Abstract :

Background: Primary dysmenorrhea is a common gynecological condition among young women and may significantly impair daily activities and academic performance. Sleep quality has been suggested as an important modifiable risk factor, as poor sleep may increase inflammatory mediators and prostaglandin production involved in menstrual pain. However, findings regarding the relationship between sleep quality and primary dysmenorrhea remain inconsistent across populations.

Objective: To determine the association between sleep quality and the incidence of primary dysmenorrhea among female engineering students at Nusa Cendana University.

Methods: This analytical observational study employed a cross-sectional design. A total of 60 female students who met the inclusion and exclusion criteria were recruited using purposive sampling. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), while the severity of dysmenorrhea was evaluated using the WaLIDD score. Data were analyzed using univariate and bivariate analyses. The Mann–Whitney test was applied to determine the association between sleep quality and primary dysmenorrhea.

Results: The majority of respondents (.7%) had poor sleep quality. Primary dysmenorrhea was reported by 86.7% of participants, with moderate severity being the most common (45%), followed by mild (33.3%) and severe dysmenorrhea (8.3%). Statistical analysis demonstrated a significant association between sleep quality and the incidence of primary dysmenorrhea (p < 0.001).

Conclusion: Poor sleep quality is significantly associated with the occurrence of primary dysmenorrhea among female engineering students at Nusa Cendana University. Improving sleep quality may represent a potential non-pharmacological approach to reducing menstrual pain in this population.

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Keywords :

Female students, Primary dysmenorrhea, PSQI, sleep quality, WaLIDD score

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References :

1. Anggraini MA, Lasiaprillianty IW, Danianto A. Diagnosis and management of primary dysmenorrhea. Cermin Dunia Kedokteran. 2022;49(4):201.
2. Guimarães I, Póvoa AM. Primary dysmenorrhea: assessment and treatment. Rev Bras Ginecol Obstet. 2020;42(8):501–7.
3. Mizuta R, Maeda N, Tashiro T, Suzuki Y, Oda S, Komiya M, et al. Quality of life according to dysmenorrhea severity in young and adult Japanese females: a web-based cross-sectional study. PLoS One. 2023;18(3):1–16.
4. Yusuf RD, Irasanti SN, Fadilah FM, Ibnusantosa RG, Sukarya WS. Association between sleep quality and the incidence of primary dysmenorrhea among medical students at Universitas Islam Bandung. J Integr Health Sci. 2019;1(2):135–9.
5. Horvat M, Pavan Jukić D, Marinović L, Bursać D, Ribić R, Neuberg M, et al. Prevalence of primary dysmenorrhea and its impact on academic performance among Croatian students during the COVID-19 pandemic. Obstet Gynecol Int. 2023;2023: data not available.
6. Azagew AW, Kassie DG, Walle TA. Prevalence of primary dysmenorrhea, its intensity, impact, and associated factors among female students in Gondar town preparatory school, Northwest Ethiopia. BMC Womens Health. 2020;20(1):1–7.
7. Molla A, Duko B, Girma B, Madoro D, Nigussie J, Belayneh Z, et al. Prevalence of dysmenorrhea and associated factors among students in Ethiopia: a systematic review and meta-analysis. Womens Health (Lond). 2022;18: data not available.
8. Afiati QA, Citrawati M, Irmarahayu A, Harjono Y. Risk factors affecting the occurrence of dysmenorrhea among medical students at Universitas Pembangunan Nasional Veteran Jakarta. Med Kartika J Med Health. 2023;6(2):194–204.
9. Delia A, Tina L, Afa JR. Association between sleep quality, physical activity, and stress level with primary dysmenorrhea among public health students at Halu Oleo University. J Endem. 2021;1(4):1–6.
10. Hasim N, Yusof J, Ibrahim FA, Bungsu MS, Yakub NAY, Shari NI. Stress and sleep quality among engineering students. Sains Humanika. 2023;15(3):29–40.
11. Adams RV, Blair E. Impact of time management behaviors on undergraduate engineering students’ performance. SAGE Open. 2019;9(1): data not available.
12. Baby R, Issac A, Vasudev A, Sabu D, Gopika T, Pal M, et al. Impact of screen time on sleep quality. Indian J Psychiatr Nurs. 2021;18(1):29.
13. Lestari DR, Citrawati M, Hardini N. Association between physical activity and sleep quality with dysmenorrhea among female medical students at UPN “Veteran” Jakarta. 2018;41(2):48–58.
14. Barcikowska Z, Rajkowska-Labon E, Grzybowska ME, Hansdorfer-Korzon R, Zorena K. Inflammatory markers in dysmenorrhea and therapeutic options. Int J Environ Res Public Health. 2020;17(4):1–14.
15. Setyowati A, Chung MH. Validity and reliability of the Indonesian version of the Pittsburgh Sleep Quality Index in adolescents. Int J Nurs Pract. 2021;27(5):1–7.