Original Research Article Analysis of Factors Influencing the Incidence of Dysmenorrhea

Mukhoirotin; Zanna Alfiyatur  Rohman

doi:10.21070/midwiferia.v10i2.1702

(1) * Mukhoirotin Universitas Pesantren Tinggi Darul Ulum Jombang
Indonesia
(2) Zanna Alfiyatur Rohman Sarjana Keperawatan, Fakultas Ilmu Kesehatan, Universitas Pesantren Tinggi Darul Ulum Jombang
Indonesia
(*) Corresponding Author

DOI: https://doi.org/10.21070/midwiferia.v10i2.1702

Abstract

Globally, the prevalence of dysmenorrhea in women is still high. Dysmenorrhea in adolescent girls that is not treated can interfere with daily activities and learning activities. Therefore, adolescents need to learn and understand the factors that affect dysmenorrhea. This study aims to determine the factors that influence the incidence of dysmenorrhea. This study was case control in design. The study included 300 participants, 120 of whom were selected using the purposive sampling technique from among the adolescent girls in the Muzamzamah Chosyi'ah Dormitory of Darul 'Ulum Islamic Boarding School. A questionnaire was employed as the research tool. At a significance level of α <0.05, the data were analyzed using the chi-square test and logistic regression. The results of the analysis test showed that there was no effect of menarche age and the number of menstrual flow on the incidence of dysmenorrhea (p>0.05). The incidence of dysmenorrhea was influenced (p<0.05) by the menstrual cycle, duration of menstruation, family history, and BMI. The dominant factor influencing the incidence of dysmenorrhea was family history (p=0.000; Exp(B): 129.98). Family history of dysmenorrhea has a greater potential for the occurrence of dysmenorrhea because it is related to genetic factors that pass on traits to their offspring. It is recommended to adopt a healthy lifestyle such as exercising regularly, fulfilling balanced nutritional needs, and maintaining ideal body weight.

Author Biography

Zanna Alfiyatur Rohman, Sarjana Keperawatan, Fakultas Ilmu Kesehatan, Universitas Pesantren Tinggi Darul Ulum Jombang

Departemen Keperawatan

References

Abu Helwa, H.A. et al. (2018) ‘Prevalence of dysmenorrhea and predictors of its pain intensity among Palestinian female university students’, BMC Women’s Health, 18(18), pp. 1–11. Available at: https://doi.org/10.1186/s12905-018-0516-1.

Aditiara, B.E. (2018) Hubungan antara usia menarche dengan dysmenorrhea primer. Universitas Muhammadiyah Surakarta. UNIVERSITAS MUHAMMADIYAH SURAKARTA. Available at: https://eprints.ums.ac.id/56384/2/HALAMAN DEPAN.pdf.

Anurogo, D. and Wulandari, A. (2011) Cara jitu mengatasi nyeri haid. Yogyakarta: CV. Andi Offset.

Azizah, N. (2014) ‘Aplikasi Relaksasi Nafas Dalam Sebagai Upaya Penurunan Skala Nyeri Menstruasi (Dismenorrhea) Pada Siswi MTS. Ibtidaul Falah Samirejo Dawe Kudus Tahun 2013’, Jurnal Ilmu Keperawatan dan Kebidanan, 5(1), pp. 14–22.

BPSProvinsiJawaTimur (2015) Jawa Timur Dalam Angka 2015. Surabaya: BPS Provinsi Jawa Timur.

Charu, S. et al. (2012) ‘“Menstrual characteristics” and “prevalence and effects of dysmenorrhea” on quality of life of medical students’, International Journal of Collaborative Research on Internal Medicine and Public Health, 4(4), pp. 276–294.

Chayati & Na’mah (2019) ‘Penerapan Kombinasi Pijat Effleurage dan Pemberian Air Kelapa Hijau Terhadap Penurunan Nyeri Dismenore Pada Remaja Putri Usia 13-15 Tahun’, in Proceeding of The 10th University Research Colloquium 2019: Bidang MIPA dan Kesehatan, pp. 14–21.

Chen, M.-N., Chien, L.-W. and Liu, C.-F. (2013) ‘Acupuncture or Acupressure at the Sanyinjiao (SP6) Acupoint for the Treatment of Primary Dysmenorrhea: A Meta-Analysis’, Evid Based Complement Alternat Med, 2013, p. 493038.

Duman, N.B., Yıldırım, F. and Vural, G. (2022) ‘Risk factors for primary dysmenorrhea and the effect of complementary and alternative treatment methods: Sample from Corum, Turkey.’, International journal of health sciences, 16(3), pp. 35–43. Available at: http://www.ncbi.nlm.nih.gov/pubmed/35599944%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC9092532.

