CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2019; 09(02): 64-75
DOI: 10.1055/s-0039-1700705
Original Article

Ginger Tea on Dysmenorrhoea Among Nursing Students

Sheetal Crasta
1   Prime Medical Center, Dubai, United Arab Emirates
,
Philomena Fernandes
2   Nitte Usha Institute of Nursing Sciences, Mangaluru, Karnataka, India
,
Shynee Paul
2   Nitte Usha Institute of Nursing Sciences, Mangaluru, Karnataka, India
› Author Affiliations

Abstract

Background Dysmenorrhea is a common problem which can alter the daily routines of females. Primary dysmenorrhea affects 40 to 90% women. Dysmenorrhea sufferers account for 3 among 4 women as per evidences. Traditional remedies are chosen to get some relief because of their least side effects. These remedies have a favorable effect in reducing dysmenorrhea. Ginger is used since ancient times as various forms of alternative medicine. One of the traditional uses of ginger is for pain relief, including menstrual pain. The aim of this study was to identify the effectiveness of ginger tea in dysmenorrhea.

Objectives The objectives of this study are (1) Assess the level of dysmenorrhea among nursing students. (2) Determine the effectiveness of ginger tea on dysmenorrhea among nursing students. (3) Find the association between level of dysmenorrhea before the administration of ginger tea and demographic variables.

Methodology A quantitative research approach with quasi-experimental design was considered. The sample comprised of 50 students with moderate and severe menstrual pain as per numerical pain rating scale. The baseline data was collected. Ginger tea was prepared by the researcher and administered 120 mL to the subjects; on the first 2 days of menstruation in the morning and night after breakfast and dinner, respectively. Level of different aspects of pain was assessed before the administration as well as 2 hours after administration of ginger tea using Pain Quality Assessment Scale. Pre- and post-test were taken before as well as 2 hours after administering the drink. A total of four doses are given and ratings were measured eight times. Data was analyzed using descriptive and inferential statistics.

Results The present study revealed that the median score of all seven characteristics of pain was higher in the preintervention when compared with postintervention. Mann-Whitney U test showed that there was a significant difference in level of pain between the experimental and control groups (p < 0.05). Wilcoxon signed-rank test showed that there was a significant difference in pain measurements before and after the administration of ginger tea (p < 0.05). These findings indicate that ginger tea was effective in reducing menstrual pain. Chi-square test and likelihood ratio were used to find the association between baseline dysmenorrhea with demographic and clinical variables. It was found that there is no significant association (p > 0.05). The responses given by the experimental and control group was mentioned separately. Ginger tea effects and experience were verbalized by the experimental group alone. This supported the statistical finding that ginger tea is effective in reducing dysmenorrhea.

Conclusion Findings revealed that the administration of ginger tea can bring a sudden relief among the subjects with dysmenorrhea. The awareness about alternative therapies must be created among public.



