DOI QR코드

DOI QR Code

Influence of Marital Intimacy, Family Support, and Fatigue on the Stress of Pregnant Woman

임부 스트레스에 부부친밀도, 가족지지 및 피로가 미치는 영향

  • Kim, Miok (Department of Nursing, Namseoul University) ;
  • Yu, Mi (Department of Nursing, Namseoul University)
  • 김미옥 (남서울대학교 간호학과) ;
  • 유미 (남서울대학교 간호학과)
  • Received : 2013.12.11
  • Accepted : 2014.04.10
  • Published : 2014.04.30

Abstract

During pregnancy, the woman experiences physical and psycho-social changes. Such changes and other factors may become stress for the pregnant woman, making it difficult to maintain healthy and happy pregnant period. In this study, we identify factors for the stress, marital intimacy, family support, and fatigue, in order to provide the foundation for developing intervention programs and improve the quality of nursing. The subjects of there search were 185 pregnant women. Stress had a negative correlation with marital intimacy and family support, and positive correlation with fatigue. Family support, fatigue, adjustment to change due to pregnant, and breastfeeding experience were the influencing factors on the stress of pregnant women. A stress management program for pregnant women needs to be designed to help them with their physical and psychological adjustments. The program will be more effective when accompanied by the family support.

본 연구에서는 임부의 스트레스, 부부친밀도, 가족지지 및 피로 정도를 파악하고, 임신 중 스트레스에 영향을 미치는 요인을 확인함으로써 향후 임신으로 인한 신체적, 정신적 변화에 따른 적응을 돕는 간호중재프로그램의 기초자료를 제공하고자 시도되었다. 본 연구에 참여한 임부 185명의 부부친밀도와 가족지지 및 스트레스 정도는 각각 3.17점(점수범위 1~4), 4.97점(점수범위 1~6), 2.80점(점수범위 1~5)으로 중간이상의 점수를, 피로 정도는 3.01점(점수범위 1~4)으로 다소 높았다. 임부 스트레스 정도는 산과력, 임신 중 신체적, 심리적 변화에의 적응 정도, 태교 등 산전 정보의 출처에 따라 유의한 차이를 보였으며, 임부의 스트레스는 부부친밀도 및 가족 지지와는 부적 상관관계를, 피로와는 정적 상관관계를 나타내었다. 임부의 스트레스에 영향을 미치는 요인은 가족지지, 피로, 임신으로 인한 신체적, 정신적 변화에의 적응도 및 모유수유 경험 순으로 나타났다. 따라서 임부를 위한 스트레스관리프로그램은 임신으로 인한 신체적, 정신적 변화에 따른 적응을 도울 수 있도록 개발되어야 하며, 가족 지지를 촉진할 수 있는 프로그램 요소를 포함할 때 더욱 효과적일 것이다.