Fahimah, Margawati, A. and Fitranti, D.Y. (2017) ‘Hubungan Konsumsi Asam Lemak Omega-3, Aktivitas Fisik Dan Persen Lemak Tubuh Dengan Tingkat Dismenore Pada Remaja’, Journal of Nutrition College, 6(4), pp. 268–276. Available at: https://doi.org/10.14710/jnc.v6i4.18249.

Fatmawati, E. and Aliyah, A.H. (2020) ‘Hubungan Menarche dan Riwayat Keluarga dengan Dismenore (Nyeri Haid)’, Jurnal Kesehatan Madani Medika, 11(01), pp. 12–20.

French, L. (2005) ‘Dysmenorrhea’, American family physician, 71(2), pp. 285–291. Available at: https://doi.org/10.5005/jp/books/12515_3.

Grandi, G. et al. (2012) ‘Prevalence of menstrual pain in young women: What is dysmenorrhea?’, Journal of Pain Research, 5, pp. 169–174. Available at: https://doi.org/10.2147/JPR.S30602.

Habibi, N. et al. (2015) ‘Prevalence of Primary Dysmenorrhea and Factors Associated with Its Intensity Among Undergraduate Students: A Cross-Sectional Study’, Pain Management Nursing, 16(6), pp. 855–861. Available at: https://doi.org/10.1016/j.pmn.2015.07.001.

Handayani, R. (2022) ‘Faktor Yang Mempengaruhi Kejadian Dismenorea Pada Remaja Putri Kelas X Di SMA Swasta Muhammadiyah 10 Rantauprapat Tahun 2020’, Journal Gentle Birth, 5(1), pp. 50–59. Available at: http://midwifery.jurnalsenior.com/index.php/ms/article/view/57.

Harel, Z. (2012) ‘Dysmenorrhea in Adolescents and Young Adults: An Update on Pharmacological Treatments and Management Strategies’, Expert Opin Pharmacother, 13(15), pp. 2157–2170.

Hikma, Y.A., Yunus, M. and Hapsari, A. (2021) ‘Hubungan Siklus Menstruasi, Kualitas Tidur, dan Status Gizi, Terhadap Dismenore Primer pada Remaja Putri’, Sport Science and Health, 3(8), pp. 630–641. Available at: https://doi.org/10.17977/um062v3i82021p630-641.

Ibrahim, N.K. et al. (2015) ‘Dysmenorrhea among female medical students in King Abdulaziz University: Prevalence, Predictors and outcome’, J Med Sci., 31(6), pp. 1312–1317. Available at: https://doi.org/10.12669/pjms.316.8752.

Indarna, A. A., & Lediawati, L. (2021) ‘Usia Menarche dan Lamanya Menstruasi dengan Kejadian Dismenore Primer pada Siswi Kelas X Di SMK Kesehatan Bhakti Kencana Subang’, Journal of Nursing and Public Health, Vol. 9(Oktober), pp. 1–7.

Ju, H., Jones, M. and Mishra, G.D. (2015) ‘A U-shaped relationship between body mass index and dysmenorrhea: A longitudinal study’, PLoS ONE, 10(7), pp. 1–12. Available at: https://doi.org/10.1371/journal.pone.0134187.

Juliana, I., Rompas, S. and Onibala, F. (2019) ‘Hubungan Dismenore Dengan Gangguan Siklus Haid Pada Remaja Di Sma N 1 Manado’, Jurnal Keperawatan, 7(1), pp. 1–8. Available at: https://doi.org/10.35790/jkp.v7i1.22895.

Kashefi, F. et al. (2010) ‘Effect of acupressure at the Sanyinjiao point on primary dysmenorrhea: a randomized controlled trial’, Complement Ther Clin Pract, 16(4), pp. 198–202. Available at: https://doi.org/10.1016/j.ctcp.2010.04.003.

Kural, M. et al. (2015) ‘Menstrual characteristics and prevalence of dysmenorrhea in college going girls’, Journal of Family Medicine and Primary Care, 4(3), p. 426. Available at: https://doi.org/10.4103/2249-4863.161345.

Larasati, T. A., A. and Alatas, F. (2016) ‘Dismenore Primer dan Faktor Risiko Dismenore Primer pada Remaja’, Majority, 5(3), pp. 79–84.

Loto, O.M., Adewumi, T.A. and Adewuya, A.O. (2008) ‘Prevalence and correlates of dysmenorrhea among Nigerian college women’, Aust N Z J Obstet Gynaecol, 48(4), pp. 442–444. Available at: https://doi.org/10.1111/j.1479-828X.2008.00869.x.

Manore, M.M., Kam, L.C. and Loucks, A.B. (2007) ‘The female athlete triad: components, nutrition issues, and health consequences’, J Sports Sci, 25(1), pp. 561–571. Available at: https://doi.org/10.1080/02640410701607320.

Manuaba, I.B.G. (2010) Ilmu Kebidanan, Penyakit Kandungan dan Keluarga Berencana untuk Pendidikan Bidan. 2nd edn. Jakarta: EGC.

