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임부의 자아통제감과 우울이 불안에 미치는 영향

Effects of Sense of Self-Control and Depression on Pregnant Women's State-Anxiety

  • 황란희 (광주여자대학교 간호학과)
  • 투고 : 2019.10.11
  • 심사 : 2020.03.20
  • 발행 : 2020.03.28

초록

본 연구의 목적은 임부의 자아통제감, 우울 및 불안 정도를 측정하고 그 변수들 간의 관계를 규명하며, 불안에 영향을 미치는 요인을 파악하는데 있다. 본 연구는 160명의 임부를 대상으로 자료를 수집하여, 분석은 t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, Stepwise Regression Analysis를 이용하였다. 대상자의 자아통제감은 평균 20.49±3.49점으로, 가족구성원의 수입에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 우울은 평균 6.71±4.76점으로, 직업 유무, 시댁식구와 동거여부 및 계획된 임신여부에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 불안은 평균 39.59±8.56점으로, 연령, 분만경험에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 불안은 우울과 정적 상관관계가 있는 것으로 나타났고, 자아통제감과는 부적 상관관계가 있는 것으로 나타났으며, 우울과 자아통제감과는 부적 상관관계가 있는 것으로 나타났다. 임부의 불안에 영향을 주는 요인은 자아통제감, 우울, 분만 경험이 없는 경우이었다. 본 연구결과는 산전관리 시 임부의 자아통제감과 산전우울 정도를 사정하고, 이를 근거로 임부의 불안 완화를 위한 간호중재개발 및 적용의 필요성을 제시한다.

This purpose of this study was to investigate sense of self-control, depression and factors influencing on state-anxiety in pregnant women and to identify factors influencing state-anxiety. Data were collected 160 pregnant women. Data were analyzed using ANOVA, t-test, Scheffe's test, Pearson's correlation coefficient, Stepwise Regression Analysis. There was statistically significant difference in sense of self-control on variable such as income. There were statistically significant difference in depression on variables such as occupation, living together with family-in-laws, planned pregnancy. There were statistically significant difference in state-anxiety on variables such as age, history of childbirth. State-anxiety was positively correlated with depression. State-anxiety was negatively correlated with sense of self-control. Depression was negatively correlated with sense of self-control. Factor influencing State-anxiety were sense of self-control, depression and history of childbirth, which explained 51.4%. Therefore, prenatal management programs need to be developed giving consideration to the emotional change in order to promote psychological stability in the pregnant women.

