• 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.

• Korean Journal of Health Education and Promotion
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• v.24 no.2
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• pp.93-109
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• 2007

Objectives: The purpose of the study was to examine the effects of experience based menstrual education program on menstrual attitude and menstrual discomfort among female elementary students. Methods: Non-equivalent control group, pre-post test design was utilized for the study. The participants in the study were 122 female elementary students in P city. They were assigned into 2 groups: The experimental group of 62 and the control group of 60. The experience based education program consisted of 5 sessions with 40 minute length. For control group, no treatment was provided during the period. Post-tests were conducted just after the following menstrual period for both experimental and control groups. The data was analyzed using SPSS WIN 12.0 program. The t-tests were used to answer the research questions. Results: There were significant differences in menstrual attitude and menstrual discomfort between experimental and control groups, The students who participated in the program reported more positive attitude to the menstruation and less discomfort during menstrual period than the students who did not participate in the program. Conclusions: Experience based education had a positive influence on menstrual attitude and menstrual discomfort among female elementary students. Further application of the program would be beneficial for the female elementary students. Future research to standardize the program to the broader population is warranted.

• Journal of Industrial Convergence
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• v.19 no.5
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• pp.111-118
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• 2021

This study was conducted to examine the academic stress, menstrual attitude, and dysmenorrhea of adolescents and to understand their effects on dysmenorrhea. The subjects of the study were high school girls and 131 people who agreed to participate in the study were analyzed. Correlation analysis shows that the more negative the person is about menstruation, the more severe the physical symptoms, the more active the action, and the greater the emotional change, the more severe the person experienced dysmenorrhea. Factors affecting dysmenorrhea in adolescents were physical symptoms and positive acceptance among menstrual attitudes, and 68.8 percent explained the variable. In conclusion, considering the positive acceptance of menstruation and physical symptoms of adolescents, it is necessary to develop educational programs that provide integrated knowledge to manage dysmenorrhea in school health, and further individual and multidimensional approaches such as emotional support programs for negatively experienced emotions.

• Journal of the Korean Society of School Health
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• v.3 no.1
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• pp.119-134
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• 1990

The purpose of this study is to find out the need for sex education of middle school students and their parents. For the data collection, the survey was conducted during the period from September 10 to September 20, 1989 by using prepared questionnaire. A questionnaire was given to 592 students of 1st, 2nd and 3rd grade from four middle schools and to 408 their parents in Suwon City. The major results are summarized as follow; 1. Among the 25 questions were asked about knowledge of sex, the structure of reproductive organs, physical change during puberty, menstruation, Sexually stimulation and family plan were answered correctly by over 50% of the students. The higher the grade, the more the knowledge of sex. There was no significant difference between this knowledge and with eider sister or brother. Among the 20 questions were asked about knowledge of sex, sexually stimulation, pregnancy, emission, induced abortion and sexually transmitted disease were answered correctly by over 50% of the parents. 2. 30 questions were asked about attitude of sex, 47.7% of the students and 53.4% of the parents answered 'positive'. There was no significant difference between grade and sex of students. A significant difference '.vas not also found between years and education level of parents. 3. In case of students, experience of sex education was showed the structure of reproductive organs, physical change during puberty, temper during puberty, menstruation, emission more. In the event of parents, experience of sex education was showed the structure of reproductive organs, temper during puberty, menstruation, emission, relationship with apposite sex more. Most students felt that sex education should begin from the first grade of middle school and the first grade of high school strongly. In parents was showed the need for sex education from the primary school and the first grade of middle school highly. Namely, students and parents felt that sex education should begin from puberty. To help good developments and growth of middle school students with rapid change should be educated sex eduction properly for the occasion.