Mukhoirotin, M. and Fatmawati, D.A. (2016) ‘Pengaruh Akupresur pada Titik Sanyinjiao dan Slow Stroke Back Massage terhadap Penurunan Intensitas Nyeri Haid (Dismenorrhea)’, in Prosiding Seminar Nasional dan Muswil Kedua Ikatan Perawat Maternitas Indonesia (IPEMI) Provinsi Jawa Tengah “ Membangun Etos Kerja Profesional Keperawatan Maternitas dalam Mengisi Era Masyarakat Ekonomi ASEAN.

Mulyani et al. (2022) ‘Hubungan usia menarche dan lama menstruasi dengan kejadian dismenorea primer’, Journal Of Health, Education and Literacy, e-issn : 2621-9301, p-issn : 2714-7827, 4(2), pp. 104–110.

Nasehi, M. et al. (2013) ‘Comparison of the effectiveness of combination of fennel extract/vitamin E with ibuprofen on the pain intensity in students with primary dysmenorrhea’, Iran J Nurs Midwifery Res, 18(5), pp. 355–9.

Navvabi Rigi, S. et al. (2012) ‘Comparing the analgesic effect of heat patch containing iron chip and ibuprofen for primary dysmenorrhea: a randomized controlled trial’, BMC Women’s Health, 12(1), p. 1. Available at: https://doi.org/10.1186/1472-6874-12-25.

Novita, R. (2018) ‘Hubungan Status Gizi dengan Gangguan Menstruasi pada Remaja Putri di SMA Al-Azhar Surabaya’, Amerta Nutrition, 2(2), p. 172. Available at: https://doi.org/10.20473/amnt.v2i2.2018.172-181.

Nursalam (2016) Metodologi Penelitian Ilmu Keperawatan. Jakarta: Salemba Medika.

Nurwana, Sabilu, Y. and Fachlevy, A.F. (2017) ‘Analisis Faktor Yang Berhubungan dengan Kejadian Dismenorea Pada Remaja Putri di SMA Negeri 8 Kendari Tahun 2016’, Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat, 2(6), pp. 1–14.

Oktorika, P., Indrawati and Sudiarti, P.E. (2020) ‘Hubungan Index Masa Tubuh (Imt) Dengan Skala Nyeri Dismenorea Pada Remaja Putri Di SMA Negeri 2 Kampar’, Jurnal Ners, 4(23), pp. 122–129. Available at: http://journal.universitaspahlawan.ac.id/index.php/ners.

Pasquali, R. et al. (2003) ‘Obesity and reproductive disorders in women’, Human Reproduction Update, 9(4), pp. 359–372. Available at: https://doi.org/10.1093/humupd/dmg024.

Polat, A. et al. (2009) ‘Prevalence of primary dysmenorrhea in young adult female university students’, Arch Gynecol Obstet, 279(4), pp. 527–532. Available at: https://doi.org/10.1007/s00404-008-0750-0.

S.M., Z. et al. (2009) ‘Primary dysmenorrhea among medical and dental university students in Kelantan: Prevalence and associated factors’, International Medical Journal, 16(2), pp. 93–99. Available at: http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L354995102%5Cnhttp://resolver.ebscohost.com/openurl?custid=s3733374&authtype=ip&&sid=EMBASE&issn=13412051&id=doi:&atitle=Primary+dysmenorrhea+among+medical+and+dental+university+stud.

Saifuddin, A.B., Rachimhadhi, T. and Wiknjosastro, G.H. (2018) Ilmu Kebidanan Sarwono Prawirohardjo. 4th edn. Jakarta: PT Bina Pustaka Sarwono Prawirohardjo.

Shahla Gharloghi et al. (2012) ‘The effects of acupressure on severity of primary dysmenorrhea’, Patient Prefer Adherence, 6, pp. 137–42. Available at: https://doi.org/10.2147/PPA.S27127.

Wang, Y.-J. et al. (2013) ‘Auricular acupressure to improve menstrual pain and menstrual distress and heart rate variability for primary dysmenorrhea in youth with stress’, Evid Based Complement Alternat Med, 2013, p. 138537. Available at: https://doi.org/1155/2013/138537.

Wardani, P.K., Fitriana, F. and Casmi, S.C. (2021) ‘Hubungan Siklus Menstruasi dan Usia Menarche dengan Dismenor Primer pada Siswi Kelas X’, Jurnal Ilmu Kesehatan Indonesia (JIKSI), 2(1), pp. 1–10. Available at: https://doi.org/10.57084/jiksi.v2i1.414.

Warren, M.P. and Goodman, L.R. (2003) ‘Exercise-induced endocrine pathologies’, J Endocrinol Invest, 26(9), pp. 873–878. Available at: https://doi.org/10.1007/BF03345238.