고령 임부의 인구 및 산과적 특성, 사회적지지, 산전우울과 건강관련 삶의 질: 35세 미만 임부와 비교
Demographic and Obstetric Characteristics, Social Support, Antenatal Depression, and Health-Related Quality of Life in Pregnant Women with Advanced Maternal Age: Compared with Pregnant Women Under 35 Years of Age
1
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
임부의 고령은 다양한 부정적 분만결과와 연관이 있다. 그동안 사회적지지, 산전우울, 건강관련 삶의 질과 임부의 산과적 합병증의 관련성에 대한 연구는 많이 있어 왔지만, 국내 고령임부를 대상으로 한 연구는 거의 없는 실정이다. 본 연구의 목적은 고령 임부와 35세 미만 임부군간 인구 및 산과적 특성, 사회적지지, 산전우울, 건강관련 삶의 질의 차이를 조사하는 것이다. 2016년 7월에서 9월에 국내 D, P시 세 곳의 여성병원 산전클리닉을 방문한 238명의 임부를 대상으로 구조화된 설문지를 통하여 사회적 지지, 산전우울과 건강관련 삶의 질을 측정하였다. 수집된 자료는 IBM SPSS Statistics 20.0을 이용하여 분석되었다. 고령 임부군과 35세 미만군의 사회적지지, 산전우울, 건강관련 삶의 질의 차이를 확인하기 위하여 Independent t-tes가 이용되었다. 고령임부군과 35세 미만 임부군의 학력(χ2=4.529, p=.033)과 분만경험((χ2=23.055, p<.001)에서 차이가 있었다, 그리고 35세 미만 임부군에 비해 고령 임부군의 사회적지지(t=2.353, p=.019)와 친구지지 점수(t=2.735, p=.007)가 낮았으며, 건강관련 삶의 질에서도 35세 미만 임부군에 비해 고령 임부군의 심리적, 사회적 관계, 환경적 삶의 질의 점수가 낮은 것으로 나타났다(각각 t=2.299, p=.022, t=2.363, p=.019, t=1.985, p=.048). 본 연구 결과는 고령임부의 산과적 합병증을 예방하기 위해서 사회적지지, 심리적, 사회관계적, 그리고 환경적 영역의 삶의 질 향상에 노력을 기울일 필요가 있음을 제시한다.
Abstract
Advanced maternal age (AMA) contributes to be associated with a range of adverse maternal and perinatal outcomes. Although there are many studies saying the relationships among social support, antenatal depression, health-related quality of life (HRQol), and obstetric complications in pregnant women, but little research focusing on pregnant women with AMA has been done in Korea. This study aimed to determine whether there are differences in demographic and obstetric characteristics, social support, antenatal depression, and HRQoL between pregnant women with AMA and pregnant women under 35 of age. Constructed questionnaires assessing social support, antenatal depression, and HRQoL were completed by 238 pregnant women attending prenatal clinics in D and P cities from July to September in 2016. The collected data were analyzed using IBM SPSS Statistics 20.0. Independent t-test was used to investigate the differences in social support, antenatal depression, and HRQoL between pregnant women with AMA and pregnant women under 35 of age groups. There were differences in education level(χ2=4.529, p=.033) and birth experience(χ2=23.055, p<.001) between pregnant women with AMA and pregnant women under 35 of age groups. And AMA women, compared to the under 35 women, had lower levels of total social support(t=2.353, p=.019) and friends support out of social support(t=2.735, p=.007), psychological, social relationships, environmental health out of HRQoL(t=2.299, p=.022, t=2.363, p=.019, t=1.985, p=.048, respectively). Based on these results, efforts to prevent obstetric complications in pregnancy with AMA might focus on improving friends support, psychological, social relationships, environmental health.
참고문헌 (21)
- "Korea National Statistics Office: 2015 Birth statistics" (2016)[URL]
- K. S. Joseph, "The perinatal effects of delayed childbearing", Obstetrics and Gynecology, 105, pp.1410~1418 (2005)
- S. Bewly, "Reproductive Ageing" (2009), RCOG Press
- H. Bayrampour, "Advanced maternal age and the risk of cesarean birth: a systematic review", Birth, 37, pp.219~226 (2010)
- E. H. Moon, "Anxiety-depression and maternal fetal attachment behaviors of pregnant women with preterm labor and normal pregnant women", Journal The Academic Society of Parent-Child Health, 9, pp.128~139 (2006)
- T. Field, "Sleep disturbance in depressed pregnant women and their newborns", Infant Behavior and Development, 30, pp.127~133 (2007)
- J. Dotlic, "Health related quality of life during pregnancy", HealthMED, 6, pp.990~996 (2012)
- S. K. Min, "Development of Korean Version of WHO Quality of Life Scale Abbreviated Version(WHOQOL-BREF)", Journal of Korean Neuropsychiatr Assoc, 39, pp.571~579 (2000)
- R. L. Goldenberg, "Pregnancy health status and the risk of preterm delivery", Arch Pediatr Adolesc Med, 159, pp.89~90 (2005)
- J. S. Haas, "Outcomes and health status of society disadvantaged women during pregnancy", Journal of Women’s Health Gend Based Med, 8, pp.547~553 (1999)
- M. Muzik, "Perinatal depression:Implications for child mental health", Ment Health Fam Med, 7, pp.239~247 (2010)
- L. Liu, "The effect of depression symptoms and social support on black-white differences in health-related quality of life in early pregnancy: the health status in pregnancy(HIP) study", Pregnancy and Childbirth, 13, pp.1471~2393 (2013)
- S. J. Lubinga, "Health-related quality of life and social support among women for abortion complications in western Uganda", Health and Quality of Life Outcomes, 11, pp.1~8 (2013)
- G. D. Zimet, "The Multidimensional scale of Perceived Social Support", Journal of Personality of Assessment, 52, pp.30~41 (1988)
- Y. K. Kim, "Risk factors for preterm birth among preterm labor: A prospective cohort study", Master, pp.2014
- J. L. Cox, "Detection of Postnatal Depression: Development of the 10-item Edinburgh Postnatal Depression Scale", The British Journal of Psychiatry, 150, pp.782~786 (1987)
- 한귀원, "한국어판 에딘버러 산후우울 척도 : 신뢰도와 타당도", 생물치료정신의학, 10(2), pp.201~206 (2004), 대한생물치료정신의학회
- M. Carolan, "Detection of Postnatal Depression: Doing it properly: The experience of first mothering over 35 years", Health Care for Women International, 26, pp.764~787 (2005)
- J. W. Rich-Edwards, "Sociodemographic predictors of antenatal and postpartum depressive symptoms among women in a medical group practice", J Epidemiol Community Health, 60, pp.221~227 (2006)
- J. Milgrom, "Antenatal risk factors for postnatal depression: A large prospective study", Journal Affective Disorders, 108, pp.147~157 (2008)
- J. Li, "Health-related quality of life among pregnant women with and without depression in Hubei, China", Maternal and Child Health Journal, 16, pp.1355~1363 (2012)