난임한방진료시범사업에 참가한 여성의 스트레스 양상에 대한 연구
The Study of Infertility Stress of Female Participating in Korean Medicine Pilot Program for Subfertility
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초록
목적 : 이 연구의 목적은 불임 여성의 정신적 스트레스의 특성을 파악하고 한방 불임치료 과정 중 스트레스 관리 방안을 제안하는 것이다. 방법 : 한방난임시범사업에 참가한 여성을 대상으로 불임 스트레스 척도와 인터뷰를 진행하였다. 결과 : 불임 여성의 스트레스 척도는 2.24점으로 나타났다. 심층 인터뷰시 불임 스트레스는 개인적 측면과 관계적 측면으로 나타났다. 결론 : 불임클리닉에서 진료하는 의사들은 불임 여성의 스트레스에 대해 숙고하고 스트레스를 완화시킬 수 있는 방법을 생각해야 한다.
Abstract
Objectives: The purpose of this study is to elucidate infertility women's experience in psychological stress and to suggest effective infertility stress management methods. Methods: Twenty five infertility women who participate in Korean Medicine Pilot Project for Infertility completed questionnaires and Infertility Stress Scale, also, we have interviewed. Results: The Mean degree of stress of the infertile women was 2.24 point with Infertility Stress Scale. In focused interview, the infertility stress was considered to be within the aspects of intra and interpersonal. In regards to intrapersonal aspect, infertility women described the grief with lowered self-esteem and anxiety with obsession for fertility. As for the interpersonal aspect, infertility women were distressed by the relationship with spouse and in-laws, as well as friend and the public. Conclusions: Doctors in infertility clinic need to consider infertility stress of their patients and conduct effective intervention.
참고문헌 (25)
- Evaluation of the National Supporting Program for Infertility Couples and Future Policy Directions in Korea, "Hwang NM", Korea Institute for Health and Social Affairs, 35~36 (2010)
- Schneider MG, "Associations of psychosocial factors with the stress of infertility treatment", Health Soc Work, 30(3), pp.183~191 (2005)
- 김라현, "한국의 보조생식술을 시행 받은 불임환자들의 상담실태에 대한 조사", Obstetrics & Gynecology Science, 54(10), pp.611~617 (2011), 대한산부인과학회
- Kim SH, "A Study on the Development of an Infertility Stress Scale", Korean J Women Health Nurs, 25(1), pp.141~155 (1995)
- Han SY, "Stress coping strategies : The effects of situational factors on coping", The Korean J Health Psycho, 6(2), pp.123~143 (2001)
- Sbaragli C, "Infertility and psychiatric morbidity", Fertil Steril, 90(6), pp.2107~2111 (2008)
- Verhaak CM, "Women's emotional adjustment to IVF : a systematic review of 25 years of research", Hum Reprod Update, 13(1), pp.27~36 (2007)
- Domar AD, "The psychological impact of infertility : a comparison with patients with other medical conditions", J Psychosom Obstet Gynaecol, 14, pp.45~52 (1993)
- Slade P, "The relationship between perceived stigma, disclosure patterns, support and distress in newattendees at an infertility clinic", Hum Reprod, 22(8), pp.2309~2317 (2007)
- Wichman CL, "Comparison of multiple psychological distress measures between men and women preparing for in vitro fertilization", Fertil Steril, 95(2), pp.717~721 (2011)
- Ebbesen SM, "Stressful life events are associated with a poor in-vitro fertilization(IVF)outcome : a prospective study", Hum Reprod, 24, pp.2173~2182 (2009)
- Lancastle D, "Dispositional optimism, trait anxiety, and coping:unique or shared effects on biological response to fertility treatment?", Health Psychol, 24, pp.171~178 (2005)
- Blenner JL, "Passage through infertility treatment : a stage theory", Image J Nurs Sch, 22(3), pp.153~158 (1990)
- Pasch LA, "Psychological distress and in vitro fertilization outcome", Fertil and Steril, 98(2), pp.459~464 (2012)
- Verhaak CM, "A longitudinal, prospective study on emotional adjustment before, during and after consecutive fertility treatment cycles", Hum Reprod, 20(8), pp.2253~2260 (2005)
- Park YJ, "The stress of the infertile women", Korean J Women Health Nurs, 1(2), pp.244~259 (1995)
- Domar AD, "The prevalence and predictability of depression in infertile women", Fertil Steril, 58(6), pp.1158~1163 (1992)
- Berg BJ, "Psychological functioning across stages of treatment for infertility", J Behav Med, 14(1), pp.11~26 (1991)
- Gourounti K, "Perception of control, coping and psychological stress of infertile women undergoing IVF", Reprod Biomed Online, 24(6), pp.670~679 (2012)
- Dhaliwal LK, "Psychological aspects of infertility due to various causes-prospective study", Int J Fertil Womens Med, 49(1), pp.44~48 (2004)
- Broeck U, "Predictors of psychological distress in patients starting IVF treatment : infertilityspecific versus general psychological characteristics", Hum Reprod, 25(6), pp.1471~1480 (2010)
- Martins MV, "Direct and indirect effects of perceived social support on women's infertility-related stress", Hum Reprod, 26(8), pp.2113~2121 (2011)
- Newton C, "The fertility problem inventory : measuring perceived infertility related stress", Fertil Steril, 72(1), pp.54~62 (1999)
- Domar AD, "A prospective investigation into the reasons why insured United States patients drop out of in vitro fertilization treatment", Fertil Steril, 94, pp.1457~1459 (2010)
- Eisenberg ML, "Predictors of not pursuing infertility treatment after an infertility diagnosis: examination of a prospective U.S. cohort", Fertil Steril, 94(6), pp.2369~2371 (2010)