将网站语言切换成:中文 LOGIN

A "Ba Duan Jin" Program for 13 Year One Female Students with Premenstrual Syndrome of One University in Macau

A "Ba Duan Jin" Program for 13 Year One Female Students with Premenstrual Syndrome of One University in Macau

The Identity of The Initiator: 
Participants Category: 
Topic category: 
Region / City: 
Problem Description: 

Premenstrual syndrome (PMS) refers to the physical and mental symptoms that recurrently appear during the luteal phase of female menstrual cycle and disappear naturally after menstruation.  The symptoms include anxiety, agitation, depression, lower abdominal discomfort and swelling of breast. (Wang Yanhong et al., 2010; Cleckner, Doughy & Grossman, 1998). Research shows that over 85% of females suffer from one or more symptoms, and about 30% to 40% of them are diagnosed with PMS (Li Gaijuan, 2007; ACOG, 2011). In addition, about 60% of university students suffer from PMS, and over 20% of them are in moderate and severe situation; however, over 33% of them neglect the symptoms. Owing to menstruation’s significance for adolescents’ reproductive health, PMS has gradually raised people’s concern (Yu Shasha et al., 2009; Andrea & Judith, 2008).

 

Since PMS symptoms appear recurrently during the menstrual cycle, they are associated with a number of factors including age, genes, stress, emotional fluctuation, environmental change, change of living habit and sports activities taken place during menstruation. For year one female students who have just entered university, the physical symptoms make them feel agitated, anxious and even depressed, hindering them from adapting to a new learning mode and environment and affecting their studies.

 

This PSBH program aimed at alleviating female students’ PMS symptoms through means of relaxation therapy and emotion counselling. The program planned to arrange over 10 year one university students who were screened and diagnosed with PMS to carry out intervening physical exercises in a regular manner.  

Solution: 

The program selected the easy-to-learn, gentle and effective traditional Chinese exercise “Ba Duan Jin” as its intervention measure. “Ba Duan Jin” has the function to dredge meridians, adjust mindset, alleviate stress and enhance constitution (Liu Hongfu et al., 2008; Liao Yan et al., 2011; Zhou Xinxin, 2010). The program selected 13 year one female students with premenstrual syndrome of one University in Macau as its participants. The participants’ PMS symptoms appear in 4 consecutive menstrual cycles were evaluated through “The Daily Record of Severity of Problems (DRSP)” filled by the participants. In the subsequent 3 menstrual cycles, the participants were taught to perform regular “Ba Duan Jin” training during their menstrual cycle. During this period, relevant health lectures and follow-ups of situation were arranged to the participants. By completing the whole program, it was aimed that the participants’ PMS symptoms would be alleviated (by 40%).

Methods: With the use of "PRECEDE" Model, the program team members enhanced the participants' understanding of PMS by offering them lectures and on-site demonstration of "Ba Duan Jin". Through arranging the training on a daily basis and in the form of exercises done between classes, it was hoped that "Ba Duan Jin" would be integrated into the participants' daily life to help adjust their health behaviours and thereby achieve the aims of health promotion.

Evaluation indicators:

1. PMS symptoms questionnaire (screening tool);

2. Daily Record of Severity of Problems, DRSP (record handbook);

Adolescent Self-Rating Life Events Checklist, ASLEC (stress evaluation).

Achievement: 

Among the 13 participants, 1 dropped out from the program voluntarily while the remaining participants aged 19 to 23 were able to complete the whole program. Participants' main source of stress in the recent 3 months was interpersonal relationship and stress of studying.

The severity record of PMS symptoms showed (1) the overall situation: from the 1st to the 4th menstrual cycle, the average rating dropped progressively from 150.00 to 111.50.

(2) Individual situation: the situation of symptom alleviation of Participant 3, 5, 6, 9 was consistent with the overall situation where the symptoms of the 4th

 

menstrual cycle were alleviated by 46%, 67%, 55%, 40% respectively as compared to those of the 1st menstrual cycle, therefore, these 4 participants were able to meet the target.

The symptoms of Participant 1,4,7,8,10,11 were alleviated by 5% to 33%. On the other hand, the symptoms of the remaining 2 participants aggravated because of their lack of practice. 

Photo: