American Journal of Nursing Research. 2019, 7(3), 365-374
DOI: 10.12691/AJNR-7-3-18
Original Research

Effect of Evidence-based Program among Adolescent Nursing Student’s Regarding Premenstrual Tension Syndrome

Nadia Abd Alhamid Attit Allah1, Rehab Mohammed Abd Elhady2 and Amira Refaat Said3,

1Maternity and Gynecological Nursing, Faculty of Nursing, Ain Shams University, Egypt

2, 3 Obstetrics and Woman's Health Nursing, Faculty of Nursing, Benha University, Egypt

32, 3 Obstetrics and Woman's Health Nursing, Faculty of Nursing, Benha University, Egypt

Pub. Date: April 20, 2019

Cite this paper

Nadia Abd Alhamid Attit Allah, Rehab Mohammed Abd Elhady and Amira Refaat Said. Effect of Evidence-based Program among Adolescent Nursing Student’s Regarding Premenstrual Tension Syndrome. American Journal of Nursing Research. 2019; 7(3):365-374. doi: 10.12691/AJNR-7-3-18


Background: Premenstrual tension syndrome is one of the most common disorders in adolescent girls that could significantly interfere with activities of daily life. It refers to a group of expectable mood, behavioral, and physical symptoms that occurs 7-14 days before the onset of menstruation. The studies indicated that high proportion of adolescence suffering from PMS. So it is very important for these girls to determine efficacy of evidence-based program for increasing knowledge and decreasing the severity of PMS. Aim: Was to evaluate effect of evidence based program among adolescent nursing student’s regarding PMS. Quasi-experimental design: (pre and post intervention) was conducted. A total sample of (100) girls (All female students in the first and second grades) aged between 17 and 19 years, who suffered from PMS. Setting: The study was conducted at the Faculty of Nursing, Benha University. Data were collected through two main. Tools: A structured self-administered questionnaire, and self-practices daily activities toward PMS. Results: showed that, there was highly statistically significant difference in all items of knowledge & practices after application of the evidence-based program as compared with that before applying it. Meanwhile, after training program, there was a significant improvement in the student’s body weight after applying program compared with that before applying it, the mean weight pre –program was 77.4 +5. 8Kg, while the mean weight post –program was 68.89+6.332 Kg. Conclusion: Overall, the findings revealed that, the evidence-based program had a possible positive beneficial effect on increasing knowledge and decreasing PMS signs and symptoms severity. Also, the evidence based program has decreased the effect of PMS S & S on study group life. Thus, the study recommended that continuing health education program about PMS that aimed at understanding signs & symptoms of PMS which emphasize on self-care measures and life style modifications.


premenstrual syndromes, evidence-based, adolescent girls, student’s knowledge and practices


