난임 여성의 난임관련 삶의 질 영향요인
Factors influencing infertility-related quality of life in infertile women
2
조회
0
다운로드
15
인용
0
참고문헌
키워드
초록
Purpose: Infertile women experience various physical, psychological, and relational problems that affect their infertility-related quality of life (QoL). This study investigated infertile women’s infertility-related QoL with the goal of identifying how it is influenced by fatigue, depression, and marital intimacy. Methods: A sample of 140 infertile women was surveyed in a cross-sectional study. Data were collected from February to April 2018 using self-report structured questionnaires at three infertility clinics located in Jeonju, Korea. Data were analyzed using the independent t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression analysis in SPSS for Windows version 25.0. The subjects agreed to complete a face-to-face interview, including administration of the Fatigue Severity Scale, Depression Anxiety Stress Scale-21, Marital Intimacy Scale, and the Fertility Quality of Life tool. Results: The mean age of the participants was 35.6±4.3 years. Infertility-related QoL was negatively correlated with fatigue (r=–.42, p<.001) and depression (r=–.56, p<.001), and positively correlated with marital intimacy (r=.30, p<.001). Multiple regression analysis showed that depression (β=–0.44, p<.001), fatigue (β=–0.27, p<.001), and husband’s attitude (β=–0.19, p=.007) had significant effects on the QoL of infertile women, accounting for 40.5% of the variance in infertility-related QoL. Conclusion: The study provides insights into how infertile women’s infertility-related QoL was influenced by depression, fatigue, and their husbands’ attitudes regarding infertility treatment. To improve infertile women’s infertility-related QoL, healthcare providers should consider developing strategies to decrease depression and fatigue in infertile women and to address their husbands’ attitudes.
Abstract
Purpose: Infertile women experience various physical, psychological, and relational problems that affect their infertility-related quality of life (QoL). This study investigated infertile women’s infertility-related QoL with the goal of identifying how it is influenced by fatigue, depression, and marital intimacy. Methods: A sample of 140 infertile women was surveyed in a cross-sectional study. Data were collected from February to April 2018 using self-report structured questionnaires at three infertility clinics located in Jeonju, Korea. Data were analyzed using the independent t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression analysis in SPSS for Windows version 25.0. The subjects agreed to complete a face-to-face interview, including administration of the Fatigue Severity Scale, Depression Anxiety Stress Scale-21, Marital Intimacy Scale, and the Fertility Quality of Life tool. Results: The mean age of the participants was 35.6±4.3 years. Infertility-related QoL was negatively correlated with fatigue (r=–.42, p<.001) and depression (r=–.56, p<.001), and positively correlated with marital intimacy (r=.30, p<.001). Multiple regression analysis showed that depression (β=–0.44, p<.001), fatigue (β=–0.27, p<.001), and husband’s attitude (β=–0.19, p=.007) had significant effects on the QoL of infertile women, accounting for 40.5% of the variance in infertility-related QoL. Conclusion: The study provides insights into how infertile women’s infertility-related QoL was influenced by depression, fatigue, and their husbands’ attitudes regarding infertility treatment. To improve infertile women’s infertility-related QoL, healthcare providers should consider developing strategies to decrease depression and fatigue in infertile women and to address their husbands’ attitudes.
