보조생식술을 받는 여성의 불확실성과 배우자 지지가 난임 관련 삶의 질에 미치는 영향
Effects of uncertainty and spousal support on infertility-related quality of life in women undergoing assisted reproductive technologies
0
조회
0
다운로드
15
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to investigate the effects of uncertainty and spousal support on infertility-related quality of life (QoL) in women undergoing assisted reproductive technologies. Methods: In this correlational survey study, 172 infertile women undergoing assisted reproductive technologies for infertility treatment at M hospital in Seoul participated. Data collection took place at the outpatient department of M hospital using a self-report questionnaire from July to August 2019. Data were analyzed using SPSS for Windows version 28.0. Results: The mean scores for uncertainty, spousal support, and infertility-related QoL were 28.35 (out of 50), 86.67 (out of 115), and 57.98 (out of 100), respectively. Infertility-related QoL was positively correlated with spousal support and negatively correlated with uncertainty. According to the regression analysis, infertility-related QoL was significantly affected by uncertainty, total number of assisted reproductive technology treatments, marriage duration, subjective health status, the financial burden of infertility testing, and the presence of a burdensome person. These variables had an explanatory power of 35.0% for infertility-related QoL. Conclusion: Uncertainty was an important factor influencing infertility-related QoL among women undergoing assisted reproductive technologies. It is necessary to develop and implement a nursing intervention program focused on reducing various forms of uncertainty during assisted reproductive procedures and to consider other factors affecting infertility-related QoL in the clinical setting.
Abstract
Purpose: The purpose of this study was to investigate the effects of uncertainty and spousal support on infertility-related quality of life (QoL) in women undergoing assisted reproductive technologies. Methods: In this correlational survey study, 172 infertile women undergoing assisted reproductive technologies for infertility treatment at M hospital in Seoul participated. Data collection took place at the outpatient department of M hospital using a self-report questionnaire from July to August 2019. Data were analyzed using SPSS for Windows version 28.0. Results: The mean scores for uncertainty, spousal support, and infertility-related QoL were 28.35 (out of 50), 86.67 (out of 115), and 57.98 (out of 100), respectively. Infertility-related QoL was positively correlated with spousal support and negatively correlated with uncertainty. According to the regression analysis, infertility-related QoL was significantly affected by uncertainty, total number of assisted reproductive technology treatments, marriage duration, subjective health status, the financial burden of infertility testing, and the presence of a burdensome person. These variables had an explanatory power of 35.0% for infertility-related QoL. Conclusion: Uncertainty was an important factor influencing infertility-related QoL among women undergoing assisted reproductive technologies. It is necessary to develop and implement a nursing intervention program focused on reducing various forms of uncertainty during assisted reproductive procedures and to consider other factors affecting infertility-related QoL in the clinical setting.
참고문헌 (30)
- "Strengthening medical and psychological support for infertile patients, pregnant women and mothers" (2018)[URL]
- Cousineau TM, "Psychological impact of infertility", Best Pract Res Clin Obstet Gynaecol, 21(2), pp.293~308 (2007)
