여성건강간호학회지 (Women's Health Nursing)

  • 제26권4호
  • /
  • Pages.346-357
  • /
  • 2020
  • /
  • 3022-7666(pISSN)
  • /
  • 3022-8247(eISSN)
한국여성건강간호학회 (Korean Society of Women Health Nursing)
권호 표지
DOI QR코드

DOI QR Code

임신 여성의 적응에 관한 Giorgi의 기술적 현상학 연구

Adaptation in pregnant women: a descriptive phenomenological study using Giorgi's approach

  • 고민선 (경동대학교 간호대학) ;
  • 김지순 (우송대학교 보건복지대학교 간호학과) ;
  • 안숙희 (충남대학교 간호대학)
  • 투고 : 2020.09.01
  • 심사 : 2020.11.26
  • 발행 : 2020.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This descriptive phenomenological study aimed to explore the lived experience and meaning of pregnant women's adaptation. Methods: Ten pregnant women from an ongoing Pregnant Couples' Cohort Study agreed to participate in this study. The data were collected through telephone in-depth interviews regarding what they experienced and felt about pregnancy adaptation. The qualitative data were analyzed using Giorgi's method of descriptive phenomenology. Results: Five core situation components were extracted from the raw data, along with 12 themes and 33 focal meanings. The five core situations were 1) first recognizing the pregnancy, 2) pregnancy-related changes, (3) the upcoming birth, 4) the postpartum period, and 5) parenting. The 12 themes were as follows: "anxiety, pressure, and embarrassment due to pregnancy," "efforts to adapt to physical changes," "efforts to adapt to the psychological difficulties of pregnancy," "efforts to adapt to the financial burden and role changes caused by pregnancy," "connecting with the fetus," "adapting to a new marital relationship centering on the baby," "the frustration of childbirth," "fear of childbirth," "postpartum care, need help with lactation planning," "parenting beyond what I imagined," "dad's willingness to participate in parenting," and "career disconnect and consideration of workplace needs." Conclusion: We identified that pregnant women experience adaptation in physical, psychological, relational, and social aspects. The thematic clusters identified can be used to develop nursing interventions to promote women's adaptation to pregnancy.