Publication History

Received: 01 August 2019

Accepted: 05 September 2019

Article published online:
10 February 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Proctor ML, Murphy PA. Herbal and dietary therapies for primary and secondary dysmenorrhoea. Cochrane Database Syst Rev 2001; 3: CD002124
  • 2 Eisenberg DM, Davis RB, Ettner SL. et al. Trends in alternative medicine use in the United States, 1990-1997: results of a follow-up national survey. JAMA 1998; 280 (18) 1569-1575
  • 3 Lloyd KB, Hornsby LB. Complementary and alternative medications for women’s health issues. Nutr Clin Pract 2009; 24 (05) 589-608
  • 4 Isha Sadhguru. 10 Health Benefits of Ginger Root - The Wonder Spice [Internet]. 2015 https://isha.sadhguru/org/in/en/wisdom/article/10-ways-ginger-root-of-well-being. Accessed July 18, 2019
  • 5 Menstruation. In: Wikipedia [Internet]. 2017 https://en.wikipedia.org/w/index.php?title=Menstruation&oldid=770387166. Accessed July 18, 2019
  • 6 Kural M, Noor NN, Pandit D, Joshi T, Patil A. Menstrual characteristics and prevalence of dysmenorrhea in college going girls. J Family Med Prim Care 2015; 4 (03) 426-431
  • 7 Dawood MY. Primary dysmenorrhea: advances in pathogenesis and management. Obstet Gynecol 2006; 108 (02) 428-441
  • 8 Smith RP, Kaunitz AM. Primary dysmenorrhea in adult women: clinical features and diagnosis - UpToDate [Internet]. UpToDate. https://www.uptodate.com/contents/primary-dysmenorrhea-in-adult-women-clinical-features-and-diagnosis?search=Pathogenesis,%20clinical%20manifestations,%20and%20diagnosis%20of%20primary%20dysmenorrhea%20in%20adult%20women&source=search_result&selectedTitle=1~150. Accessed March 9, 2017
  • 9 Doty E, Attaran M. Managing primary dysmenorrhea. J Pediatr Adolesc Gynecol 2006; 19 (05) 341-344
  • 10 Bettendorf B, Shay S, Tu F. Dysmenorrhea: contemporary perspectives. Obstet Gynecol Surv 2008; 63 (09) 597-603
  • 11 What is the rate of incidence for dysmenorrhea? | Dysmenorrhea (Painful Periods) [Internet]. Sharecare. https://www.sharecare.com/health/painful-periods/rate-of-incidence-for-dysmenorrhea Accessed July 18, 2018
  • 12 Lowdermilk DL, Perry SE, Bobak IM. Incorporated Maternity and Women’s Health Care. Mosby; Missouri, St. Louis: 1997: 269
  • 13 Home remedies for dysmenorrhoea organic facts. https://www.organicfacts.net/home-remedies for dysmenorrhea. Accessed March 22, 2017
  • 14 11 Proven Health Benefits of Ginger [Internet]. Healthline. https://www.healthline.com/nutrition/11- proven-benefits-of-ginger Accessed March 22, 2017
  • 15 Ayu D. Pain during menstruation or dysmenorrhea occurs in 50 [Internet]. Scribd. https://www.scribd.com/document/333846133/Pain-during-menstruation-or- dysmenorrhea-occurs-in-50-docx. Accessed March 23, 2017
  • 16 Nair P, Grover VL, Kannan AT. Awareness and practices of menstruation and pubertal changes amongst unmarried female adolescents in a rural area of East Delhi Indian. J Comm Med 2007; 32 (02) 156
  • 17 Sheila W, Malathy K, Premila S. Menstrual and gynaecological disorders in 500 school girls in Madras city. J Obstet Gynaecol. India: 1993. 43. 940-945
  • 18 Omidvar S, Begum K. Menstrual pattern among unmarried women from south India. J Nat Sci Biol Med 2011; 2 (02) 174-179
  • 19 Unsal A, Ayranci U, Tozun M, Arslan G, Calik E. Prevalence of dysmenorrhea and its effect on quality of life among a group of female university students. Ups J Med Sci 2010; 115 (02) 138-145
  • 20 Tseng YF, Chen CH, Yang YH. Rose tea for relief of primary dysmenorrhea in adolescents: a randomized controlled trial in Taiwan. J Midwifery Womens Health 2005; 50 (05) e51-e57
  • 21 Marian MJ. Integrative Nutrition Therapy MDGM. CRC Press; South Asia: 2015: 498
  • 22 Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 9th ed.. Lippincott Williams & Wilkins; Philadelphia: 2013: 827
  • 23 Polit DF, Hungler BP. Nursing Research: Principles and Methods. 6th ed.. Lippincott Williams & Wilkins; Philadelphia: 2000
  • 24 Sharma N, Sagayaraj MB, Sujatha B. et al. Prevalence of dysmenorrhoea in college students. Int J Scientific Res Publ 2014; 4 (010) 1-6
  • 25 Naik P, Tanna AS, Mudaliar PN, Tari AD. Variations of dysmenorrhea during stress and non stress condition in college going girls in Belgaum City: a cross sectional study. IJPR 2015; 3 (02) 1012-1016
  • 26 Ju H, Jones M, Mishra G. The prevalence and risk factors of dysmenorrhea. Epidemiol Rev 2014; 36 (01) 104-113
  • 27 Habibi N, Huang MSL, Gan WY, Zulida R, Safavi SM. Prevalence of primary dysmenorrhea and factors associated with its intensity among undergraduate students: a cross-sectional study. Pain Manag Nurs 2015; 16 (06) 855-861
