand Acupuncture Therapy and Moxibustion Heat Therapy are very effective to relieve dysmenorrhea syndrome. This study shows that in case of Hand Acupuncture Therapy sub-group, supposing that mean score of Menorrhalgia before treatment was 7.85, it became low to 4.50 when. subjects suffered the first menstruation and it was 2.50 at the second menstruation, and 1.60 at the third menstruation. In the mean score of Moxibustion Heat Therapy sub-group, Menorrhalgia before treatment was 7.85, it was 5.90 at the first menstruation(p<.05), and 3.00 at the second, and 1.85 at the third menstruation. 2) Among Hand Acupuncture Therapy subgroup, 9 subjects could hardly be relieved from the pain of dysmenorrhea at the first menstruation. So, they were treated additionally with the method of tonification and sedation of abdominal diagnosis of three constitution and became completely relieved at second menstruation. Meanwhile, 7 subjects among Moxibustion Heat Therapy also faced the same situation. So they were treated with Moxibustion on dorsum of hand and got effectiveness at the third menstruation after taking therapy. 3) Odinary dysmenorrhea syndrome are constipation, dizziness, anorexia, abdominal pain, lumbago, breast engorgement, abdominal distention, dysconcentration, nervousness, diarrhea, nausea & vomitting, apathy, restlessness, fatigue, aggression, leg pain, edema. After taking therapy, all of subjects were relieved from these dysmenorrhea syndrome at third menstruation. 4) All subjects were classified into five types of physical constitution with abdominal diagnosis of three constitution as follows: 18 cases of left kidney right yang excess, 8 cases of left yin right yang excess, 7 cases of left right kidney excess, 5 cases of left right yang excess, 2 cases of left yang right kidney excess.

• The Journal of Korean Academic Society of Nursing Education
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• v.5 no.2
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• pp.359-375
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• 1999

This is a survey in order to provide basic information about menstrual pain management and dysmenorrhea management. Menstrual pain means low abdominal cramps during menstruation and dysmenorrhea means low abdominal pains, and other symtoms as lumbago, fatigue, G-I symptoms, etc. The purposes of this study were (1) to measure the menstrual pain and dysmenorrhea, (2) to determine factors influenced to them, and (3) to know self-management method for them of college students. The subject of this study consisted of 312 college students Data were collected by questionnaire which was to measure the menstrual pain(Visual Analogue Scale(VAS), dysmenorrhea (dysmenorrhea scale) and general informations from May to June, 1999. The results of this study were as follows ; (1) Mean age for subjects was 19.4 yrs, their height was 161.4Cm, weight, 50.9Kg, menarcheal age, 13.5yrs, menstural period, 30.1 days, and menstrual duration was 5.6 days. Most respondents replied that their menstrual bleeding was moderate (72.1%) and occured regularly(55.4%). (2) Mean menstrual pain was 5.20. Menstrual pain didn't be occured 17.4 % of respondents, periodically 46.0%, and intermittently 36.6%, most commonly beginning the first day of menstruation (3) Chief management method was endurance (40.4%), use of analgesics (29.5%) and bed rest(16.5%). (4) Factors influenced to menstrual pain were analgesics use, heavy bleeding, time of menstrual pain, life change during menstruation. (5) Most symptoms of dysmenorrhea were low abdominal pain(22.2%), lumbago (15.9%), fatigue(9.0%). (6) Factors influenced to dysmenorrhea were anlgesics use and menstrual pain. (7) By Pearson's correlation analysis, there was a significant correlation between menstrual pain and menarcheal age, menstrual period. menstrual duration. But there was no correlation between menstrual pain and height, weight (8) By Pearson's correlation analysis, there was a significant correlation between dysmenorrhea and menstrual period But there was no correlation between menstrual pain and menarcheal age, menstrual duration, height, weight The results demonstrate the importance of development and clinical trial of nursing intervention on menstrual pain and dysmenorrhea.

• Journal of Korean Academy of Nursing
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• v.2 no.1
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• pp.63-72
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• 1971

