선천성 심장병 태아를 임신한 임부의 모-태아 애착 및 관련 요인
Factors associated with Maternal-fetal Attachment of Expectant Mothers Whose Fetus Has a Prenatal Diagnosis of Congenital Heart Disease
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본 연구는 선천성 심장병을 가진 태아를 임신한 임부의 모-태아애착관계를 이해하기 위해 초음파에서 정상 태아 소견을 보인 임부와 비교하고, 모-태아 애착과 관련된 요인을 확인하기 위하여 시행되었다. 본 연구 결과에 의하면 선천성 심장병 태아를 임신한 임부의 모-태아 애착은 정상 임부의 애착과 비교하여 유의한 차이가없었다. 태아가 선천성 심장병이 있다는 것 자체는 임부와 태아 사이의 애착과 유의한 관계가 없었으며, 배우자의 사회적 지지가 유의한 요인으로 확인되었다. 즉, 본 연구의 결과에 의하면 태아의 선천성 심장병 유무와 관계없이 배우자의 지지가 애착관계 형성에가장 중요한 관련 변수이다.
Abstract
Purpose: The main purposes of this study were to assess maternal-fetal attachment (MFA) of the expectant mothers of a fetus with a prenatal diagnosis of congenital heart disease (CHD) and to identify factors associated with MFA. Methods: The methodology was a cross sectional survey study using a self-administered questionnaire. Thirty pregnant women carrying a fetus with a prenatal diagnosis of CHD and 30 pregnant women with a normal fetus were enrolled in this study. The MFA Scale and PPS (The Prenatal Psychosocial Profile) were used to collect data. Data were analyzed using SPSS 20.0 Window version. Descriptive statistics, χ2-test and t-test were used to compare the two groups. The factors associated with MFA were identified by multiple regression analysis. Results: There was no significant difference between the two groups in MFA and social support from spouse was the only variable showing a significant difference. The model from the multiple regression analysis explained 33.8% of MFA for both groups. Conclusion: MFA of expectant mothers with a prenatal diagnosis of CHD and of mothers with a normal fetus were not significantly different. It is important that health care providers encourage expectant fathers to support the expectant mothers to increase MFA.
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