fa ارزش تشخیصی ابزار گذشته‌نگر PSST در مقایسه با پرسشنامه آینده‌نگر DRSP در غربالگری سندرم پیش از قاعدگی مامایی Midwifery تحلیلی Research <p dir="rtl" style="text-align: right line-height: 15.6pt direction: rtl unicode-bidi: embed"><strong><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: blue">سابقه و هدف:</span></strong><span class="apple-converted-space"><b><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: blue"> </span></b></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">سندرم پیش از قاعدگی</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">(</span><span dir="ltr" style="font-size: 9pt color: rgb(51, 51, 51)">PMS=Premenstrual Syndrom</span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">)</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">از شایعترین مشکلات زنان سنین باروری بوده که موجب اختلال در فعالیت­های روزانه می­گردد.</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">به دلیل شیوع بالای</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span dir="ltr" style="font-size: 9pt color: rgb(51, 51, 51)">PMS</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">در ایران، شناسایی ابزاری که به طور صحیح و در مدت زمان کوتاه این سندرم را تشخیص دهد، ضرورت دارد.</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">این مطالعه با هدف مقایسه ابزار غربالگری علایم پیش از قاعدگی</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">(</span><span dir="ltr" style="font-size: 9pt color: rgb(51, 51, 51)">Premenstrual Symptoms Screening Tool</span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">=</span><span dir="ltr" style="font-size: 9pt color: rgb(51, 51, 51)">PSST</span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">)</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">در مقایسه با پرسشنامه استاندارد ثبت وضعیت روزانه علایم</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">(</span><span dir="ltr" style="font-size: 9pt color: rgb(51, 51, 51)">DRSP=Daily Record of Severity of Problems chart</span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">)</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">در غربالگری سندرم پیش از قاعدگی</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">انجام گرفته است.</span><span dir="ltr" style="font-size: 10pt color: rgb(51, 51, 51)"><!--stripped--><!--stripped--></span></p> <p dir="rtl" style="line-height: 15.6pt direction: rtl unicode-bidi: embed text-align: start"><strong><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: blue">مواد و روشها:</span></strong><span class="apple-converted-space"><b><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: blue"> </span></b></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">این مطالعه مقطعی بر روی</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">230</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">دانشجوی دختر</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">18</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">سال و بالاتر،</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">که به روش نمونه­گیری در دسترس انتخاب شدند، انجام گرفت.</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">ابزار غربالگری</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span dir="ltr" style="font-size: 9pt color: rgb(51, 51, 51)">PSST</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">به صورت گذشته­نگر و پرسشنامه</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span dir="ltr" style="font-size: 9pt color: rgb(51, 51, 51)">DRSP</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">به مدت دو سیکل قاعدگی متوالی به صورت روزانه توسط نمونه­ها تکمیل شدند. سپس داده ها مورد بررسی و مقایسه قرار گرفتند.</span><span lang="AR-SA" style="font-size: 10pt font-family: '2 Mitra' color: rgb(51, 51, 51)"><!--stripped--><!--stripped--></span></p> <p dir="rtl" style="line-height: 15.6pt direction: rtl unicode-bidi: embed text-align: start"><strong><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: blue">یافته ­ها:</span></strong><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: blue"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">نتایج نشان داد که</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">ابزار</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span dir="ltr" style="font-size: 9pt color: rgb(51, 51, 51)">PSST</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">در تشخیص درجه خفیف سندرم پیش از قاعدگی خوب عمل نموده بود.</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">همبستگی متوسط و معنی­داری بین دو پرسشنامه وجود داشت</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">(0/38</span><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span><span dir="ltr" style="font-size: 9pt color: rgb(51, 51, 51)">r=</span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">).</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">ابزار</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span dir="ltr" style="font-size: 9pt color: rgb(51, 51, 51)">PSST</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">نسبتاً حساسیت پائین</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">(66/3%)</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">اما از ویژگی بالایی</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">(86/5%)</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">برخوردار بود.</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">ارزش پیشگویی مثبت</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">و منفی به ترتیب 96/2% و</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">33% بود.</span><span lang="AR-SA" style="font-size: 10pt font-family: '2 Mitra' color: rgb(51, 51, 51)"><!--stripped--><!