ASSESSMENT OF KNOWLEDGE, ATTITUDE, AND PRACTICES REGARDING MENSTRUAL HYGIENE AMONG NURSING STUDENTS AT COLLEGE OF NURSING SERVICES HOSPITAL, LAHORE

Abstract

Background: Menstrual hygiene management (MHM) is a significant public health concern, particularly in low- and middle-income countries (LMICs), where socio-cultural taboos, inadequate knowledge, and limited resources hinder safe and dignified menstrual practices. Nursing students, as future healthcare providers and educators, must possess adequate knowledge, positive attitudes, and appropriate practices regarding MHM to effectively support and educate communities. This study aims to assess the knowledge, attitudes, and practices of nursing students regarding menstrual hygiene, identifying potential gaps in their understanding and training.

Objective(s): This study assesses the knowledge, attitudes, and practices of menstrual hygiene among nursing students at Services Hospital Lahore. It aims to identify gaps and enhance menstrual health education.

Methodology: This study employs a descriptive cross-sectional design to assess the knowledge, attitudes, and practices regarding menstrual hygiene among nursing students at Services Hospital Lahore. A sample of 133 participants was determined using Solvin’s formula, with data collected through a structured questionnaire. Ethical considerations, including informed consent and confidentiality, were strictly followed. Data collection spanned three months, utilizing adopted questionnaires. Statistical analysis was conducted using SPSS version 24.0, with results presented through descriptive statistics, including frequency, percentage, mean, and standard deviation.

Results:  The findings revealed that 54.1% of participants were above 20 years, and 45.9% were below 20 years. The majority (70%) were from urban areas, and 52.6% had a family income of less than 40,000. Most participants (41.4%) reported that their mothers had an intermediate level of education. Regarding menstrual knowledge, 60.2% identified white discharge as a sign of menstruation, and 46.6% believed menstruation is caused by hormonal changes. The most common menarche age was 11–13 years (56.4%). Attitudes toward menstruation showed that 59.4% of participants had missed college due to menstruation, mainly due to pain (49.6%). About 60.4% abstained from household work, and 56.4% found it shameful to discuss menstruation. Regarding menstrual hygiene practices, 57.9% used sanitary pads, while 18.8% used old cloth. The most common reason for not using sanitary pads was cost (51.1%). The study found that 67.7% of participants had inadequate menstrual hygiene knowledge, while 74.4% held a positive attitude. However, 63.9% demonstrated poor menstrual hygiene practices, highlighting the need for improved education and awareness.

Conclusion: The study reveals gaps in student nurses' menstrual hygiene knowledge, influenced by cultural beliefs and misconceptions. Despite common sanitary pad use, improper absorbent changes and disposal issues persist. Attitudes impact practices, leading to absenteeism and restrictions. Enhanced education and resources are needed for better menstrual health.