본문 바로가기
KERD
논문KCI 등재

고위험 임부의 태교실천, 자존감 및 사회적 지지가 모아애착에 영향을 미치는가?: 횡단적 조사 연구

Do taegyo practices, self-esteem, and social support affect maternal-fetal attachment in high-risk pregnant women? A cross-sectional survey

박은아|강다인
한국여성건강간호학회 (Korean Society of Women Health Nursing)|2022.12|Women's Health Nursing|제28권 제4호|pp. 338-347|DOI 10.4069/kjwhn.2022.12.16

2

조회

0

다운로드

6

인용

0

참고문헌

키워드

사회적 지지Social supportSelf conceptMaternal-fetal relations태아애착High-risk pregnancy고위험 임신지존감
주제분류간호학

초록

Purpose: The incidence of high-risk pregnancies is increasing in Korea as the birth age increases due to late marriage. Maternal-fetal attachment is an important factor that affects children even after childbirth, but it is difficult for high-risk pregnant women to form maternal-fetal attachment. The current study aimed to explore whether taegyo practice (i.e., pregnant women’s efforts for fetal good growth and development), self-esteem, and social support influenced the degree of maternal-fetal attachment in women with high-risk pregnancies.Methods: The participants included 226 pregnant Korean women at ≥20 gestational weeks, hospitalized with 15 high-risk pregnancy conditions as defined by the Ministry of Health and Welfare. Recruitment via convenience sampling was done at four sites in Busan, Korea. Surveys were distributed and collected from February 1 to 28, 2022. Data analysis was conducted using descriptive statistics, the t-test, one-factor analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression. Results: On average, participants were 33.97±4.23 years of age and at 31.65±6.23 gestational weeks. Preterm labor (35.4%) and gestational diabetes (21.0%) were the most common high-risk conditions. Maternal-fetal attachment was positively correlated with taegyo practice (r=.70, p<.001), self-esteem (r=.53, p<.001), and social support (r=.53, p<.001), all with statistical significance. Taegyo practice (β=.50, p<.001) and social support (β=.17, p=.030) explained 53% of variance in maternal-fetal attachment in women with high-risk pregnancies.Conclusion: Nurses caring for women with high-risk pregnancies during hospitalization can use these findings by promoting taegyo practice and enhancing social support to increase maternal-fetal attachment.

Abstract

Purpose: The incidence of high-risk pregnancies is increasing in Korea as the birth age increases due to late marriage. Maternal-fetal attachment is an important factor that affects children even after childbirth, but it is difficult for high-risk pregnant women to form maternal-fetal attachment. The current study aimed to explore whether taegyo practice (i.e., pregnant women’s efforts for fetal good growth and development), self-esteem, and social support influenced the degree of maternal-fetal attachment in women with high-risk pregnancies.Methods: The participants included 226 pregnant Korean women at ≥20 gestational weeks, hospitalized with 15 high-risk pregnancy conditions as defined by the Ministry of Health and Welfare. Recruitment via convenience sampling was done at four sites in Busan, Korea. Surveys were distributed and collected from February 1 to 28, 2022. Data analysis was conducted using descriptive statistics, the t-test, one-factor analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression. Results: On average, participants were 33.97±4.23 years of age and at 31.65±6.23 gestational weeks. Preterm labor (35.4%) and gestational diabetes (21.0%) were the most common high-risk conditions. Maternal-fetal attachment was positively correlated with taegyo practice (r=.70, p<.001), self-esteem (r=.53, p<.001), and social support (r=.53, p<.001), all with statistical significance. Taegyo practice (β=.50, p<.001) and social support (β=.17, p=.030) explained 53% of variance in maternal-fetal attachment in women with high-risk pregnancies.Conclusion: Nurses caring for women with high-risk pregnancies during hospitalization can use these findings by promoting taegyo practice and enhancing social support to increase maternal-fetal attachment.

