Journal List > Korean J Women Health Nurs > v.22(4) > 1089544

Hwang and Sung: Impacts of Menstrual Attitudes, Premenstrual Syndrome and Stress on Burnout among Clinical Nurses

Abstract

Purpose

The purpose of this study was to investigate factors which effect clinical nurses' exhaustion.

Methods

This research was conducted targeting 140 clinical nurses. Data were collected from 18 September to 30 September 2015. Data were analyzed using the program SPSS/WIN 18.0. Descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and Stepwise multiple regression analysis were used.

Results

Burnout was significantly different by age (F=7.99, p=.001), marital status (t=8.69, p=.004), department area (F=7.65, p<.001), frequency of night work in a month (F=7.65, p=<.001), and clinical career (F=3.68, p=.028). There was positive correlations between menstrual attitudes of participants and premenstrual syndrome (r=34, p<.001), menstrual attitudes and stress (r=.40, p<.001), and menstrual attitudes and burnout (r=.16, p=.031). There were positive correlations between premenstrual syndrome and stress (r=.46, p<.001), between premenstrual syndrome and burnout (r=.35, p<.001), and between stress and burnout (r=.36, p<.001). Factors influencing burnout were premenstrual syndrome (β=.335) and age (β=.216), with an explanatory power of 18.0%.

Conclusion

There is a need to develop and apply program for reducing clinical nurses' pre-menstrual syndrome. In addition, policies are needed to allow for menstruation leave, thereby making it legal.

Figures and Tables

Table 1

Differences in Burnout by General Characteristics of Subjects (N=131)

kjwhn-22-233-i001
Variables Categories n (%) or M±SD M±SD t or F p
Age (yr) <25a 40 (30.5) 64.00±15.42 7.99 .001
(b>c)
25~29b 44 (33.6) 70.13±11.36
≥30c 47 (35.9) 58.87±13.40
29.82±6.96
Marital status Single 98 (74.8) 66.27±13.74 8.69 .004
Married 33 (25.2) 58.12±13.71
Education Junior college 41 (31.3) 64.04±12.68 2.79 .065
University 53 (40.5) 61.39±15.92
Master degree 37 (28.2) 68.45±12.10
Department area GWa 72 (55.0) 63.62±12.42 7.65 <.001
(c>a>d)
ICUb 18 (13.7) 64.66±14.80
ERc 26 (19.8) 72.50±12.86
DRd 15 (11.5) 52.20±15.08
Night duty (day/month) ≤5a 23 (17.6) 60.39±13.82 4.94 .008
(b>c)
6~7b 81 (61.8) 67.16±14.14
≥8c 27 (20.6) 58.66±12.26
6.31±1.75
Clinical career (yr) <3a 38 (29.0) 63.47±14.63 3.68 .028
(b>c)
3~6b 45 (34.4) 68.51±12.98
≥7c 48 (36.6) 60.79±14.00
6.57±6.12
Menarche age (yr) ≤12 35 (26.7) 63.08±15.84 1.27 .286
13 35 (26.7) 68.08±12.23
14 38 (29.0) 62.00±13.81
≥15 23 (17.6) 63.73±14.37
13.47±1.46
Menstrual regulation Irregular 38 (29.0) 66.73±13.74 1.70 .194
Regular 93 (71.0) 63.19±14.24
Menstrual period (day) ≤4 39 (29.8) 63.48±15.29 0.78 .461
5 50 (38.2) 66.14±12.56
≥6 42 (32.0) 62.61±14.85
5.19±1.31
Menstrual cycle Abnormal cycle 46 (35.1) 63.52±13.78 0.17 .679
Normal cycle 85 (64.9) 64.60±14.39
Menstrual quantity Small amount 20 (15.3) 61.60±14.20 1.15 .317
Average amount 95 (72.5) 64.36±13.49
Many amount 16 (12.2) 60.68±17.47
Menstrual pain Yes 97 (74.0) 64.91±14.99 0.90 .343
No 34 (26.0) 62.23±11.32
Analgesics taking Yes 46 (35.1) 63.65±14.18 0.34 .708
No 52 (39.7) 63.59±13.92
As required 33 (25.2) 66.00±14.68

GW=general ward; ER=emergency room; ICU=intensive care unit; DR=delivery room; Scheffé́ test.

Table 2

Levels of Menstrual Attitude, Premenstrual Syndrome, Stress and Burnout (N=131)

kjwhn-22-233-i002
Variables Min Max Range M±SD
Menstrual attitude 34 108 21~147 72.53±14.03
Premenstrual syndrome 50 161 47~235 119.76±23.20
Stress 24 88 22~110 56.35±17.09
Burnout 31 91 22~110 64.22±14.13
Table 3

Relationships among Menstrual Attitudes, Premenstrual Syndrome, Stress and Burnout (N=131)

kjwhn-22-233-i003
Variables Menstrual attitude Premenstrual syndrome Stress
r (p) r (p) r (p)
Premenstrual syndrome .34 (<.001)
Stress .40 (<.001) .46 (<.001)
Burnout .16 (.031) .36 (<.001) .36 (<.001)
Table 4

Factors Influencing Burnout (N=131)

kjwhn-22-233-i004
Variables B SE β t p Adj. R2
(Constant) 52.853 8.280 6.38 <.001
Premenstrual syndrome 0.204 0.049 .335 4.14 <.001 .134
Age −0.439 0.164 −.216 −2.67 .009 .180
F=14.06, p<.001

Summary Statement

▪ What is already known about this topic?
Burnout is significant problem for clinical nurses. Menstrual attitude and pre-menstrual syndromes can influence burnout for nurses. But there is paucity of studies on the effects of menstruation that impact clinical nurses ability to perform at the optimum.
▪ What this paper adds?
Menstrual attitude and pre-menstrual syndrome were related with stress and burnout for clinical nurses.
▪ Implications for practice, education and/or policy
Menstrual attitude and premenstrual syndrome should be thoroughly assessed with program development for reducing clinical nurses' premenstrual syndrome.

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