• Women's Health Nursing
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• v.9 no.2
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• pp.105-112
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• 2003

The survey was conducted to look out the characteristics of menstruation and it's management, menstrual attitudes and degree of dysmenorrhea in the adult women. The subjects were 601 women, aged 20 year old and over, selected by convenient sampling. The results were as follows; 1. The mean age of the subjects was 29.1 years, the subjects were consisted of 346 unmarried and 304 delivery experienced person. 2. The characteristics of menstruation were as follows ; irregular 167 person(27.8%), painful 451 person(75%), mean score of pain was 5.9 point and first day was most severe(45.1%). On the while, they have used the method to manage the pain such as "endure 50.8%", "to have a medicine 31.5%". 3. Menstrual attitudes were as follows; attitudes was negative such as it was meaningful as a woman (78.9%), only for birth a baby (51.6%), and menstruation was acceptable (42.9%), hope to get away(28.8%). 4. The degree of dysmenorrhea was a significant difference by age(F=4.0, P<0.01). Especially, in the subcategory, it was significant except for water retension. That is, lower concent ration(F=2.60, p<0.05), negative affect(F=3.09, p<0.05), behavior change(F=6.41, p<0.050), pain(F=3.89, p<0.01), autonomic nerve response(F=2.80, p<0.05). We can conclude there were many women to have negative attitudes to menstruation and first day was most severe dysmenorrhea and it was different by age. From this results, we may suggest as follows; 1. We suggest the program for women to have a positive attitudes will be developed. 2. We can suggest that we need to develop the active and effective method to control dysmenorrhea in the first day during menstruation.

• Korean Journal of Psychosomatic Medicine
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• v.4 no.2
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• pp.198-206
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• 1996

To assess premenstrual changes in adolescents, a self rating retrospective premenstrual assessment from(PAF) and a prospective daily rating form(DRF) were administered to 230 high school students who reported premenstrual changes. The results were as follows 1) According to typological categories of retrospective premenstrual assessment form, the most commonly reported changes in mood and behavior were major depressive syndrome(40.0%), impulsive syndrome(20.9%). Especially among the subtype of depressive syndrome, hostility feature and withdrawal feature were most frequent. The most commonly reported changes in physical condition were general discomfort(73.5%), fatigue(33.9%). 50.9% of all subjects reported impaired social function. 2) 41.2% of the subjects who met the criteria for typological categories of retrospective premenstrual assessment form were confirmed by prospective daily rating form. 3) According to different criteria of percent change method of assessing symptom change, 38.7% of all subjects had at least one mild premenstrual change and 23.5% had at least one moderate premenstrual change. 4) Using prospective daily rating form, overall psychological changes were confirmed more frequently than physical changes. Of the mild premenstrual changes, 'low energy, tired & weak', 'less or impaired work' were most common changes. Of the moderate premenstrual changes, the most common change was 'low energy, tired & weak'. 5) As attitude toward menstruation, 44.9% of the subjects with confirmed premenstrual changes had more negative attitude(disgusted) toward menstruation. 6) The subjects with confirmed mild or moderate premenstrual changes had only dysphoric mood changes or both physical and dysphoric mood changes, but did not have only physical changes. These results suggest that retrospective reports of premenstrual changes were partially confirmed by daily prospective ratings. A substantial number of adolescents appeared to experience premenstrual changes, and the most common confimed premenstrual change of mild or moderate severity was 'low energy, tired and weak'.

• Women's Health Nursing
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• v.24 no.1
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• pp.80-89
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• 2018

Purpose: To identify relationships among lifestyle, psychological distress, and reproductive health in female university students. Methods: We used a descriptive cross-sectional design. A total of 275 subjects were enrolled. Subjects agreed to undergo a face-to-face interview, including administration of structured questionnaires to determine health promotion lifestyle profile II (HPLP-II), depression anxiety stress scale for depression and anxiety (DASS-D, DASS-A), and reproductive health (knowledge, attitude, behavior, menstruation irregularity, dysmenorrhea, and gynecologic symptoms). Results: The mean age of subjects was 21.2 years. Those with low HPLP-II score showed significantly high menstruation irregularity. Those with high depression and anxiety had significantly high reproductive symptoms. In addition, high HPLP-II score was correlated with low depression, anxiety, and high reproductive health. Conclusion: The life style of female university students is associated with depression, anxiety, and reproductive health. To improve female university students' reproductive health, life style interventions including healthy nutritional habit, physical activity, and stress management are important.