참고문헌 (29)
- "2016 Birth Statistics (Confirmation)" (2016)[URL]
- Balasch J, "Ageing and infertility : an overview", Gynecol Endocrinol, 26(12), pp.855~860 (2010)
- The 2018 national survey on fertility and family health and welfare, "Lee SY", Korea Institute for Health and Social Affairs, 51~, pp.Report No.: Policy Report 2018-37 (2018)
- Boivin J, "The Fertility Quality of Life(FertiQoL)tool : development and general psychometric properties", Fertil Steril, 96(2), pp.409~415 (2011)
- Ashrafi M, "Evaluation of risk factors associated with endometriosis in infertile women", Int J Fertil Steril, 10(1), pp.11~21 (2016)
- Yokoyama Y, "Comparison of child-rearing problems between mothers with multiple children who conceived after infertility treatment and mothers with multiple children who conceived spontaneously", Twin Res Hum Genet, 6(2), pp.89~96 (2003)
- Namdar A, "Quality of life and general health of infertile women", Health Qual Life Outcomes, 15(1), pp.139~ (2017)
- 황나미, "난임 여성의 우울에 영향을 미치는 요인 분석", 보건사회연구, 33(3), pp.161~187 (2013), 한국보건사회연구원[DOI]
- 정유정, "보조생식술 받은 여성의 난임 관련 삶의 질에 미치는 영향 요인: 우울과 극복력 중심으로", 여성건강간호학회지, 23(2), pp.117~125 (2017), 한국여성건강간호학회
- 김미옥, "난임 치료 과정 중인 여성의 난임스트레스, 우울 및회복탄력성", 한국보건간호학회지, 30(1), pp.93~104 (2016), 한국보건간호학회
- Chi HJ, "Psychological distress and fertility quality of life(FertiQoL)in infertile Korean women : The first validation study of Korean FertiQoL", Clin Exp Reprod Med, 43(3), pp.174~180 (2016)
- Tao P, "Investigating marital relationship in infertility : a systematic review of quantitative studies", J Reprod Infertil, 13(2), pp.71~80 (2012)
- Lee KH, "A measure of marital intimacy", J Korean Home Econ Assoc, 33(4), pp.235~249 (1995)
- Bakhtiyar K, "An investigation of the effects of infertility on women’s quality of life : a case-control study", BMC Womens Health, 19(1), pp.114~ (2019)
- Chachamovich JR, "Investigating quality of life and health-related quality of life in infertility : a systematic review", J Psychosom Obstet Gynecol, 31(2), pp.101~110 (2010)
- 김미옥, "난임 여성의 난임스트레스와 삶의 질과의 관계에서 성만족도의 조절효과 및 매개효과", 한국모자보건학회지, 20(2), pp.140~151 (2016), 한국모자보건학회[DOI]
- Krupp LB, "The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus", Arch Neurol, 46(10), pp.1121~1123 (1989)
- 정규인, "피로와 우울. 불안증 환자에서 Fatigue Severity Scale의 임상적 유용성", 정신신체의학, 9(2), pp.164~173 (2001), 한국정신신체의학회
- Henry JD, "The short-form version of the Depression Anxiety Stress Scales(DASS-21) : construct validity and normative data in a large non-clinical sample", Br J Clin Psychol, 44(Pt 2), pp.227~239 (2005)
- Boivin J, "Infertility-related stress in men and women predicts treatment outcome 1 year later", Fertil Steril, 83(6), pp.1745~1752 (2005)
- 김주희, "불임 여성의 삶의 질 모형 구축", Journal of Korean Academy of Nursing, 43(3), pp.312~320 (2013), 한국간호과학회
- Maroufizadeh S, "The effect of depression on quality of life in infertile couples : an actor-partner interdependence model approach", Health Qual Life Outcomes, 16(1), pp.73~ (2018)
- Li Y, "Resilience acts as a moderator in the relationship between infertility-related stress and fertility quality of life among women with infertility : a cross-sectional study", Health Qual Life Outcomes, 17(1), pp.38~ (2019)
- 황란희, "난임여성의 자아존중감, 신체상과 우울에 미치는 영향요인", 디지털융복합연구, 15(10), pp.537~549 (2017), 한국디지털정책학회[DOI]
- Murphy S, "Aging, fatigue, and fatigability : implications for occupational and physical therapists", Curr Geriatr Rep, 3(3), pp.135~141 (2014)
- Targum SD, "Fatigue as a residual symptom of depression", Innov Clin Neurosci, 8(10), pp.40~43 (2011)
- Cserepes RE, "Infertility specific quality of life and gender role attitudes in german and hungarian involuntary childless couples", Geburtshilfe Frauenheilkd, 74(11), pp.1009~1015 (2014)
- Donarelli Z, "The Fertility Quality of Life Questionnaire(FertiQoL)relational subscale : psychometric properties and discriminant validity across gender", Hum Reprod, 31(9), pp.2061~2071 (2016)
- 김미옥, "난임 치료 중인 여성의 결혼만족도에 영향을 미치는 요인", 한국모자보건학회지, 20(3), pp.228~238 (2016), 한국모자보건학회[DOI]