--stripped--></span></p> <p dir="rtl" style="line-height: 15.6pt direction: rtl unicode-bidi: embed text-align: start"><strong><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: blue">نتیجه</span></strong><span class="apple-converted-space"><b><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: blue"> </span></b></span><strong><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: blue">گیری:</span></strong><span class="apple-converted-space"><b><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: blue"> </span></b></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">نتایج این مطالعه نشان داد که ابزار</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span dir="ltr" style="font-size: 9pt color: rgb(51, 51, 51)">PSST</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">در تشخیص درجه خفیف</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span dir="ltr" style="font-size: 9pt color: rgb(51, 51, 51)">PMS</span><span class="apple-converted-space"><span lang="AR-SA" style="font-size: 9pt font-family: Cambria, serif color: rgb(51, 51, 51)"> </span></span><span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: rgb(51, 51, 51)">طبقه­بندی صحیحی داشت، اما در شدت­های متوسط و شدید این سندرم به خوبی عمل نکرده بود.</span><span lang="AR-SA" style="font-size: 10pt font-family: '2 Mitra' color: rgb(51, 51, 51)"><!--stripped--><!--stripped--></span></p> <p align="right" style="direction: rtl"></p> <p align="left" class="MsoNormal" dir="rtl" style="text-align: right"><span dir="ltr"><!--stripped--> <!--stripped--></span></p> <p class="MsoNormal" style="line-height: 16pt direction: ltr unicode-bidi: embed"><font face="times new roman, times, serif"><b><span style="font-size: 10pt color: blue">BACKGROUND AND OBJECTIVE:</span></b><span style="font-size: 10pt"> </span><span style="font-size: 10pt">Premenstrual syndrome (PMS) is the most common complication among women at the reproductive age, which may adversely interfere with daily activities. Due to the high prevalence of PMS in Iran, identification of rapid and effective diagnostic tools is paramount for the correct recognition of this syndrome. This study aimed to compare the predictive values of the<b> </b></span><strong><span style="font-size: 10pt font-weight: normal">Premenstrual Symptoms Screening Tool (</span></strong><span style="font-size: 10pt">PSST)</span><strong><span style="font-size: 10pt font-weight: normal"> and</span></strong><b><span style="font-size: 10pt"> </span></b><strong><span style="font-size: 10pt font-weight: normal">Daily Record of Severity of Problems (DRSP) in the diagnosis of PMS</span></strong><span class="hps"><span lang="EN" style="font-size: 10pt">.</span></span><span class="shorttext"><span style="font-size: 10pt"><!--stripped--><!--stripped--></span></span></font></p> <p class="MsoNormal" style="line-height: 16pt direction: ltr unicode-bidi: embed"><font face="times new roman, times, serif"><b><span style="font-size: 10pt color: blue">METHODS:</span></b><span style="font-size: 10pt"> </span><strong><span style="font-size: 10pt font-weight: normal">This cross-sectional study was conducted on 230 female students above 18 years, who were selected using convenience sampling. PSST and DRSP questionnaires were completed on a daily basis </span></strong><strong><span style="font-size: 10pt font-weight: normal">during two menstrual cycles of the subjects</span></strong><span class="shorttext"><span style="font-size: 10pt">.  <!--stripped--><!--stripped--></span></span></font></p> <p class="MsoNormal" style="line-height: 16pt direction: ltr unicode-bidi: embed"><font face="times new roman, times, serif"><b><span style="font-size: 10pt color: blue">FINDINGS:</span></b><b><span dir="rtl" style="font-size: 10pt color: blue"> </span></b><strong><span style="font-size: 10pt font-weight: normal">In this study, rate of the correct classification of PMS symptom severity (mild to severe) by PSST was estimated at 83.9%. </span></strong><strong><span style="font-size: 10pt font-weight: normal">Sensitivity and specificity<span dir="rtl"> </span>of PSST were 66.3% and 85.6%, respectively. In addition, positive and negative predictive values of PSST were reported to be 96.2% and 33%, respectively. Also, there was a moderate, significant correlation between PSST and DRSP (r=0.38, p<0.001)</span></strong><b><span style="font-size: 10pt">.</span></b><span style="font-size: 10pt"><!--stripped--><!--stripped--></span></font></p> <p><font face="times new roman, times, serif"><b><span style="font-size: 10pt color: blue">CONCLUSION:</span></b><span style="font-size: 10pt"> </span><strong><span style="font-size: 10pt font-weight: normal">According to the results of this study, PSST could be a proper screening tool to identify normal women in </span><span style="font-size: 10pt">c</span></strong><span style="font-size: 10pt">linical situations and <strong><span style="font-weight: normal">diagnose mild PMS accurately. However, it is not an appropriate measure to predict the severity of PMS. In this regard, use of prospective tools could result in a definitive diagnosis of PMS.</span></strong></span></font></p> سندرم پیش از قاعدگی, ابزار غربالگری, ارزش تشخیصی Premenstrual Syndrome, Screening Tools, Diagnostic Value 27 33 http://jbums.org/browse.php?a_code=A-10-1845-1&slc_lang=fa&sid=1 M Mirghafourvand مژگان میرغفوروند 100319475328460012568 100319475328460012568 No M Asghari Jafarabadi محمد اصغری جعفرابادی 100319475328460012569 100319475328460012569 No S Ghanbari-Homayi سولماز قنبری همائی narvan_s10@yahoo.com 100319475328460012570 100319475328460012570 Yes