본문 바로가기
KERD
논문KCI 등재

임신성 당뇨병 임부의 정서명확성과 모성정체성 및 태아애착과의 관계

Relationship among Emotional Clarity, Maternal Identity, and Fetal Attachment in Pregnant Women with Gestational Diabetes Mellitus

0

조회

0

다운로드

7

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: The purpose of this study was to examine the relationship among emotional clarity in emotional intelligence, maternal identity, and fetal attachment to measure how emotional clarity and maternal identity impact on fetal attachment and to determine mediating effects of maternal identity in pregnant women at the time of diagnosis with gestational diabetes mellitus (GDM). Methods: This study used a correlational survey design. 88 pregnant women with GDM completed a study questionnaire of emotional clarity, maternal identity, and fetal attachment immediately after the diagnosis of GDM. Data were analyzed Mann-Whitney U test, and ANOVA with Duncan test, Pearson correlation, three-step regressions to test mediating effect, and Sobel test. Results: The emotional clarity was positively related with maternal identity and fetal attachment. It affected maternal identity with 21.9% of explained variance. The emotional clarity and the maternal identity were significant predictors of fetal attachment by 57.7% of explained variance. The maternal identity mediated the relationship between emotional clarity and fetal attachment. Conclusion: The results suggest that a nursing program to enhance the emotional clarity and the maternal identity needs to be developed as an effective strategy to improve fetal attachment.

Abstract

Purpose: The purpose of this study was to examine the relationship among emotional clarity in emotional intelligence, maternal identity, and fetal attachment to measure how emotional clarity and maternal identity impact on fetal attachment and to determine mediating effects of maternal identity in pregnant women at the time of diagnosis with gestational diabetes mellitus (GDM). Methods: This study used a correlational survey design. 88 pregnant women with GDM completed a study questionnaire of emotional clarity, maternal identity, and fetal attachment immediately after the diagnosis of GDM. Data were analyzed Mann-Whitney U test, and ANOVA with Duncan test, Pearson correlation, three-step regressions to test mediating effect, and Sobel test. Results: The emotional clarity was positively related with maternal identity and fetal attachment. It affected maternal identity with 21.9% of explained variance. The emotional clarity and the maternal identity were significant predictors of fetal attachment by 57.7% of explained variance. The maternal identity mediated the relationship between emotional clarity and fetal attachment. Conclusion: The results suggest that a nursing program to enhance the emotional clarity and the maternal identity needs to be developed as an effective strategy to improve fetal attachment.

참고문헌 (30)

