Nursing Intervention for Pre Menstrual Syndrome (PMS)

Nursing Intervention for Pre Menstrual Syndrome (PMS) The physical and emotional symptoms of PMS are common but it doesnt mean that all girls will develop PMS. The symptoms start about a week or two weeks prior to the period for most of the girls who experience PMS. Life style changes including dietary modifications are the commonly used to treat the symptoms (www.youngwomenshealth.org) The cause of PMS is explained with list of given biological theories. It including conditions likes deficiency of progesterone in the luteal phase of menstrual cycle and deficiencies of vitamin. As per the researchers 70% to 90% of women experience PMS during child bearing years at some time, it usually happens at the age of 25 to 45. (http/nhs.us/conditions/pms) Estrogen and progesterone are two essential hormones involved during ovulation and menstruation .There are certain hormonal changes namely rise in estrogen and fall in progesterone during PMS. When estrogen / progesterone ratio is high it interferes with brain neurotransmitters which control the basic unit of mood and pain. Regular menstrual cycle among women is natural process PMS is included as a part of it. The incidences of PMS are caused by other factors also. The other factors identified are hereditary, caffeine, stress, aging, medical history, tobacco, family history and diet plays a vital role (www.goodeveningworld.com) The environmental play a important role in influences on PMS causing different other symptoms. Some researchers categorized four types of PMS. Some of the women may present with only one type of PMS, some can have 2 or 3 types, and few women have all four types. PMS-A is related with anxiousness and tension of the muscles. PMS-C includes cravings for sweets, dark chocolates and carbohydrate rich diet. PMS-D refers to emotional problems prior to menstruation. PMS-H includes tenderness in the breast and gain in weight because of retention of water. (http/www.individualizednutrition.com) There are different types of supplements naturally done which can highly cause reduction of the symptoms of PMS. Continuously using fish oil for two months is beneficial in reducing PMS symptoms. Fatigue, irritability, tenderness of breast and extremities swelling can be relieved by using evening primrose oil (http/www.individualizednutrition.com) NEED FOR THE STUDY PMS usually happens one week or 2 weeks prior to periods. Totally 150 symptoms are actually found which occurs during PMS. The identified common symptoms are mood disturbances, tenderness of breast, bloating of the abdomen, acne, cravings for certain foods, increased appetite and thirsty feeling and fatigue. Other symptoms included are difficulty in passing stools and loose stools, feeling irritated, mood change and feeling down. (www.pmsfacts.com) As there is no specific laboratory test to diagnose PMS, in order to establish a pattern, a gynecologist ask the patient to record her symptoms at least for two menstrual cycles. This will help to establish if the symptoms are truly premenstrual and predictably recurring. If symptoms increase in 30% in six days before menstruation, then it is identified case of pre menstrual syndrome needs treatment (www.goodevening world.com) The premenstrual symptom is a complex one. Many women experience this symptoms ranging from moderate to severe. To manage PMS the initial step is daily regular exercise and change in diet. A life style changes is sufficient to control symptoms for women with mild symptoms. (www.about.com) The treatment of PMS varies from woman to woman; the patient is advised on various treatment modalities like diet, home remedies, contraceptives, exercise, herbal treatment, dietary supplements, and diuretics. (www.goodeveningworld.com) Studies revealed that many foods including soy, green leafy vegetables and fresh fruit, nuts and seeds are really effective in balancing the hormone. The women who sufferers with PMS are advised to make changes in diet such as consumption of fresh fruits, green leafy vegetables, cereals and whole grains, dairy products of low fat and sea foods. It is recommended that having frequent meals in small quantity each day helps to reduce fullness and abdominal bloating.(www.faqs.org/nutrition) Research in this area can be given high priority since these symptoms will affect females daily routine activity. Several studies highlighted that the symptoms can be improved with plenty of sleep, vitamin supplements and exercise. Even non- pharmacological measure like healthy diet, life style changes, some home remedies which indirectly contribute to reduce the symptoms. These aspects impressed the researcher, thereby felt the need do a study in this same area and to find the effectiveness on Planned Nursing Intervention on management of PMS among college students who has been experiencing pre menstrual syndrome. STATEMENT OF THE PROBLEM A study to evaluate the effectiveness of Planned Nursing Intervention on management of Pre Menstrual Syndrome (PMS) in terms of intensity of symptoms, knowledge and attitude among college girls in a selected educational institution, Salem. OBJECTIVES To prepare and validate the Planned Nursing Intervention on management of PMS among samples. To assess and compare the mean pre-test and mean post-test intensity of PMS among samples. To assess and compare mean pre-test and mean post-test knowledge score on management of PMS among samples. To assess and compare mean pre-test and mean post-test attitude score on PMS among samples. To find association between the pre-test level of knowledge on management of PMS among samples and their selected demographic variables- age at menarche and family history of PMS. HYPOTHESES: (Level of significance p