참고문헌 (53)

  1. "Classification of high risk pregnancy" (2017)[URL]
  2. 고시연, "고위험 임부와 정상 임부의 불안, 우울 및 모-태아 애착 비교 연구", 생물치료정신의학, 25(2), pp.117~126 (2019), 대한생물치료정신의학회[DOI]
  3. "City, gun, total birth rate, maternity rate by age women" (2022)[URL]
  4. Yun Sil Chang, "Past, present, and future of neonatology in Korea", Journal of the Korean Medical Association, 59(7), pp.487~ (2016), Korean Medical Association (KAMJE)[DOI]
  5. "Healthcare big date hub, statistics on diseases of national interest" (2021)[URL]
  6. "Assistance with medical expenses for high-risk pregnant women" (2020)[URL]
  7. Sajjadi AS, "Efficacy of maternal fetal attachment techniques on enhancing mother’s attachment to the fetus", Dev Psycho Iran Psychol, 12(47), pp.281~288 (2016)
  8. 손희진, "조기진통 임부의 조기진통스트레스, 태아애착과 모성역할자신감의 관계", 한국모자보건학회지, 18(1), pp.86~96 (2014), 한국모자보건학회[DOI]
  9. Lee SH, "The influence of anxiety and dyadic adjustment on maternal-fetal attachment in high-risk pregnant women", Int J Softw Eng Appl, 9(12), pp.361~372 (2015)
  10. 강수경, "임신기 부부의 성격, 부부친밀감, 가족지지가 태아애착에 미치는 영향", 육아지원연구, 12(2), pp.223~245 (2017), 한국육아지원학회[DOI]
  11. Grace Branjerdporn, "Associations Between Maternal-Foetal Attachment and Infant Developmental Outcomes: A Systematic Review", Maternal and Child Health Journal, 21(3), pp.540~553 (2016), Springer Science and Business Media LLC[DOI]
  12. 유미, "태아애착에의 영향요인: 임부의 피로, 사회적지지, 태교실천", Child Health Nursing Research, 20(4), pp.247~254 (2014), 한국아동간호학회[DOI]
  13. Park SB, "Foetal education as primordial type of psychological attachment", master, pp.2015
  14. 김병희, "전통태교의 특성과 교육적 위상", 아동교육, 21(3), pp.169~180 (2012), 한국아동교육학회[DOI]
  15. 김미옥, "임신성당뇨 임부의 스트레스와 태교실천의 관계에서 사회적 지지의 매개효과", 한국웰니스학회지, 12(1), pp.399~408 (2017), 한국웰니스학회[DOI]
  16. 김시내, "고위험 초산부의 침상안정 경험", 질적연구, 19(1), pp.1~12 (2018), 질적연구학회[DOI]
  17. Laís Antunes Wilhelm, "Feelings of women who experienced a high-risk pregnancy: a descriptive study", Online Brazilian Journal of Nursing, 14(3), pp.284~293 (2015), Escola de Enfoermagem Aurora de Afonso Costa[DOI]
  18. Bartlett H. Stoodley, "Society and the Adolescent Self-Image.", American Sociological Review, 31(1), pp.125~126 (1966), SAGE Publications[DOI]
  19. RAMONA T. MERCER, "A Theoretical Framework for Studying Factors that Impact on the Maternal Role", Nursing Research, 30(2), pp.73~77 (1981), Ovid Technologies (Wolters Kluwer Health)[DOI]
  20. 이승아, "임부의 태아애착행위에 영향을 미치는 요인", 한국산학기술학회논문지, 16(3), pp.2020~2028 (2015), 한국산학기술학회[DOI]
  21. Ligia Maçola, "Avaliação da autoestima de gestantes com uso da Escala de Autoestima de Rosenberg", Revista da Escola de Enfermagem da USP, 44(3), pp.570~577 (2010), FapUNIFESP (SciELO)[DOI]
  22. Park SY, "Effects of collective art therapy on pregnancy stress and fetal attachment in pregnant women", master, pp.2019
  23. Andrea D. Clements, "Social support, religious commitment, and depressive symptoms in pregnant and postpartum women", Journal of Reproductive and Infant Psychology, 34(3), pp.247~259 (2016), Informa UK Limited[DOI]
  24. Kimberly J. Nylen, "Perceived social support interacts with prenatal depression to predict birth outcomes", Journal of Behavioral Medicine, 36(4), pp.427~440 (2012), Springer Science and Business Media LLC[DOI]
  25. 권수현, "예비 어머니의 산전애착과배우자 지지, 부모효능감 간의 관계", 가정과삶의질연구, 31(5), pp.65~77 (2013), 가정과삶의질학회