• Women's Health Nursing
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• v.23 no.1
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• pp.11-20
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• 2017

Purpose: This paper presented a descriptive study which aimed to identify the relationship among menstrual attitude, premenstrual distress and premenstrual coping in Korean college women and to propose fundamental data for the development of guidelines for effective management of premenstrual distress. Methods: The data were collected from 111 college women and analyzed using descriptive statistics, t-tests, ANOVA and Pearson's correlation coefficients. Results: The mean score of premenstrual coping was $3.25{\pm}0.60$ out of 5 points. The 'Awareness and Acceptance of Premenstrual Change' score was highest and the 'Avoiding Harm' score was lowest. Menstrual attitude was significantly related to premenstrual distress (r=.37 p<.001) and the awareness and acceptance style of premenstrual coping (r=-.21. p=.021). And premenstrual distress was significantly related to the self-care coping style of premenstrual coping (r=.30, p=.001), the adjusting energy coping style of premenstrual coping (r=.45, p<.001) and the avoiding harm coping style of premenstrual coping (r=.48, p<.001). Conclusion: Results of this study support that positive attitude about menstruation is necessary for the effective management of premenstrual distress. Also, premenstrual coping programs that consider the level of premenstrual distress will be needed for college women.

• Journal of the Korean Society of School Health
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• v.3 no.1
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• pp.85-100
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• 1990

This study is an attempt to give basic information for sex maleducation, which is the integration of emotional, moral and social aspects as well as generative and physiological ones. It is concerned with both students and parents' sexual knowledge, attitude and need for sex education. The participants for this study are consisted of 193 parents, and 492 boys and girls high school students in Seoul. The main results of this study are as follows: 1. General Characteristics 66.5 percent of students is the girl and 38.8 percent of students is christian. Regarding parents age, 73.6 percent of them is 40~49 year old and 30.6 percent of them is Buddhist. 50.5 percent of them is graduated from high school, almost of them are keeping on being married(90.9%). 2. Sexual Knowledge: The boys score higher grade(average 8.98) than the girls. (average 7.51) (p<0.001) The Parents appear to record average 11.5, higher than the students' 8.01(p<0.01). However, there is no difference between them depending on their age, educational level or marital condition. 3. Sexual Attitude: The boys have more affirmative and positive feelings on the generative and physiological sides than girls. They also have a positive attitude to usual sides such as marriage, sexual intercourse and pregnancy, compared with girls. The girls have negative and irrecipient attitude to unusual sides like divorce, premarital sex or extramarital sex, while the boys are recipient(p<0.01). The parents' sexual attitude is positive feelings on the generative and physiological sides, and they also have a positive attitude to usual sides but they have a negative attitude to unusual sides. 4. Correlation between sexual knowledge and attitude Both the students and parents have positive correlation between sexual knowledge and attitude to generative and physiological sines and usual sides. The higher scores. of the sexual knowledge are, The more positive attitude they have. But parents only have positive carrelation between sexual knowledge and attitude to unusual sides. The lower scores of the sexual knowledge are, The more negative attitude they have. 5. More than half of the parents educate their high school children in sex: menstruation(75.0%), sexual hygiene (59.1%). intersexual fellowship(69.7%). marriage(62.0%) and chastity(51.9%) 6. Need for sexual education The students and the parents have almost the same opinions on this subject. Regarding pregnancy. delivery, family planning, dilatation and currettage and divorce, however, the students want to learn in high school. while the parents expect sex education later in high school.

• Women's Health Nursing
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• v.19 no.2
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• pp.119-128
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• 2013

Purpose: The purpose of this study was to identify the relationships between life style, menstrual attitude and premenstrual syndrome in nursing students. Methods: The study participants were 246 nursing students of a university in Gyeunggi province. Data were collected by a self-administered questionnaire from May to June, 2012. Collected data were analyzed using the SPSS/WIN 20.0 program with descriptive statistics, Pearson correlation coefficient, t-test, one-way ANOVA and Scheffe test. Results: Students who had undesirable alcohol habits (r=.15, p=.020) and negative menstrual attitude (r=.17, p=.009) experienced more a severe premenstrual syndrome (PMS). Students with dysmenorrhea had more severe PMS (F=12.41, p<.001) and a negative menstrual attitude (F=6.18, p<.001). Conclusion: These finding suggest that PMS would be alleviated by nursing interventions to improve alcohol habits and decrease negative menstrual attitudes, and nursing interventions for dysmenorrhea would be helpful in PMS management in nursing students. Further studies on the development of nursing interventions related to these factors are needed for PMS management.