Keywords

References

  1. M. Chang., C. Chen, K. Huang. "Effects of music therapy on psychological health of women during pregnancy", Journal of Clinical Nursing, 17, pp. 2580-2587. 2008. DOI: http://dx.doi.org/10.1111/j.1365-2702.2007.02064.x
  2. A. C. Huizink, "Prenatal stress and its effects on infant development", Unpublished Doctoral Thesis, University Utrecht, The Netherlands, p.1-217. 2000.
  3. Van den Bergh BRH. Maternal emotions during pregnancy and fetal and neonatal behaviors. In: Nijhuis JG, editor. Fetal behaviour. Developmental and perinatal aspects, 851. Oxford: Oxford Univ. Press, p.311-335, 1992.
  4. S. I. Lee, "The affect of music appreciation type for pregnant women's mood and stress", Unpublished Master's Thesis, Sookmyung University, Seoul, 2008.
  5. J. Y. Park, "The Effects of Collage-Oriented Prenatal Art Therapy Program on the Stress of Pregnant Women". Unpublished Master's Thesis, Daegu University, Daegu, 2011.
  6. S. M. Bae, "A Study on Recognition of Pregnant Women's Prenatal Dance", Unpublished Master's Thesis, Kookmin University, Seoul. 2007.
  7. T. Field, M. Diego, M. Hernandez-Rief, S. Schanberg, C. Kuhn, R. Yando, D. Bendell, "Pregnancy anxiety and comorbid depression and anger: Effects on the fetus and neonate", Depression and Anxiety. Special Issue: Anxiety disorders in women, 17(3), pp. 140-151, 2003. DOI: http://dx.doi.org/10.1002%2Fda.10071 https://doi.org/10.1002%2Fda.10071
  8. J. Milgrom., P. I. McCloud, "Parenting stress and postnatal depression". Stress Medicine, 12(3), 177-186. DOI : http://dx.doi.org/10.1002/(SICI)1099-1700(199607) 12:3<177::AID-SMI699>3.0.CO;2-W
  9. H. J. Lee, "A Study on Pastoral Counselling for the Understanding and Healing of Women Depression", Unpublished Master's Thesis, Ehwa Womens University, Seoul, 2002.
  10. Elbourne D, Oakley, A, Chalmers, I. Social and psychological support during pregnancy. In: Chalmers I, Enkin M, Keirse mjnc, editors. Effective care in pregnancy and childbirth. Oxford: Oxford Univ. Press, p.221-236, 1989.
  11. E. J. H. Mulder, P. G., Robles de Medina, A.C. Huizink., B. R. H. Van den Bergh, J. K. Buitelaar, G. H. A. Visser, Prenatal maternal stress: effects on pregnancy and the (unborn) child. Early Human Development, 70, pp. 3-14. 2002. DOI: http://dx.doi.org/10.1016/S0378-3782(02)00075-0
  12. J. A. Jo., Y. H. Kim, "Mothers' Prenatal Environment, Stress During Pregnancy, and Children"s Problem Behaviors", Human Ecology Research, 11(2), pp. 44-62. 2007.
  13. S. Y. Kim, "Comparing of nutrient intake, living habits and pregnancy outcomes in stress degree of pregnant women", Unpublished Master's Thesis, Sungshin University, Seoul, 2010.
  14. M. K. Park, Y. S. Lee, "The relationship among stressful life events, maternal fetal attachment behaviors and childbirth variables during pregnancy", Journal of the Korean Society of Maternal and Child Health, 3(1) pp. 47-62. 1999.
  15. G. Latendresse, The interaction between chronic stress and pregnancy: preterm birth from a biobehavioral perspective. Journal of M DOI: http://dx.doi.org/10.1016%2Fj.jmwh.2008.08.001 https://doi.org/10.1016%2Fj.jmwh.2008.08.001
  16. H. J. Cho, K. Y. Choi, I. S. Lee, M. I. Park, J. Y. Na, K. Y. Lee, J. M. Lee, J. H. Kwon, "A study of predicting postpartum depression and the recovery factor from prepartum depression", Korean Journal of Perinatology, 115(3), pp.245-254, 2004.
  17. J. H. Kwon, A test of a vulnerability-stress model of prepartum depression. Korean Journal of Clinical Psychology, 15(1), pp.33-43, 1996.
  18. K. M. Paarlberg, A. J. Vingerhoets, J. Passchier., G. A. Dekker, H. P. van Geijn. "Psychosocial factors as predictors of maternal well-being and pregnancy-related complaints", Journal of Psychosomatic Obstetetrics & Gynaecology, 17, pp.93-102, 1996. DOI: http://dx.doi.org/10.3109/01674829609025669
  19. J. E. Raymond, "Creating a safety net: Women's experiences of antenatal depression and their identification of helpful community support and services during pregnancy", Midwifery, 25, pp.39-49, 2009. DOI: http://dx.doi.org/10.1016/j.midw.2007.01.005
  20. Y. M. Kim, The Art Program for the Fetal Education using the Color, Unpublished Master's Thesis, Konkuk University, Seoul, 2010
