STUDY OBJECTIVE This study aims to determine the results of a cognitive-behavioral approach in a dysmenorrhea support program that covers the symptoms, acquaintance, and attitudes toward menstruation of university students who had primary dysmenorrhea. DESIGN AND SETTING This randomized controlled, prospective, experimental study was carried out in a nursing school using a pretest-posttest design. PARTICIPANTS A total of 682 female nursing students and 584 volunteers from the 2017-2018 academic year participated in a study of the prevalence of primary dysmenorrhea (94.0%). Study subjects were first-year female nursing students who scored severe on a visual analog scale for primary dysmenorrhea. As a result of the analysis, 80 female nursing students were assigned to study and control groups. A total of 60 students, 29 in the study group and 31 in the control group, completed the study. INTERVENTION The study group participated in a 6-session cognitive-behavioral approach in a dysmenorrhea support program. No intervention was administered to the control group. The control group and the study group were followed by using data collection forms during three menstrual cycles. OUTCOME MEASURES The Participant Introductory Form (PIF), Dysmenorrhea Follow-up Form (DFF), Dysmenorrhea Information Form (DIF), Functional and Emotional Dysmenorrhea Scale (FEDS), Visual Analog Scale (VAS), and Menstrual Attitude Questionnaire (MAQ) were used to measure outcomes. RESULTS In the case of primary dysmenorrhea, the use of nonpharmacological methods was higher in the study group than in the control group. In the third cycle, although the rate of analgesics use was 20.7% in the study group, it was 50% in the control group. Primary dysmenorrhea symptoms, pain levels, and analgesic use decreased. No change was observed in the attitude toward menstruation. CONCLUSION A cost-effective, reliable, cognitive-behavioral approach-based dysmenorrhea support program can be used to relieve symptoms, decrease the use of analgesics, and increase knowledge about primary dysmenorrhea.

中文翻译：

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痛经支持计划对患有原发性痛经的大学生的影响：一项随机对照研究。

研究目的本研究旨在确定痛经支持计划中认知行为方式的结果，该计划涵盖了原发性痛经的大学生月经的症状，相识和态度。设计与设置该随机对照，前瞻性实验研究是在护理学校中使用前测-后测设计进行的。参与者2017-2018学年共有682名女护生和584名志愿者参加了原发性痛经患病率的研究（94.0％）。研究对象是一年级的女性护理专业学生，他们在视觉模拟评分上对原发性痛经的评分很高。分析的结果是，将80名女性护理专业学生分配到研究和对照组。共有60名学生，研究组中的29位和对照组中的31位完成了研究。干预研究组在痛经支持计划中参加了一个为期6个阶段的认知行为研究。对照组没有干预。对照组和研究组随后在三个月经周期中使用数据收集表。观察指标：参与者介绍表（PIF），痛经跟进表（DFF），痛经信息表（DIF），功能性和情感性痛经量表（FEDS），视觉模拟量表（VAS）和月经态度问卷（MAQ）用于衡量结果。结果在原发性痛经的情况下，研究组的非药理学方法使用率高于对照组。在第三个周期中，尽管止痛药的使用率为20。研究组为7％，对照组为50％。原发性痛经症状，疼痛程度和止痛药使用减少。月经的态度没有变化。结论基于成本效益，可靠，基于认知行为的痛经支持计划可用于缓解症状，减少止痛药的使用并增加对原发性痛经的了解。