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Kim, Park, and Oh: Meta-analysis of Complementary and Alternative Intervention on Menstrual Distress
Original Article
Korean Journal of Women Health Nursing

Korean Journal of Women Health Nursing 2013; 19(1): 23-35.

Published online: 25 March 2013

DOI: https://doi.org/10.4069/kjwhn.2013.19.1.23

Meta-analysis of Complementary and Alternative Intervention on Menstrual Distress

Jung Hyo Kim1, Mi Kyung Park2, Mi Ra Oh3

1Chosun Nursing College, Gwangju, Korea.

2Department of Nursing, Nambu University, Gwangju, Korea.

3Department of Statistics, Chonnam National University, Gwangju, Korea.

Corresponding author: Park, Mi Kyung. Department of Nursing, Nambu University, 76 Cheomdanjungang 1-ro, Gwangsan-gu, Gwangju 506-706, Korea. Tel: +82-62-970-0153, Fax: +82-62-970-0260, pmk0220@nambu.ac.kr

Received 24 October 2012       Revised 10 December 2012       Accepted 7 January 2013

© 2013 Korean Society of Women Health Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was to analyze the effect size of complementary and alternative intervention studies in reference to dysmenorrhea and menstrual distress.

Methods

In order to conduct a meta-analysis, a total of 393 studies were retrieved from the database. Twenty-eight studies that were published from March 2001 to February 2011 were selected.

Results

Intervention studies included seven studies on aromatherapy, five on auriculotherapy, three on each Koryo-Sooji-Chim and moxibustion, two on each heat therapy and magnetic therapy and six on other therapy. The effect size of the intervention studies on dysmenorrhea and menstrual distress was greater than 0.48 for Koryo-Sooji-Chim, moxibustion, aromatherapy, auriculotherapy and other therapy.

Conclusion

This study suggests that drug free therapy can reduce the levels of menstrual distress, despite the small number of intervention studies and randomized controlled trials.

Keywords: Menstruation, Complementary, Alternative, Intervention, Meta-analysis

Figures and Tables

Figure 1
Flow of included studies through database searching.
kjwhn-19-23-g001
Figure 2
Funnel plot of dysmenorrhea.
kjwhn-19-23-g002
Figure 3
Funnel plot of menstrual distress.
kjwhn-19-23-g003
Table 1
Characteristics of Included Studies (N=28)
kjwhn-19-23-i001

†Tape method, SP-6 acupressure, tourmaline gemstone therapy, artemisia, meridian massage, yoga.

Table 2
Methodology of Analyzed Studies (N=28)
kjwhn-19-23-i002
Table 3
Content Analysis of Interventions on Menstrual Distress (N=28)
kjwhn-19-23-i003

Exp.=experimental group; Cont.=control group.

Table 4
Effect Size and 95% CI by Intervention on Dysmenorrhea (N=28)
kjwhn-19-23-i004

ES=effect size; CI=confidence interval; Q=homogeneity test or heterogeneity test; U=overall effect test (fixed); U1=overall effect test (random).

Table 5
Effect Size and 95% CI by Intervention on Menstrual Distress (N=28)
kjwhn-19-23-i005

ES=effect size; CI=confidence interval; Q=homogeneity test or heterogeneity test; U=overall effect test (fixed); U1=overall effect test (random).

Notes

This work was supported by the Chosun Nursing College Research Funds in 2011.

Summary Statement

▪ What is already known about this topic?
Menstruation causes physical discomfort in many women. There are many ongoing complementary and alternative intervention studies in search of a way to ease the woman experiencing menstrual distress.
▪ What this paper adds?
This paper described the types and methods of complementary and alternative intervention studies on easing menstrual distress. In addition, the paper verified the effect size of each intervention study through meta-analysis. Though there were only a small number of research papers per intervention study, it was effective in analyzing menstrual distress. A reliable research on this topic is needed.
▪ Implications for practice, education and/or policy
A universal and systematic supplementation on the complementary and alternative intervention studies that are effective in easing menstrual distress is necessary to actually apply it in real life as evidence-based nursing.

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Appendix

List of reviewed articles
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