The Effect of Education Given According to the Health Promotion Model on Premenstrual Symptoms, Emotional Eating Behavior and Perceived Stress

Nurses have important duties in this regard due to their roles such as health education, health protection, development and consultancy.

In this study, it is thought that the training given according to the health promotion model will both create a resource for nurses and contribute to the literature with the results obtained by applying this training to people experiencing PMS.The research will be conducted as a pretest-posttest randomized controlled study.

H1: Education given according to the health promotion model has an effect on premenstrual symptoms, emotional eating behavior and perceived stress.

H0: Education given according to the health promotion model has no effect on premenstrual symptoms, emotional eating behavior and perceived stress.

The total number of students in the research population is 330.In the G\*Power 3.1.9.7 program, for the effect size t test, d = 0.94, alpha (α) = 0.05, and power (1-β) = 0.95, and the minimum total sample number was determined as 52, experimental group: 26, control group: 26. . However, taking into account the losses in the study, a total of 60 people will be included in the study. (experiment:30, control:30).

The first group will be divided into the group trained according to the health promotion model using the Philips 66 technique, and the second group will be divided into the control group.

Changes that gradually disappear with the onset of menstruation in women are called premenstrual syndrome.In this syndrome, anxiety, irritability, lack of concentration, depression, mood swings, drowsiness, sleep disturbance, breast tenderness, appetite change, bloating, headache, weight gain, abdominal pain, fatigue and gastrointestinal symptoms are observed. Since these symptoms negatively affect both the work and personal lives of women, safe and effective treatments are needed. In this case, many women report using exercise as a strategy to help them cope with PMS, and exercise is often recommended for symptom management.PMS can also play a role in symptoms by affecting the individual's food choices. Emotional eating behavior is defined as a person's use of food as an escape from negative emotions and can lead to many conditions such as obesity, eating disorders and hormonal problems. Health promotion means increasing one's control over one's health by improving one's own health. It enables the individual to improve their physical and social environment, change their behavior, and reach the best level of physical and mental health. Philips 66 technique is a process based on active learning, problem and collaborative learning theory, student-centered, and uses the best learning techniques to improve students' performance and realize meaningful learning activity. It is among the responsibilities of healthcare personnel to identify the factors that negatively affect women's lives in order to ensure continuity of health, ease of premenstrual symptoms, and to use the findings to improve women's health. Nurses have important duties in this regard due to their roles such as health education, health protection, development and consultancy. In this study, it is thought that the training given according to the health promotion model will both create a resource for nurses and contribute to the literature with the results obtained by applying this training to people experiencing PMS.Nurses have important duties in this regard due to their roles such as health education, health protection, development and consultancy.In this study, it is thought that the training given according to the health promotion model will both create a resource for nurses and contribute to the literature with the results obtained by applying this training to people experiencing PMS.The research will be conducted as a pretest-posttest randomized controlled study.

H1: Education given according to the health promotion model has an effect on premenstrual symptoms, emotional eating behavior and perceived stress.

H0: Education given according to the health promotion model has no effect on premenstrual symptoms, emotional eating behavior and perceived stress.

The total number of students in the research population is 330.In the G\*Power 3.1.9.7 program, for the effect size t test, d = 0.94, alpha (α) = 0.05, and power (1-β) = 0.95, and the minimum total sample number was determined as 52, experimental group: 26, control group: 26. . However, taking into account the losses in the study, a total of 60 people will be included in the study. (experiment:30, control:30).

The first group will be divided into the group trained according to the health promotion model using the Philips 66 technique, and the second group will be divided into the control group.In the first stage, the "Premenstrual Syndrome Scale" will be applied to the students and the students will be placed in the experimental and control groups. In the second stage, Personal Information Form, PMS Scale, Premenstrual Eating Habits Form, Healthy Lifestyle Behaviors Scale, Emotional Eating Scale, Perceived Stress Scale and Visual Vissual Pain Scale will be applied to the students in this group before training. Data will be collected by face-to-face research method. Premenstrual syndrome periods will be determined by creating a menstrual cycle calendar for the participants. In the third stage, students in the experimental group will be trained with the first powerpoint presentation. Then brochures will be distributed. It will be applied according to the Philips 66 technique. In the fourth stage, 4 weeks after the first training, general reminder training will be given online during students' pms periods. In the fifth stage, 4 weeks after the second training, survey forms will be filled out by the experimental group and the control group.

Eligibility Criteria:
Inclusion Criteria:

Getting over 110 points from the PMS scale,

* Experiencing at least five PMS symptoms every month,
* Not having had sexual intercourse
* Regular menstruation, (regular menstruation (between 21-35 days))
* Not having any chronic disease,
* Not using any method to cope with PMS
* Not taking Hormone Replacement Therapy
* Women who agreed to participate in the study were included in the study group.

Exclusion Criteria:

* • Having had sexual intercourse,

  * Allergy,
  * Irregular menstruation,
  * Not having regular menstrual periods in the last three months,
  * Having received a psychiatric diagnosis,
  * Do not have any gynecological disease (abnormal uterine bleeding, myoma, ovarian cyst, etc.)
  * Using contraceptive medication,
  * 1st and 4th year nursing and midwifery students