"Tomorrow, I'll Be Fine": Impacts and coping mechanisms in adolescents and young adults with primary dysmenorrhoea. (5th August 2020)

• Record Type: Journal Article
• Authors: Allyn, Katherine; Evans, Subhadra; Seidman, Laura C.; Payne, Laura A.
• Is Part Of: Journal of advanced nursing. Volume 76:Number 10(2020)
• Page Start: 2637
• Page End: 2647
• Publication Date: 2020-08-05
• Subjects: dysmenorrhoea -- menstruation -- nurses -- nursing -- pelvic pain; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.14460
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Aims: To understand the experiences of adolescents and young adults with primary dysmenorrhoea through the lens of structured frameworks extant in contemporary pain literature. Design: Descriptive qualitative study. Methods: Thirty‐nine adolescents and young adults (ages 16–24 years) with primary dysmenorrhoea participated in semi‐structured in‐person interviews. Transcripts of the interviews were analysed using deductive thematic analysis from November 2018 to April 2019. Results: Two overarching themes, each with subthemes, were identified. The first theme, primary dysmenorrhoea impacts the whole person, contained the following subthemes: biological, social, and psychological. The second theme, coping mechanisms of women with primary dysmenorrhoea, contained the following subthemes: primary, secondary, and passive coping. Conclusion: Women experience several primary dysmenorrhoea‐related impacts on their biological, social, and psychological functioning. Women employ a variety of coping mechanisms to manage their primary dysmenorrhoea pain. Impact: This study emphasizes the significant effects of primary dysmenorrhoea on nearly every aspect of women's lives and contributes to an understanding of the ways women cope with this pain. The findings of this study underscore the need for continued consideration of primary dysmenorrhoea as a debilitating pain process as well as the need for additional interventions to help women manage this condition. Abstract : 目的: 通过当代疼痛文献中现存的结构框架来理解青少年和青年人原发性痛经的经历。 设计: 描述性定性研究。 方法: 39名患有原发性痛经的青少年和青年人（年龄在16‐24岁之间）参加了半结构化的面谈。从2018年11月至2019年4月，使用演绎主题分析法对访谈记录进行分析。 结果: 确定了两个总体主题，每个主题都有子主题。第一个主题是原发性痛经影响整个人，包含以下子主题：生物学，社会和心理。第二个主题，原发性痛经女性的应对机制，包含以下子主题：初级、次级和被动应对。 结论: 女性在生理、社会和心理功能方面都会经历一些与痛经有关的原发性影响。女性采用各种应对机制来控制原发性痛经。 影响: 这项研究强调了原发性痛经对女性生活几乎所有方面的重要影响，并有助于了解女性应对这种疼痛的方式。这项研究的结果强调，继续考虑原发性痛经是一种使人衰弱的疼痛过程，还需要采取其他干预措施来帮助女性控制这种情况。