고위험 임부를 위한 지지적 프로그램이 불확실성, 불안, 태아 애착에 미치는 효과
Effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancy
1
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to identify the effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in high-risk pregnant women. Methods: The participants were 59 high-risk pregnant women admitted to the maternal-fetal intensive care unit. The control group (n=30) received usual treatment and antenatal care, while the experimental group (n=29) received an additional supportive program. Uncertainty, anxiety, and maternal-fetal attachment were measured in both groups prior to the intervention and at 3 days and 10 days after the intervention (or at discharge). Data were analyzed with the t-test, chi-square test, repeated-measures analysis of covariance, and the Greenhouse-Geisser correction in SPSS version 23.0. Results: A supportive program including information provision, nutritional care, emotional care, and exercise care was developed from the literature. All variables except women’s length of stay were found to be homogeneous the between experimental and control groups in the pre-test. Length of stay was calculated as a covariate for testing hypotheses. There was a significant difference in state anxiety over time between the two groups, while there were no differences in uncertainty or maternal-fetal attachment. Conclusion: This supportive program was identified as an effective nursing intervention on state anxiety in high-risk pregnant women during their stay in the maternal-fetal intensive care unit. It is suggested that nurses could apply this program to alleviate high-risk pregnant women’s state anxiety, and that this program could be modified to be more effective on uncertainty and maternal-fetal attachment in high-risk pregnant women.
Abstract
Purpose: The purpose of this study was to identify the effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in high-risk pregnant women. Methods: The participants were 59 high-risk pregnant women admitted to the maternal-fetal intensive care unit. The control group (n=30) received usual treatment and antenatal care, while the experimental group (n=29) received an additional supportive program. Uncertainty, anxiety, and maternal-fetal attachment were measured in both groups prior to the intervention and at 3 days and 10 days after the intervention (or at discharge). Data were analyzed with the t-test, chi-square test, repeated-measures analysis of covariance, and the Greenhouse-Geisser correction in SPSS version 23.0. Results: A supportive program including information provision, nutritional care, emotional care, and exercise care was developed from the literature. All variables except women’s length of stay were found to be homogeneous the between experimental and control groups in the pre-test. Length of stay was calculated as a covariate for testing hypotheses. There was a significant difference in state anxiety over time between the two groups, while there were no differences in uncertainty or maternal-fetal attachment. Conclusion: This supportive program was identified as an effective nursing intervention on state anxiety in high-risk pregnant women during their stay in the maternal-fetal intensive care unit. It is suggested that nurses could apply this program to alleviate high-risk pregnant women’s state anxiety, and that this program could be modified to be more effective on uncertainty and maternal-fetal attachment in high-risk pregnant women.
참고문헌 (28)
- "High-risk pregnancy" (2018)[URL]