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[1]  Zeinab S, Farzaneh T, and Mahboubeh V. (2013). The effects of 8 weeks of regular aerobic exercise on the symptoms of premenstrual syndrome in non-athlete girls. Iran J Nurs Midwifery Res. Jan-Feb; 18(1): 14-19.
[2]  Melanie W, and Bass M. (2017). The Link Between Weight and Menstrual Cycles. Journal of Obstetrics and Gynecology Research, 37(4): p. 328-331.
[3]  Shenuka S., Vijayalakshmi R, Sambath R. (2018). Prevalence, severity and coping behaviour of premenstrual syndrome and premenstrual dysphoric disorder among female students in a private institution in india. Article Received on: 05/09/18 Approved for publication: 22/09/18.
[4]  Kimberly Aand Michael K (2017): Premenstrual disorders. amiricainjornal of obstetrics and gynecology: Volume 218, Issue 1, Pages 68-74.
[5]  Yonkers KA, O’Brien PM, Eriksson E, (2011):premenstrual syndrome. Author manuscript; available in PMC Jun 20. Lancet.; 371(9619): 1200-1210.
[6]  Shah, R.; Jones, J; Aperi, J; Shemtov, R; Karne, A; and Borenstein, J (2017). "Selective Serotonin Reuptake Inhibitors for Premenstrual Syndrome and Premenstrual Dysphoric Disorder". Obstetrics & Gynecology. 111 (5): 1175-82.
[7]  David B, Eval A. atthew A. (2017): Teacher and Teaching Effects on Students’ Attitudes and Behaviors: available in PMC Sep 18. Mar; 39(1): 146-170
[8]  Gibreel, M, Nafisa, I., Abdalla, O., (2016). Effects of an educational program in increasing knowledge and reducing premenstrual syndrome signs, symptoms and severity among nursing college students: Article (Available) October.
[9]  Laleh L, Fariba B, and Abbas A (2014). Factors Affecting the Nurse-Patients’ Family Communication in Intensive Care Unit of Kerman: a Qualitative Study. J Caring Sci. Mar; 3(1): 67-82. This article has been cited by other articles in PMC.
[10]  Ather, A (2014). Effects of health education programme on teenagers with premenstrual syndromeEPMA Journal, 5 (Suppl 1): A158 available at /5/S1/A158.
[11]  Janita P. Chau M. Chang M. (2017). Effects of an educational programme on adolescents with premenstrual syndrome. Health Education Research, Volume 14, Issue 6, 1 December, Pages 817-830.
[12]  Ayla A, Ayfer D, and Tolga B, (2017). Prevalence of premenstrual syndrome and its relationship to depressive symptoms in first-year university students. Saudi Med J. Nov; 38(11): 1125-1131.
[13]  Mohamad, S and Kordi, M. (2017). Association between menstruation signs and anxiety, depression, and stress in school girls: Iran J Nurs Midwifery Res. Sep-Oct; 18(5): 402-407.
[14]  Sheetal B, Sheela U., Seeta D., (2015). Influence of Body Mass Index on Menstrual Irregularities in Adolescent girls, Int J Med Health Sci.April, Vol-4; Issue-2. 213-216. Original article available at
[15]  SaidA. and Mettwaly M. (2017). Improving Life Style among Nursing Students Regarding Menstrual Disorders through an Educational Training ProgramInternational Journal of Nursing Science, 7(2): 35-43.
[16]  Arslantaş, H., Abacigil, F., and Çinakli, S., (2018). Relationship between premenstrual syndrome and basic personality traits: a cross-sectional study. Turkey Sao Paulo Med J. ORIGINAL ARTICLE; 136 (4): 339-45.
[17]  Thapa, B., and Shrestha, T., (2015). Relationship between body mass index and menstrual irregularities among the adolescents, International Journal of Nursing Research and Practice. Vol. 2 No. (2) JulyPP. 2350-1324.
[18]  Barde, S., and Seeta, U., (2015). Influence of Body Mass Index on Menstrual Irregularities in Adolescent girls, Int J Med Health Sci. April, 4(2): Available at: http://www.ijmhs.netISSN:2277- 4505.
[19]  Stonemason., M, Peri, M., and Mohammad A. (2012). Effect of Two Intensity of Aerobic Exercise on Clinical Symptoms of Premenstrual Syndrome in Fertile Women World Applied Sciences Journal Iran. 19 (3): 295-301.
[20]  Raval, G Panchal, BTiwari, DVala, A and Bhatt., R (2016). Prevalence of premenstrual syndrome and premenstrual dysphoric disorder among college students of Bhavnagar Indian J Psychiatry. Apr-Jun; 58(2): 164-170.
[21]  Ramya S, Rupavani K, and Bupathy A., (2014). Effect of educational program on premenstrual syndrome in adolescent school girls. International Journal of Reproduction, Contraception, Obstetrics and Gynecology Mar; 3(1): 168-171.
[22]  Choi, J., (2016). The Relationship between Premenstrual Syndrome and Depression of Female College Students in Korea Indian Journal of Science and Technology, Vol 9 (1), , December available at
[23]  Sakai, H, Cardenas, X and Ohashi, K (2011). Premenstrual and menstrual symptomatology in young adult Japa-nese females who smoke tobaccojog. 1353 325...330 Hiroko. Journal of Obstetrics and Gynecology Research,. 37(4): p. 325-330
[24]  Seedhom, A., Mohammed, E., and Mahfouz, E., (2013). Life style factors associated with premenstrual syndrome among El-Minia University Students, Egypt. ISRN Public Health. Available at:
[25]  Lorraine D., Lam K, SadiahA and Choi, A. (2010). Asian study of effects of premenstrual symptoms on activities of daily life. Menopause International. 16: p. 146–151.
[26]  Gamal, A, Shahin, M. (2015). Premenstrual Syndrome, Associated Symptoms and Evidence – Based Nursing Management: A Comparative Study Between Rural Menoufia Governorate (Egypt) and Hodidha Governorate (Yemen) American Journal of Nursing Science Volume 4, Issue 3, June, Pages: 84-93.
[27]  Pillitter, A. (2017). Maternal and child health nursing: care of the child bearing and child bearing family. 9th ed. Lippincott Williams & Wilkins Com., London. P: I74.
[28]  Adenuga, L., and Adewunmi T(2018). “Pattern and correlates of premenstrual symptomatology amongst University students,” Journal of Psychosomatic Obstetrics and Gynecology, vol. 30, no. 2, pp. 127-132.