  26. Joyce Hopkins, "The relation between social support, anxiety and distress symptoms and maternal fetal attachment", Journal of Reproductive and Infant Psychology, 36(4), pp.381~392 (2018), Informa UK Limited[DOI]
  27. Kim HK, "Factors influencing the maternal-fetal attachment of single mother", master, pp.2015
  28. 황란희, "조기진통 임부의 태아애착행위와 상태불안에 관한 연구", 여성건강간호학회지, 19(3), pp.142~152 (2013), 한국여성건강간호학회
  29. 김미옥, "불임 치료 임부의 스트레스, 우울 및 태아애착", 여성건강간호학회지, 20(2), pp.163~172 (2014), 한국여성건강간호학회
  30. 김부경, "유산을 경험한 임부의 불안, 사회적 지지 및 태교 실천이 태아 애착에 미치는 영향", 여성건강간호학회지, 25(2), pp.182~193 (2019), 한국여성건강간호학회[DOI]
  31. 이수민, "임신성 당뇨병 임부의 정서명확성과 모성정체성 및 태아애착과의 관계", 여성건강간호학회지, 23(2), pp.99~108 (2017), 한국여성건강간호학회
  32. "Strobe checklists: cross-sectional studies" (2022)[URL]
  33. MECCA S. CRANLEY, "Development of a Tool for the Measurement of Maternal Attachment During Pregnancy", Nursing Research, 30(5), pp.281~284 (1981), Ovid Technologies (Wolters Kluwer Health)[DOI]
  34. 김기영, "태교 관점 임부교실이 모아 애착에 미치는 효과", 석사, 간호학, pp.2000
  35. Choi YS, "A survey on the practice of Taekyo among childbearing couples", J Korean Acad Women Health Nurs, 1(2), pp.153~173 (1995)
  36. Rosenberg M, "Society and the adolescent self-image", pp.326~ (1965), Princeton University Press
  37. Lee HJ, "Self-concepts and paranoid tendency", Psychol Sci, 4(2), pp.15~29 (1995)
  38. Park JW, "Study to development a scale of social support", master, pp.1985
  39. Song JM, "The effect of social support on parents’ perception of children’s behavior in parenting stress situations", master, pp.1992
  40. 이은주, "산후우울 예측모형 개발: 산전우울의 매개효과 검증을 중심으로", Journal of Korean Academy of Nursing, 45(2), pp.211~220 (2015), 한국간호과학회
  41. 박미라, "체험중심 산전 프로그램이 초임부의 스트레스, 상태불안, 분만자신감 및 태아애착에 미치는 효과", 여성건강간호학회지, 24(2), pp.126~137 (2018), 한국여성건강간호학회[DOI]
  42. 박장근, "태교운동프로그램이 임신부의 태아애착에 미치는 효과", 한국스포츠학회, 14(4), pp.57~66 (2016), 한국스포츠학회
  43. 이성희, "고령 임부의 태아애착행위에 영향하는 요인: 불안, 배우자지지 중심으로", 예술인문사회 융합 멀티미디어 논문지, 7(1), pp.661~671 (2017), 사단법인 인문사회과학기술융합학회[DOI]
  44. 강수경, "임산부의 스트레스 및 기질과 태아애착의 관계", 한국생활과학회지, 21(2), pp.213~224 (2012), 한국생활과학회[DOI]
  45. Du L, "Investigation on demands for antenatal care services among 2 002 pregnant women during the epidemic of COVID-19 in Shanghai", Zhonghua Fu Chan Ke Za Zhi, 55(3), pp.160~165 (2020)[DOI]
  46. Ghelichkhani S, "Evaluation of women’s self-esteem during pregnancy and factors affecting it", Health Dev J, 10(1), pp.56~63 (2021)[DOI]
  47. 제호영, "고위험 임산부의 기질 및 성격과 모-태아 애착의 관계에서 우울, 불안의 매개효과", 생물치료정신의학, 25(2), pp.127~137 (2019), 대한생물치료정신의학회[DOI]
  48. 김숙남, "중년여성의 영성과 자아존중감", 정신간호학회지, 22(2), pp.128~136 (2013), 한국정신간호학회
  49. Daniela do Carmo Oliveira, "Women with high-risk pregnancy: experiences and perceptions of needs and care", Escola Anna Nery - Revista de Enfermagem, 19(1), pp.93~101 (2015), FapUNIFESP (SciELO)[DOI]
  50. 정미라, "임신기 부부의 부부관계 질과 태아애착의 관계", Human Ecology Research, 50(4), pp.51~61 (2012), 대한가정학회[DOI]
  51. 조아라, "임부의 임신스트레스와 사회적 지지가 태아애착에 미치는 영향", Crisisonomy, 18(4), pp.161~172 (2022), (사)위기관리이론과실천
  52. 허정문, "마음챙김, 자기연민 및 태아애착의 관계에서 지각된 스트레스의 매개효과", 스트레스 硏究, 25(4), pp.286~293 (2017), 대한스트레스학회[DOI]
  53. Baron RM, "The moderator-mediator variable distinction in social psychological research : conceptual, strategic, and statistical considerations", J Pers Soc Psychol, 51(6), pp.1173~1182 (1986)[DOI]