The conclusions were obtained from the detailed survey of 1,285 students experiencing menstruation, who were chosen among 1,717 students in middle & high school girls in Seoul. The survey was conducted during July 20-July 24, 1971. 1. Age of Menarche An average age of menarche was 13.3$\pm$1.07. The earliest age of menarche was 9 and the latest age 18. Ages of menarche were between 12 and 14 in 84.3 percent of the students surveyed. a. By present age distribution, the aged students were lower, than younger students in the average age of menarche. b. By father′s educational levels, among the students whose fathers were graduated from high schools, college & ever the earliest average age of menarche was found with 13.2, and among the students whose fathers were graduated from primary schools that wag latest with 13.6. c. By father′s occupations, among the students whose fathom engaged in "workers not classifiable"the earliest age of menarche was found with 12.5$\pm$0.27, among the students whose fathers were in "service business"the second was 12.9$\pm$1.07, and among the students whose fathers were in "miners, quarrymen and related workers"that was latest with 13.8$\pm$1.14. d. By economic status, among the students of "wealthy"families the age of menarche was 13.1$\pm$0.25, the among the students of "ordinary"families the lags of menarche 13.3$\pm$1.06. and the among the students of "poor" families that was 13.8$\pm$0.31. e. By home discipline, among the students being treated "rigid" the age of menarche was 13.5$\pm$1.13, among the students being treated "moderate"the age of menarche was 13.3$\pm$0.22, and those being treated "indifferent" that was 13.0$\pm$0.26. f. By students physical condition, among the students of "good" condition the average of menarche was 13.3$\pm$0.16, and among the students "poor" that was 13.5$\pm$0.31. 2. Menstruation a. For the six months after the average of menarche 39.0 percent of the students had normal menstruations, and 61.3 percent of them had abnormal ones. Of the students with abnormal menstruation 21.7 percent had abnormal menstruation from time to time, 25.4 percent had no menstruation for one month to three months, 7.2 percent had menstruation for four to six months and 6.7 per cent had no menstruation for more than sin months. Most students became to have normal menstruations a few months later the age of menarche. b. At the time interviewed, the percentile of cycle of menstruation as following: 23 days types: 46.8 percent 30 days types: 40.6 percent others : 12.6 percent The average cycle of menstruation was every 28.9 days. c. The average duration of menstruation is 4.69 days. d. The subjective symptoms during menstruation period: Out of the total 89.7 per cent had some pains, while 10.3 percent had no symptom. Among the symptoms, abdominal pain occupied 29.9 percent, neurotic symptoms 19.0 percent and lumbago 15.1 percent. e. By attitude or Action at first physical change, "Treated it by own experience" : 30.0 percent "Don′t know what to do because of ignorance" : 20.1 percent "Asked others about it" : 43.0 percent

• Journal of the Korean Society of School Health
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• v.2 no.2
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• pp.28-35
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• 1989

The purpose of this study is to identify the status of menstruation of elementary schoolgirls. The date was collected from 20th May to 3rd June, 1989. The survey was conducted by using prepared questionair and 859 6th grade schoolgirls in 7 public elementary schools in Seoul were sampled for this study. The results of study are summerized as follows. 1. 13.9 percent of the school girls have experienced menarche. 0.7 percent of them began in 4th grade, 5.8 percent began in 5th grade and 7.0 percent of them began In 6th grade. 2. Among them 90.8 percent had knowledge of menstruation before menarche.43.7 percent of the respondents learned it through their mothers and 27.8 percent learned it through teachers. 3. About the menstruation, the girls who think it as a physiological phenomena as a woman showed 52.9 percent and 14.3 percent of them thought it was trouble some but, being a woman, regarded it as a inevitable thing. The repondents who think menstruation is tiresome and want not to have it were 31.9 percent. 4. At menarche 20.2 percent of the girls managed it by themselves, 72 percent disposed of it by asking someone and 2.5 percent of them managed it by their family members when the sign was detected. 5. During the menstruation 72.3 percent of the samples had some symptom and the most common symptom was abdominal pain(84.9 percent). 6. In menarche only 16.8 percent of the girls had positive response. 7. In their present menstruation 35.3 percent of them had positive response on it.

• The Journal of the Korea Contents Association
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• v.14 no.8
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• pp.297-306
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• 2014

This paper is a descriptive study that aims to investigate attitudes towards menstruation, symptoms and coping behaviors in order to develop a program for building positive attitudes toward menstruation in primary school students. The mean age of menarche was 12.3 years, and students generally showed negative attitudes towards menstruation. Students who experienced menarche had relatively more positive attitudes than those who did not. However, no significant difference was exhibited. Menstrual symptoms occurred rarely or at a moderate level by showing a low score of 2.12 points. Of all sub-factors, 'pain' was the most serious. The most common coping behaviors during menstruation was 'I take a warm shower' and 'I take a rest or nap', while respondents rarely checked 'I take vitamin B supplements' and 'I take painkiller'. Based on the above findings, the study intends to perform a systematic study to further identify the factors affecting menstrual attitudes in primary school students. In addition, this paper suggests effective healthcare education on menstruation to build positive attitudes towards menstruation and education and counseling programs for adopting appropriate coping strategies to deal with menstrual symptoms.