DOI: 10.5176/2315-4330_WNC14.37
Authors: Dr. Subramaniam. Aruna
Abstract: Context: premenstrual syndrome (PMS) affects more than 50{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465} of adolescent girls in India and Cognitive Behavioral Strategies encompassing of education and practice of yoga relaxation exercise have been found to be effective in managing PMS symptoms. Aims: Identify prevalence of Premenstrual Syndrome among adolescent girls at four selected schools in Thiruvallur District. Evaluate the effectiveness of Cognitive Behavioral Nursing Strategies on premenstrual syndrome among adolescent girls and escalate adolescent girls' knowledge about PMS and menstruation, and diminish the severity of premenstrual symptoms. Material and Methods: Quantitative research used a pretest - posttest control group design with school as the unit of randomization. The study was conducted in selected four girl’s higher secondary schools at Thiruvallur district, Chennai, India. Three hundred and twenty adolescent girls in the age group of 14 – 18 years formerly admitted and enrolled in 9th standard or 11th standard have been identified to have premenstrual syndrome as detected using Moos Menstrual Syndrome Questionnaire out of 1166 adolescent girls screened for the study. The study group (n=160) participated in the CBNS program (Three interactive teaching - learning sessions that imparted knowledge on menstrual hygiene and premenstrual syndrome using an information booklet with each session lasting for 40 minutes and practice of Yoga Relaxation Technique (YRT) 30-40 minutes per day, for 40 school days). Training was given by qualified yoga instructor. Control group followed routine activities. The data were collected at four phases; during survey, pretest, 38th day after pretest, 68th day after pretest, except the knowledge assessment on PMS that was estimated at the end of 16th day and 38th day after pretest. The Moss Menstrual Syndrome Questionnaire, premenstrual syndrome knowledge questionnaire and daily symptom dairy were used. Yoga relaxation technique performance checks list was used to assess YRT performance among the study group’s adolescents. Results: There were considerable variations in premenstrual syndrome and knowledge in the posttests as viewed with the pretest score of the study group (P < 0.05). The outcome showed a substantial variation in the premenstrual syndrome and knowledge in the study group compared with control group (P < 0.05). Considerable decline in premenstrual syndrome subscale scores were also identified. Conclusion: The result highlighted CBNS to be an effective method to increase the knowledge and to reduce premenstrual syndrome and to promote satisfactory YRT practice towards effective management of PMS among adolescent girls.
Keywords: PMS, Yoga Relaxation Techniques, Cognitive Behavioral Nursing Strategies, PMS knowledge
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