관련 논문AI추천

고위험 임부의 스트레스 대처 유형에 따른 임신 스트레스와 모-태아 애착유선민, 이윤주간호과학연구소 · 글로벌 건강과 간호2023 · 제13권 제2호일 지역 임부의 태교인식, 태교실천 및 모-태아애착 간의 상관관계방경숙, 장상윤한국아동간호학회 · Child Health Nursing Research2019 · 제25권 제4호고위험 임부 배우자의 부-태아 애착과 임부입원관련 스트레스강경림, 김명희, 문수주간호과학연구소 · 글로벌 건강과 간호2021 · 제11권 제2호유산을 경험한 임부의 불안, 사회적 지지 및 태교 실천이 태아 애착에 미치는 영향김부경, 성미혜한국여성건강간호학회 · Women's Health Nursing2019 · 제25권 제2호고위험 임부를 위한 지지적 프로그램이 불확실성, 불안, 태아 애착에 미치는 효과김현진, 전나미한국여성건강간호학회 · Women's Health Nursing2020 · 제26권 제2호임부의 임신스트레스와 사회적 지지가 태아애착에 미치는 영향노윤구, 조아라(사)위기관리이론과실천 · Crisisonomy2022 · 제18권 제4호

이 간행물의 다른 논문 (9건)

Stepping stones for the future—2022 major developments, journal metrics, and appreciation for reviewers김수pp. 265-268Directions for sex and gender-based health research in Korea: implications of the Amendments of the Framework Act on Science and TechnologyHeisook Leepp. 269-274우울한 임신 여성의 화상 인지행동치료 프로그램 참여 경험: 탐색적 질적연구창신대학교 간호학과, 이은주, 박영숙pp. 275-285기혼여성의 가족가치관, 생식건강지식이 생식건강증진행위에 미치는 영향윤선정, 김혜영pp. 286-295The impact of peripheral neuropathy symptoms, self-care ability, and disturbances to daily life on quality of life among gynecological cancer patients undergoing chemotherapy: a cross-sectional surveyPark Hyojung, Mun Soheepp. 296-306
원문 보기