월경전증후군에 관한 실태 조사
A survey on premenstrual syndrome
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참고문헌
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목적: 우리나라 여성에서 월경전증후군의 역학과 더불어 의료 이용의 행태를 알아보고자 하였다. 연구 방법: 2004년 3월부터 6월까지 분당서울대학교병원 산부인과에 정기 검진을 목적으로 내원하였거나 또는 본 병원에 근무하는 가임기 여성 200명을 대상으로 자체 개발된 설문지를 이용하여 설문조사를 시행하였다. 월경전증후군의 진단은 DSM-IV의 기준을 적용하였다. 결과: 대상 여성 중 8%가 월경전증후군으로 진단되었다. 주요한 증상으로는 하복부 더부룩 및 통증, 쉽게 피로, 유방을 만지면 아픔, 신경과민이었다. 월경전증후군으로 진단된 군과 그렇지 않은 군 사이에 연령, 직업, 교육 정도, 월경통, 월경주기의 특성, 결혼 유무, 흡연 및 음주 습관은 차이가 없었다. 월경전증후군으로 진단된 군에서 치료를 받아야겠다고 느낀 경우는 43.8%이었으나 실제 병원을 찾은 경우는 12.5%이었다. 같은 군에서 의사 처방에 의한 약물 복용 또는 처방에 의하지 않은 약물 복용이 각각 12.5%이었다. 월경전증후군으로 진단되지 않은 군에서는 치료를 받아야겠다고 느낀 경우는 11.4%였으며 실제 병원을 찾은 경우는 4.9%, 의사 처방에 의한 약물 복용은 2.7%, 의사 처방에 의하지 않은 약물 복용은 20.1%로 나타났다. 결론: 월경전증후군을 가진 여성의 의료 기관 이용율은 매우 저조하며 월경전 제반 불편 증상에 대해 의사 처방에 의하지 않은 약물에의 의존도가 매우 높은 것으로 사료된다.
Abstract
Objective: To investigate the epidemiology of premenstrual syndrome (PMS) and actual status of women with PMS seeking a medical advice. Methods: The survey included a total of two hundred healthy women visited to Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital (n=78) or working at the same hospital (n=122) in reproductive age during March to June 2004. The subjects were asked to fill-up PMS sheet developed by our Department as giudance by one interviewer. Diagnosis to PMS was made by DSM-IV algorithms. Results: PMS was noted in 8%. The major five symptoms were low abdominal discomfort or pain, easy fatigability, breast tenderness, and irritability. The following factors were not different statistically between PMS and non-PMS group; mean age, dysmenorrhea, menstrual cycle characteristics, occupation, education, marrital status, smoking or alcohol habit. In PMS group, 7 women out of 16 had a need for treatment (43.8%), in contrast, a few women had seeked a medical advice (12.5%). Moreover, a few women had experienced prescribing medications (12.5%) or non-prescribing medications (12.5%). In non-PMS group, the corresponding figures were 11.4%, 4.9%, 2.7% and 20.1%. Conclusion: Our results indicate that women diagnosed as PMS seldom seek a medical advice. The women with various premenstrual complaints commonly use non-prescribing medications.
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