- Hwang NM, "Unknown causes of infertile couple support projects and policy tasks", Health Welf Issue Focus, (313), pp.1~4 (2016)
- 김주희, "불임 여성의 삶의 질 모형 구축", Journal of Korean Academy of Nursing, 43(3), pp.312~320 (2013), 한국간호과학회
- 정유정, "보조생식술 받은 여성의 난임 관련 삶의 질에 미치는 영향 요인: 우울과 극복력 중심으로", 여성건강간호학회지, 23(2), pp.117~125 (2017), 한국여성건강간호학회
- 양소라, "난임 여성의 비합리적 부모신념, 외상 후 스트레스 장애, 배우자 지지가 삶의 질에 미치는 영향", 여성건강간호학회지, 23(2), pp.145~153 (2017), 한국여성건강간호학회
- Kang HS, "Experiences of infertile women in unsuccessful in vitro fertilization(IVF)", Korean J Women Health Nurs, 10(2), pp.119~127 (2004)
- Rooney KL, "The impact of stress on fertility treatment", Curr Opin Obstet Gynecol, 28(3), pp.198~201 (2016)
- 오영경, "젊은 유방암 환자의 불확실성이 삶의 질에 미치는 영향 : 부부친밀도의 매개효과를 중심으로", Journal of Korean Academy of Nursing, 48(1), pp.50~58 (2018), 한국간호과학회
- 김미옥, "난임 치료 중인 여성의 결혼만족도에 영향을 미치는 요인", 한국모자보건학회지, 20(3), pp.228~238 (2016), 한국모자보건학회[DOI]
- 이영희, "난임 여성의 난임 관련 삶의 질 영향 요인", 한국모자보건학회지, 23(3), pp.191~201 (2019), 한국모자보건학회[DOI]
- 황나미, "난임 여성의 우울에 영향을 미치는 요인 분석", 보건사회연구, 33(3), pp.161~187 (2013), 한국보건사회연구원[DOI]
- Maleki-Saghooni N, "Effectiveness of infertility counseling on pregnancy rate in infertile patients undergoing assisted reproductive technologies : a systematic review and meta-analysis", Int J Reprod Biomed(Yazd), 15(7), pp.391~402 (2017)
- Chachamovich JR, "Investigating quality of life and health-related quality of life in infertility : a systematic review", J Psychosom Obstet Gynaecol, 31(2), pp.101~110 (2010)
- 김지연, "여성의 연령이 체외수정시술 결과 및 난소혈류에 미치는 영향", Obstetrics & Gynecology Science, 51(4), pp.413~419 (2008), 대한산부인과학회
- Mishel MH, "Uncertainty in illness", Image J Nurs Sch, 20(4), pp.225~232 (1988)
- 김미옥, "불임 여성의 불확실성 측정도구 개발", 여성건강간호학회지, 16(4), pp.370~380 (2010), 한국여성건강간호학회
- Nam KS, "A study on the correlation between spouse support and the body image of female patients who have done mastectomy and hysterectomy", master, pp.1988
- Park MK, "A study on relationship between infertile female stress and husband support", master, pp.2007
- The WHOQOL GROUP, "The World Health Organization quality of life assessment(WHOQOL) : position paper from the World Health Organization", Soc Sci Med, 41(10), pp.1403~1409 (1995)
- Boivin J, "The Fertility Quality of Life(FertiQoL)tool : development and general psychometric properties", Fertil Steril, 96(2), pp.409~415.e3 (2011)
- Kim MO, "The effect of a mind-body therapeutic program for infertile women repeating IVF treatment on uncertainty, anxiety, and implantation rate", master, pp.2009
- Kiesswetter M, "Impairments in life satisfaction in infertility: Associations with perceived stress, affectivity, partnership quality, social support and the desire to have a child", Be-hav Med, pp.1~12 (2019)
- Lalos A, "The psychosocial impact of infertility two years after completed surgical treatment", Acta Obstet Gynecol Scand, 64(7), pp.599~604 (1985)
- "Guidelines for government support for infertility surgery in 2019 (revised in Jul 19)" (2019)[URL]
- Li J, "Effects of a mindfulness-based intervention on fertility quality of life and pregnancy rates among women subjected to first in vitro fertilization treatment", Behav Res Ther, 77, pp.96~104 (2016)
- Karabulut A, "Predictors of fertility quality of life(FertiQoL)in infertile women : analysis of confounding factors", Eur J Obstet Gynecol Reprod Biol, 170(1), pp.193~197 (2013)
- 박미라, "젊은 기혼 여성의 삶의 질에 영향을 미치는 요인 -국민건강영양조사 자료(2013-2015) 활용", 예술인문사회 융합 멀티미디어 논문지, 7(1), pp.451~458 (2017), 사단법인 인문사회과학기술융합학회[DOI]
- Matthiesen SM, "Stress, distress and outcome of assisted reproductive technology(ART) : a meta-analysis", Hum Reprod, 26(10), pp.2763~2776 (2011)
- 김윤선, "유방암 생존자의 삶의 질 영향요인", Asian Oncology Nursing, 11(3), pp.221~228 (2011), 대한종양간호학회