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고위험 임부의 스트레스 대처 유형에 따른 임신 스트레스와 모-태아 애착

Pregnancy Stress and Maternal-Fetal Attachment by Coping Types among High-risk Pregnant Women

이윤주|유선민
간호과학연구소 (Research Institute of Nursing Science)|2023.07|글로벌 건강과 간호 (Global Health and Nursing)|제13권 제2호|pp. 78-88|DOI 10.35144/ghn.2023.13.2.78

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키워드

PregnancyPsychological stressMaternal-fetal relationsStress copingHigh-risk
주제분류간호학

초록

Purpose: This study aims to identify the coping styles of various high-risk mothers and differences in pregnancy stress and mother-fetal attachment according to the coping types. Methods: Participants included 125 pregnant women who visited the obstetrics and gynecology outpatient department or were admitted to the maternity-fetal intensive care unit. Data were collected through a self-report questionnaire covering pregnancy stress, mother-fetal attachment, coping, and general characteristics. The SPSS 27.0 program was used to analyze the data. Coping types were analyzed using cluster analysis, and differences in pregnancy stress and fetal attachment between groups were analyzed using the T-test and the Mann-Whitney U test. Results: High-risk pregnant women scored 2.65±0.63, 3.13±0.43, and 1.37±0.33 for pregnancy stress, fetal attachment, and coping, respectively. Cluster analysis revealed two coping types. The high-coping group used four more coping strategies than the low-coping group. Pregnancy stress (t=2.028, p=.045) and fetal attachment (U=-1442.000, p=.012) were higher and lower, respectively, in the low-coping group than in the high-coping group. Conclusion: To reduce stress and strengthen fetal attachment in high-risk pregnant women, it is helpful to actively use various coping strategies, depending on the situation. Therefore, coping skill training should be provided to high-risk pregnant women so that they have the ability to use various coping strategies rather than only specific coping strategies.

Abstract

Purpose: This study aims to identify the coping styles of various high-risk mothers and differences in pregnancy stress and mother-fetal attachment according to the coping types. Methods: Participants included 125 pregnant women who visited the obstetrics and gynecology outpatient department or were admitted to the maternity-fetal intensive care unit. Data were collected through a self-report questionnaire covering pregnancy stress, mother-fetal attachment, coping, and general characteristics. The SPSS 27.0 program was used to analyze the data. Coping types were analyzed using cluster analysis, and differences in pregnancy stress and fetal attachment between groups were analyzed using the T-test and the Mann-Whitney U test. Results: High-risk pregnant women scored 2.65±0.63, 3.13±0.43, and 1.37±0.33 for pregnancy stress, fetal attachment, and coping, respectively. Cluster analysis revealed two coping types. The high-coping group used four more coping strategies than the low-coping group. Pregnancy stress (t=2.028, p=.045) and fetal attachment (U=-1442.000, p=.012) were higher and lower, respectively, in the low-coping group than in the high-coping group. Conclusion: To reduce stress and strengthen fetal attachment in high-risk pregnant women, it is helpful to actively use various coping strategies, depending on the situation. Therefore, coping skill training should be provided to high-risk pregnant women so that they have the ability to use various coping strategies rather than only specific coping strategies.

참고문헌 (36)

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