키워드

참고문헌

  1. Mercer RT. Becoming a mother versus maternal role attainment. J Nurs Scholarsh. 2004;36(3):226-232. https://doi.org/10.1111/j.1547-5069.2004.04042.x
  2. Jackson B, Kiehl EM. Adaptation and resilience in African American mothers. SAGE Open Nurs. 2017;3:1-11. https://doi.org/10.1177/2377960817701137
  3. Kwee J, McBride H, Rossen L. Quality maternal health care from the voices of childbearing women: factors that optimize and disturb wellbeing. J Prenat Perinat Psychol Health. 2020;34(3):171-190.
  4. Ozturk M, Surucu SG, Ozel TE, Inci H. Evaluation to adaptation of motherhood in postpartum period. LIFE: Int J Health Life Sci. 2017;3(2):65-76. https://doi.org/10.20319/lijhls.2017.32.6576
  5. Prinds C, Hvidt NC, Mogensen O, Buus N. Making existential meaning in transition to motherhood-a scoping review. Midwifery. 2014;30(6):733-741. https://doi.org/10.1016/j.midw.2013.06.021
  6. Darvill R, Skirton H, Farrand P. Psychological factors that impact on women's experiences of first-time motherhood: a qualitative study of the transition. Midwifery. 2010;26(3):357-366. https://doi.org/10.1016/j.midw.2008.07.006
  7. Seefat-van Teeffelen A, Nieuwenhuijze M, Korstjens I. Women want proactive psychosocial support from midwives during transition to motherhood: a qualitative study. Midwifery. 2011;27(1):e122-e127. https://doi.org/10.1016/j.midw.2009.09.006
  8. Kim KW, Baik SH, Jeong GH. Development and evaluation of multilingual education materials to promote immigrant women's adaptation to pregnancy. Korean J Women Health Nurs. 2014;20(4):235-245. https://doi.org/10.4069/kjwhn.2014.20.4.235
  9. Kim SH, Cho Chung HI. Adaptation to motherhood in Central Asian-Korean immigrants to Korea: a grounded theory study. J Korean Acad Nurs. 2019;49(6):677-689. https://doi.org/10.4040/jkan.2019.49.6.677
  10. Kim Y, Cho KC. Effects of the culturally sensitive education of perinatal care on knowledge, skills, and self-efficacy among Korean husbands and Vietnamese wives. Child Health Nurs Res. 2017;23(4):515-524. https://doi.org/10.4094/chnr.2017.23.4.515
  11. Lee E. The influencing factors on prenatal self-care behavior among pregnant women. AJMAHS. 2018;8(5):639-651. https://doi.org/10.21742/AJMAHS.2018.05.41
  12. Todres L, Holloway I. Descriptive phenomenology: life-world as evidence. In: Rapport F, editor. New qualitative methodologies in health and social care research. London: Routledge;2004. p. 99-118.
  13. Giorgi A. The descriptive phenomenological psychological method. J Phenomenol Psychol. 2012;43(1):3-12. https://doi.org/10.1163/156916212X632934
  14. Giorgi A. The descriptive phenomenological method in psychology: a modified Husserlian approach. Pittsburgh (PA):Duquesne University Press; 2009.
  15. Giorgi A. The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure. J Phenomenol Psychol. 1997;28(2):235-260. https://doi.org/10.1163/156916297X00103
  16. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responsive and natu-ralistic approaches San Francisco: Jossey-Bass Publishers;1981.
  17. Sandelowski M. The problem of rigor in qualitative research. ANS Adv Nurs Sci. 1986;8(3):27-37. https://doi.org/10.1097/00012272-198604000-00005
  18. Parfitt Y, Ayers S. Transition to parenthood and mental health in first-time parents. Infant Ment Health J. 2014;35(3):263-273. https://doi.org/10.1002/imhj.21443
  19. Aber C, Weiss M, Fawcett J. Contemporary women's adaptation to motherhood: the first 3 to 6 weeks postpartum. Nurs Sci Q. 2013;26(4):344-351. https://doi.org/10.1177/0894318413500345.
  20. Kim EH, Rhee SH, Lee WK, Kim M, Doh HS. A grounded theory study on first-time pregnant couples' adaptation processes to parenthood. Korean J Fam Soc Welfare. 2017;22(1):1-39. https://doi.org/10.13049/kfwa.2017.22.1.1
  21. Baek SJ, Nam JA, Seo EY, Kwon SY, Lee CH, Choi KS. Antenatal depressive symptoms and associated risk factors among pregnant women. J Korean Neuropsychiatr Assoc. 2019;58(4):346-52. https://doi.org/10.4306/jknpa.2019.58.4.346
  22. Barton K, Redshaw M, Quigley MA, Carson C. Unplanned pregnancy and subsequent psychological distress in partnered women: a cross-sectional study of the role of relationship quality and wider social support. BMC Pregnancy Childbirth. 2017;17(1):44. https://doi.org/10.1186/s12884-017-1223-x
  23. Dencker A, Nilsson C, Begley C, Jangsten E, Mollberg M, Patel H, et al. Causes and outcomes in studies of fear of childbirth: a systematic review. Women Birth. 2019;32(2):99-111. https://doi.org/10.1016/j.wombi.2018.07.004
  24. Molgora S, Fenaroli V, Prino LE, Rollè L, Sechi C, Trovato A, et al. Fear of childbirth in primiparous Italian pregnant women: the role of anxiety, depression, and couple adjustment. Women Birth. 2018;31(2):117-123. https://doi.org/10.1016/j.wombi.2017.06.022
  25. Mulherin K, Johnstone M. Qualitative accounts of teenage and emerging adult women adjusting to motherhood. J Reprod Infant Psychol. 2015;33(4):388-401. https://doi.org/10.1080/02646838.2015.1042963
  26. Moraes CJ, Granato TM. Becoming a father: an integrative review of the literature on transition to fatherhood. Psicol Estud. 2016;21(4):557-567. https://doi.org/10.4025/psicolestud.v21i4.29871
  27. Nesporova O. Hazy transition to fatherhood: the experiences of Czech fathers. J Fam Issues. 2019;40(2):143-166. https://doi.org/10.1177/0192513X18806028
  28. Baldwin S, Malone M, Sandall J, Bick D. Mental health and wellbeing during the transition to fatherhood: a systematic review of first time fathers' experiences. JBI Database System Rev Implement Rep. 2018;16(11):2118-2191. https://doi.org/10.11124/JBISRIR-2017-003773