  1. Korean Diabetes Association, "Standards of medical care in diabetes", Korean Diabetes Association, 244~ (2015)
  2. Koo BK, "Prevalence of gestational diabetes mellitus in Korea: A national health insurance database study", PLoS One, 11(4), pp.e0153107~ (2016)
  3. 강희선, "임신중당뇨병 임부의 유병률 및 의료이용 추이", 한국모자보건학회지, 14(2), pp.170~180 (2010), 한국모자보건학회
  4. Daniells S, "Gestational diabetes mellitus: Is a diagnosis associated with an increase in maternal anxiety and stress in the short and intermediate term?", Diabetes Care, 26(2), pp.385~389 (2003)
  5. Rumbold AR, "Women's experiences of being screened for gestational diabetes mellitus", The Australian and New Zealand Journal of Obstetrics and Gynaecology, 42(2), pp.131~137 (2002)
  6. Lustman PJ, "Depression in diabetic patients : The relationship between mood and glycemic control", Journal of Diabetes and Its Complications, 19(2), pp.113~122 (2005)
  7. 김희숙, "임신성 당뇨병 임부를 위한 통합 자가관리 프로그램 개발과 운영평가", 한국모자보건학회지, 17(1), pp.1~14 (2013), 한국모자보건학회
  8. Baghdari N, "The effects of pregnancy-adaptation training on maternal-fetal attachment and adaptation in pregnant women with a history of baby loss", Nursing and Midwifery Studies, 5(2), pp.e28949~ (2016)
  9. 권미경, "임신 중 스트레스, 우울과 모-태아 애착 및 태아체중의 상관관계", Journal of Korean Academy of Nursing, 41(2), pp.276~283 (2011), 한국간호과학회
  10. Mercer RT, "Nursing theorists and their work", pp.465~476 (2002), Mosby
  11. Shin H, "Maternal sensitivity : A concept analysis", Journal of Advanced Nursing, 64(3), pp.304~314 (2008)
  12. Rasmussen B, "Psychosocial issues of women with type 1 diabetes transitioning to motherhood : A structured literature review", BMC Pregnancy and Childbirth, 23(13), pp.218~ (2013)
  13. Salovey P, "Emotion, disclosure, and health", pp.125~154 (1995), American Psychological Association
  14. Lee SJ, "The research on the validation of the trait metamood scale : The domain exploration of the emotional intelligence", Korean Journal of Social and Personality Psychology, 11(1), pp.95~116 (1997)
  15. Goldman SL, "Beliefs about mood moderate the relationship of stress to illness and symptom reporting", Journal of Psychosomatic Research, 41(2), pp.115~128 (1996)
  16. 김미현, "성인 애착과 정서 인식과의 관계 -정서 명확성, 정서 개선을 중심으로-", Journal of The Korean Data Analysis Society, 10(6), pp.3145~3156 (2008), 한국자료분석학회
  17. Zysberg L, "Emotional intelligence and glycemic management among type I diabetes patients", Journal of Health Psychology, 22(2), pp.158~163 (2017)
  18. Yalcin BM, "The effects of an emotional intelligence program on the quality of life and wellbeing of patients with type 2 diabetes mellitus", The Diabetes Educator, 34(6), pp.1013~1024 (2008)
  19. Maher H, "What it feels like to be me : Linking emotional intelligence, identity, and intimacy", Journal of Adolescence, 56, pp.162~165 (2017)
  20. Kim HW, "Development of a maternal identity scale for pregnant women", Journal of Korean Academy of Nursing, 26(3), pp.531~543 (1996)
  21. Chang SB, "Changes of maternal-fetal attachment and self-efficacy for delivery after Taegyo-perspective parental class", Korean Journal of Women Health Nursing, 7(1), pp.7~17 (2001)
  22. Baron RM, "The moderator-mediator variable distinction in social psychological research : Conceptual, strategic, and statistical considerations", Journal of Personality and Social Psychology, 51(6), pp.1173~1182 (1986)
  23. Park JE, "Effective education strategies for women with gestational diabetes mellitus", Journal of Korean Diabetes, 13(3), pp.148~151 (2012)
  24. 김희숙, "통합 자가관리 프로그램이 임신성 당뇨병 임부의 자가관리, 혈당 및 모성 정체성에 미치는 효과", Journal of Korean Academy of Nursing, 43(1), pp.69~80 (2013), 한국간호과학회
  25. 손희진, "조기진통 임부의 조기진통스트레스, 태아애착과 모성역할자신감의 관계", 한국모자보건학회지, 18(1), pp.86~96 (2014), 한국모자보건학회[DOI]
  26. Devsam BU, "An interpretive review of women's experiences of gestational diabetes mellitus: Proposing a framework to enhance midwifery assessment", Women and Birth, 26(2), pp.e69~e76 (2013)
  27. Yarcheski A, "A meta-analytic study of predictors of maternal-fetal attachment", International Journal of Nursing Studies, 46(5), pp.708~715 (2009)
  28. 임전옥, "정서인식의 명확성,정서조절양식과 심리적 안녕의 관계", 한국심리학회지: 상담 및 심리치료, 15(2), pp.259~275 (2003), 한국상담심리학회
  29. 양경미, "태교 프로그램이 초임 부부의 부모-태아 애착과 부모의 정체성에 미치는 효과", Journal of Korean Academy of Nursing, 40(4), pp.571~579 (2010), 한국간호과학회
  30. 백은숙, "임신성당뇨병 임부에 대한 사례관리 프로그램이 자기효능감, 우울 및 불안에 미치는 효과", 여성건강간호학회지, 19(2), pp.88~98 (2013), 한국여성건강간호학회

관련 논문AI추천

이 간행물의 다른 논문 (8건)