  21. J. H. Cho, "The study on effects of a prenatal care music to the embryo", Unpublished Master's Thesis, Kwan Dong University, Kangwon, 2008.
  22. H. S. Park, "A Study on the Application of Music for a Prenatal Education", Unpublished Master's Thesis, Sookmyung University, Seoul, 2005
  23. J. Y. Kim, "A study on the prenatal care program though rhythmic gymnastics with children's songs", Unpublished Master's Thesis, Chongshin University, Seoul, 2011.
  24. Y. Kim, "Research into the satisfaction level of prenatal ballet for pregnant woman", Unpublished Master's Thesis, Ehwa Womens University, Seoul, 2010.
  25. Cohen, J. Statistical power analysis for the behavioral sciences (2nd ed.), Hillsdale, NJ: Lawrence Earlbaum Associates, 1998.
  26. H. L. Ahn, An experimental study of the effects of husband's supportive behavior reinforcement education on stress relief of primigravidas. Journal of Korean Academy of Nursing, 15, pp. 5-16, 1985.
  27. E. M. Warring, J. R. Reddon, The measurement of intimacy in marriage: The warning intimacy questionnaire, Journal of Clinical Psychology, 39(1), pp.53-57, 1983. DOI : http://dx.doi.org/10.1002/1097-4679(198301)39:1< 53::AID-JCLP2270390110>3.0.CO;2-0
  28. S. N. Kim, "A structural model for quality of life in women having hysterectomies", Unpublished Doctoral Thesis, Yonsei University, Seoul, Korea, 1998.
  29. M. A. Curry, R. A. Campbell, & M. Christian, Validity and reliability testing of the prenatal psychosocial profile. Research in Nursing & Health, 17, pp.127-135, 1994. DOI: http://dx.doi.org/10.1002/nur.4770170208
  30. J. E. Yeun, "A comparison of perceptions and daily practices of taegyo between parents-to-be", Unpublished Master's Thesis, Yonsei University, Seoul, Korea, 2001.
  31. R. A. Milligan, P. Park, H. Kitzman, E. Lenz, Measuring women's fatigue during the postpartum period. Journal of Nursing Measurement, 5(1), pp.3-16, 1997.
  32. H. Yoshitake, "Relations between the symptoms and feelings of fatigue", Ergonomics, 14, pp.175-186, 1971. DOI: http://dx.doi.org/10.1080/00140137108931236
  33. L. C. Pugh, R. A. Milligan, "A Framework for the Study of Childbearing Fatigue", Advanced Nursing Science, 15(4), pp.60-70, 1993. DOI: http://dx.doi.org/10.1097/00012272-199306000-00007
  34. J. E. Song, "Predictors of postpartum fatigue between early and late postpartum period in parturient women - Divided by 3/4 weeks of postpartum period", Korean Journal of Women Health Nursing, 13(4), pp.299-309, 2007.
  35. M. E. Lee, Y. R. Kweon, "Psycho-social factors associated with depression in pregnant women", Journal of Korean Academy Psychiatric Mental Health Nursing, 20(3), pp.252-260, 2011. https://doi.org/10.12934/jkpmhn.2011.20.3.252
  36. Y. J, Kim, S. S, Lee, "The relation of maternal stress with nutrients intake and pregnancy outcome in pregnant women", Korean Journal of Nutrition, 41(8), pp.776-785, 2008.
  37. Y. S. Park. H. K. Lee, E. H. Lee, Y. R. Um, N. M. Kang, S. H. Lee, M. H. Hur, H. W. Kim, "A study on pregnant women's fatigue", Korean Journal of Women Health Nursing, 4(3), pp.429-440, 1998.
  38. H. W. Kim, Y. Y. Jung, "Influencing factors on antenatal depression", Korean Journal of Women Health Nursing, 16, pp.95-104, 2010. DOI: http://dx.doi.org/10.4069/kjwhn.2010.16.2.95
  39. B. Leigh, J. Milgrom, "Risk factors for antenatal depression, postnatal depression, and parenting stress", BMC Psychiatry, 8(24), pp.1-11, 2008. DOI: http://dx.doi.org/10.1186/1471-244X-8-24
  40. T. Holmes, R. Rache, The social readjustment scale, Journal of Psychosomatic Reproductive Medicine, 11, pp.213-218, 1967. DOI: http://dx.doi.org/10.1016/0022-3999(67)90010-4
  41. K. I. Mohammad, J. Gamble, D. K. Creedy. "Prevalence and factors associated with the develoment of antenatal and postnatal depression among Jordanian women", Midwifery, 27(6), pp. e238-245, 2011. DOI: http://dx.doi.org/10.1016/j.midw.2010.10.008 http://dx.doi.org/10.1016%2Fj.midw.2010.10.008
  42. S. K. Choi, S. Y. Ahn, J. C. Shin. D. G. Jang, "A clinical study of depressive symptoms during pregnancy", Korean Journal of Obstetrics and Gynecology, 52, pp.1102-1108, 2009.

Cited by

  1. Status and Influencing factors of health behavior in pregnant women in Yanbian area vol.16, pp.11, 2015, https://doi.org/10.5762/KAIS.2015.16.11.7863