- Margaret Loyet, "The fetal care team: care for pregnant women carrying a fetus with a serious diagnosis", MCN: The American Journal of Maternal, 2016, pp.41(6), 349~355[DOI]
- 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]
- 이주영, "고위험 임부 배우자의 스트레스와 대처양상", 여성건강간호학회지, 16(3), pp.234~244 (2010), 한국여성건강간호학회
- Dawn Kingston, "An Integrated Web-Based Mental Health Intervention of Assessment-Referral-Care to Reduce Stress, Anxiety, and Depression in Hospitalized Pregnant Women With Medically High-Risk Pregnancies: A Feasibility Study Protocol of Hospital-Based Implementation", JMIR Research Protocols, 4(1), pp.e9~ (2015), JMIR Publications Inc[DOI]
- 권미경, "임신 중 스트레스, 우울과 모-태아 애착 및 태아체중의 상관관계", Journal of Korean Academy of Nursing, 41(2), pp.276~283 (2011), 한국간호과학회
- 황란희, "조기진통 임부의 태아애착행위와 상태불안에 관한 연구", 여성건강간호학회지, 19(3), pp.142~152 (2013), 한국여성건강간호학회
- 박혜진, "음악요법이 조기진통 임부의 조기진통 스트레스 및 자궁수축에 미치는 영향", 여성건강간호학회지, 23(2), pp.109~116 (2017), 한국여성건강간호학회
- 최명숙, "이완요법이 조기진통 임부의 불안과 스트레스에 미치는 효과", 여성건강간호학회지, 16(4), pp.336~347 (2010), 한국여성건강간호학회
- 김은미, "입원한 조기진통 임부의 불확실성이 불안에 미치는 영향: 불확실성 평가와 대처양상의 매개효과를 중심으로", Journal of Korean Academy of Nursing, 48(4), pp.485~496 (2018), 한국간호과학회
- Janighorban M, "Need for consultation and training during bed rest in women with high risk pregnancy experience : a qualitative study", Int J Pediatr, 4(5), pp.1705~1714 (2016)[DOI]
- 유우정, "복식호흡이조기진통임부의상태불안, 스트레스, 진통억제제투여량에미치는효과", Journal of Korean Academy of Nursing, 40(3), pp.442~452 (2010), 한국간호과학회
- MERLE H. MISHEL, "The Measurement of Uncertainty in Illness", Nursing Research, 30(5), pp.258~263 (1981), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Spielberger CD, "Manual for the state-trait anxiety inventory", pp.24~ (1970), Califonia Consulting Psychologist Press
- Han Dy, "Spielberger’s state-trait anxiety inventory-form Korean YZ" (2000), Hakjisa
- 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]
- 이경숙, "태아애착 척도(MFAS)의 타당화 연구", 한국심리학회지: 발달, 26(4), pp.81~91 (2013), 한국심리학회 산하 한국발달심리학회
- 왕희정, "고령임부 대상 모바일 웹 기반 임신 건강관리 교육프로그램 효과", Journal of Korean Academy of Nursing, 45(3), pp.337~346 (2015), 한국간호과학회
- K. L. Lindsay, "Maternal nutrition among women from Sub-Saharan Africa, with a focus on Nigeria, and potential implications for pregnancy outcomes among immigrant populations in developed countries", Journal of Human Nutrition and Dietetics, 25(6), pp.534~546 (2012), Wiley[DOI]
- Susan Hogan, "The value of art therapy in antenatal and postnatal care: A brief literature review with recommendations for future research", International Journal of Art Therapy, 22(4), pp.169~179 (2017), Informa UK Limited[DOI]
- Kathryn R. Hesketh, "Prevalence of U.S. Pregnant Women Meeting 2015 ACOG Physical Activity Guidelines", American Journal of Preventive Medicine, 51(3), pp.e87~e89 (2016), Elsevier BV[DOI]
- Li-Lan Chuang, "Effects of a relaxation training programme on immediate and prolonged stress responses in women with preterm labour", Journal of Advanced Nursing, 68(1), pp.170~180 (2012), Wiley[DOI]
- 김희숙, "통합 자가관리 프로그램이 임신성 당뇨병 임부의 자가관리, 혈당 및 모성 정체성에 미치는 효과", Journal of Korean Academy of Nursing, 43(1), pp.69~80 (2013), 한국간호과학회
- 신현희, "산전우울 임부를 위한 인지행동치료 프로그램의 효과: 체계적 문헌고찰 및 메타분석", 한국산학기술학회논문지, 17(11), pp.271~284 (2016), 한국산학기술학회[DOI]
- 김선화, "인공 고관절 수술 환자에서 지지간호중재가 고관절 기능, 불안 및 불확실성에 미치는 효과", 임상간호연구, 19(3), pp.419~431 (2013), 병원간호사회
- 조윤희, "수술 전 구조화된 정보제공이 복강경하 자궁절제술 여성의 수술대기 중 불안과 불확실성에 미치는 효과", 여성건강간호학회지, 21(4), pp.321~331 (2015), 한국여성건강간호학회
- 위휘, "임부의 불안, 우울, 산전스트레스와 모-태아애착 및 감사성향의 관계", 한국모자보건학회지, 16(2), pp.274~286 (2012), 한국모자보건학회[DOI]
- 김수현, "입원 중인 조기진통 임부의 스트레스, 대처양상 및 간호요구도", 여성건강간호학회지, 21(2), pp.83~92 (2015), 한국여성건강간호학회