  • 28 Charu S, Amita R, Sujoy R, Thomas GA. ‘Menstrual characteristics’ and ‘prevalence and effect of dysmenorrhea’ on quality of life of medical students. Public Health 2012; 4 (04) 278-294
  • 29 Chen CX, Barrett B, Kwekkeboom KL. Efficacy of oral ginger (Zingiber officinale) for dysmenorrhea: a systematic review and meta-analysis. Evid Based Complement Alternat Med 2016; 2016: 6295737
  • 30 Nag U, Dip P, Kodali M. Effect of yoga on primary dysmenorrhea and stress in medical students. IOSR JDMS 2013; 4 (01) 69-73
  • 31 Elakkiya C. An experimental study to assess the effectiveness of acupressure on dysmenorrhea among adolescent girls in Hilton Matriculation Higher Secondary School at Chrompet, Chennai. Int J Innov Res Dev 2015; 4 (01) 8-10
  • 32 Kushalappa JA, Lakshmanagowda PB. Effect of music therapy in dysmennorhic subjects during menstrual phase of menstrual cycle. Semantic Scholar 2014; 5 (012) 748-750
  • 33 Daily JW, Zhang X, Kim DS, Park S. Efficacy of ginger for alleviating the symptoms of primary dysmenorrhea: a systematic review and meta-analysis of randomized clinical trials. Pain Med 2015; 16 (012) 2243-2255
  • 34 Ke YM, Ou MC, Ho CK, Lin YS, Liu HY, Chang WA. Effects of somatothermal far-infrared ray on primary dysmenorrhea: a pilot study. Evid Based Complement Alternat Med 2012; 2012: 240314
  • 35 Valiani M, Ghasemi N, Bahadoran P, Heshmat R. The effects of massage therapy on dysmenorrhea caused by endometriosis. Iran J Nurs Midwifery Res 2010; 15 (04) 167-171
  • 36 Dhanya S, Shobana G, Latha V. Effectiveness of ginger tea for dysmenorrhea. J Trained Nurs Assoc India 2012; 7 (02) 23-29
  • 37 Padmavathi P, Sankar DR, Kokilavani DN. A Study to assess the effectiveness of ginger powder on dysmenorrhoea among adolescents in a selected school at Erode. Asian J Nurs Educ Res 2012; 2 (02) 79-82
  • 38 Awed H, El-Saidy T, Amro T. The use of fresh ginger herbs as a home remedy to relieve primary dysmenorrhea. J Res Nurs Midwifery 2013; 2 (08) 104-113
  • 39 Latha S, Venketesan DL. Effectiveness of ginger tea on dysmenorrhea among college students International. J Appl Res 2016; 2 (012) 669-671
  • 40 Chen CK, Huang YP, Fang HL, Huang YY. Dysmenorrhea: a study of affected factors and approaches to relief among female students at a college in southern Taiwan [in Chinese]. Hu Li Za Zhi 2013; 60 (03) 40-50
  • 41 Trivedi H, Koshy S. Effectiveness of dietary ginger v/s active exercise on primary dysmenorrhea among adolescent girls. Int J Innov Res Dev 2016; 5 (06) 35-40
  • 42 Kashefi F, Khajehei M, Tabatabaeichehr M, Alavinia M, Asili J. Comparison of the effect of ginger and zinc sulfate on primary dysmenorrhea: a placebo-controlled randomized trial. Pain Manag Nurs 2014; 15 (04) 826-833
  • 43 Polit DF, Hungler BP. Nursing Research: Principles and Methods. 6th ed.. Lippincott; Philadelphia: 2000
  • 44 Berman AT, Snyder S, Frandsen G. Kozier & Erb’s Fundamentals of Nursing. Elsevier; Philadelphia: 9th ed.. 2010
  • 45 Magher M. What Is the Meaning of Conceptual Framework in Research [Internet] Classroom. Available at: https://classroom.synonym.com/meaning-conceptual-framework-research-6664512.html. Accessed February 29, 2016
  • 46 NB. (PhD) Grove SK.. Understanding Nursing Research: Building an Evidence-based Practice. 4th ed.. Saunders Elsevier; New Delhi: 2007: 586p
  • 47 Aziato L, Dedey F, Clegg-Lamptey JNA. The experience of dysmenorrhoea among Ghanaian senior high and university students: pain characteristics and effects. Reprod Health 2014; 11-58
  • 48 Kavuluru VP. A study to assess the effectiveness of ginger preparation on dysmenorrhea among adolescent girls International. J Appl Res 2017; 3 (03) 22-25
  • 49 George NS, Priyadarshini S, Shetty S. Dysmenorrhoea among adolescent girls - characteristics and symptoms experienced during menstruation. Nitte Univ J Health Sci 2014; 4 (03) 45-52
  • 50 Singh A, Kiran D, Singh H, Nel B, Singh P, Tiwari P. Prevalence and severity of dysmenorrhea: a problem related to menstruation, among first and second year female medical students. Indian J Physiol Pharmacol 2008; 52 (04) 389-397
  • 51 El-Gilany AH, Badawi K, El-Fedawy S. Epidemiology of dysmenorrhoea among adolescent students in Mansour. East Mediterr Health J; Mansoura, Egypt.: 2005. 11. 1-2 155-163
  • 52 Rahnama P, Montazeri A, Huseini HF, Kianbakht S, Naseri M. Effect of Zingiber officinale R. rhizomes (ginger) on pain relief in primary dysmenorrhea: a placebo randomized trial. BMC Complement Altern Med 2012; 12 (01) 92