키워드

참고문헌

  1. R. T. Mercer, & L. O. Walker. (2006). A review of nursing interventions foster becoming a mother. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 35(5), 568-582. https://doi.org/10.1111/j.1552-6909.2006.00080.x
  2. R. T. Mercer. (1995). Becoming a mother. New York: Springer.
  3. A. Yarcheski, N. E. Mahon, T. J. Yarcheski, M. M. Hanks, & B. L. Cannella. (2009). A meta-analytic study of predictors of maternal- fetal attachment. International Journal of Nursing Studies, 46, 708-715. http://dx.doi.org/10.1016/j.ijnurstu.2008.10.013
  4. L. I. Pearlin, M.A. Lieberman, E. G. Menaghan, & J. T. Mullan. (1981). The stress process. Journal of Health and Social Behavior, 22, 337-356. https://doi.org/10.2307/2136676
  5. L. I. Pearlin & K. Schooler. (1978). The structure of coping. Journal of Health and Social Behavior, 19, 2-21. https://doi.org/10.2307/2136319
  6. A. Bandura. (1997). Self-efficacy: The excise of control. New York: Worth Publishers.
  7. H. J. Cho, & J. H. Kwon. (2002). A test of the Attachment Model of Prepartum Depression. Korean Journal of Clinical Psychology, 21(4), 727-744.
  8. E. S. Oh. (2005). The Effects of Postpartum Depression on the Development of Children. Korean Journal of Pediatrics, 48(5), 469-478.
  9. R. T. Mercer, S. Ferketich, K.S. May, J. DeJoseph, & D. Solid. (1988). Futher exploration of maternal and paternal fetal attachment, Research in Nursing and Health, 11, 83-95. https://doi.org/10.1002/nur.4770110204
  10. H. Wee, & S. Y. Park. (2012). The Relationships between Anxiety, Depression, Prenatal Stress, Maternal-Fetal Attachment and Gratitude. Journal of the Korean Society of Maternal and Child Health, 16(2), 274-286. DOI :10.21896/jksmch.2012.16.2.274
  11. J. H. Kang. (1980). A Study on Fear and nxiety of Pregnant Women The process of having baby including pregnancy, labor and birth. Master's thesis, Yonsei University, Seoul. Korea. https://doi.org/10.4040/jnas.1980.10.2.1
  12. H. Light & C. Fenster. (1974). Maternal concerns during pregnancy. American Journal ofObstetrics & Gynecology, 118(1), 46-50. https://doi.org/10.1016/s0002-9378(16)33644-4
  13. I. S. Lee & Y. S. Park. (1996). A study on pregnant women's health cognition and self care. The Seoul Journal of Nursing, 10(1), 11-24.
  14. R. P. Lederman. (1984). Psychology adaptation in pregnancy. Englewood Cliffs, N. J., Prentice-Hall Inc.
  15. R. H. Hwang. (2005). A Study on the Relationship Between State Anxiety and Maternal Fetal Attachment of Unmarried Mothers in a Welfare Center. Korean Journal of Women Health Nursing, 11(3), 218-224. https://doi.org/10.4069/kjwhn.2005.11.3.218
  16. R. H. Hwang. (2013). Relationship Between Maternal Fetal Attachment and State Anxiety of Pregnant Women in the Preterm Labor. Korean Journal of Women Health Nursing, 20(2), 42-152. DOI : 0.4069/kjwhn.2013.19.3.142
  17. M. Kim. (2014). Stress, Depression, and Fetal Attachment in Pregnant Women having Infertility Treatments. Korean Journal of Women Health Nursing, 20(2), 163-172. DOI : 10.4069/kjwhn.2014.20.2.163
  18. R. H. Hwang. (2018). Self-Esteem, Body Image and Factors Influencing on Maternal Fetal Attachmen Behavior of Pregnant Women. Journal of Digital Convergence, 16(9), 197-206. DOI : 10.14400/JDC.2018.16.9.000
  19. E. Y. Lee. (2015). Influence of Anxiety and Dyadic Adjustment on Maternal-fetal attachment in High-Risk Pregnant Women. Master's thesis, Kyungpook Nationa University, Daegu, Korea. DOI : 10.14257/ijseia.2015.9.12.32
  20. S. A. Lee. (2014). Factors Influencing Maternal-fetal attachment among Pregnant Women. Master's thesis, Kyungpook National University, Daegu, Korea. DOI : 10.14257/astl.2015.116.20
  21. M. K. Kwon. (2007). Antenatal depression and mother-fetal interaction. Korean Academy of Child Health Nursing, 13(4), 416-426.
  22. L. I. Pearlin, M. A. Lieberman, E. G. Menaghan, & J. T. Mullan. (1981). The stress process. Journal of Health and Social Behavior, 22, 337-356. https://doi.org/10.2307/2136676
  23. Korea Gerontology Forum. (2010). Scale Collection of Gerontology. Seoul: Share house.
  24. A. T. Beck, C. H. Ward, M. Mendelson, J. Mock, J. Erbaugh. (1961). An inventory for measuring depression. Arch Gen Psychiatry, 4, 45-52. https://doi.org/10.1001/archpsyc.1961.01710120031004
  25. Y. H. Lee & J. Y. Song, (1991). A Study of he Reliability and the Validity of the BDI, SDS, and MMPI-D Scales. Korean Journal of Clinical Psychology, 10(1), 98-113.
  26. C. D. Spielberger, R. L. Gorsuch, & R. E. Lushene. (1970). Manual for the state - trait anxiety inventory. CA: California Consulting Psychologist press.
  27. J. T. Kim. (1978). The Relationship of Trait Anxiety and the Sociality. Unpublished Master's thesis, Korea University, Seoul.
  28. S. J. Kim. (2016). Factors Influencing Depression in Infertile Women. Unpublished Master's thesis, Gwangju Women's University, Kwangju, Korea.
  29. S. W. Min, Y. H. Kim, & Y. R. Cho. (2008). Stress, Depression and Factors Influencing on Quality of Life of Infertile Women. Journal of the Korean Society of Maternal and Child Health, 12(1), 19-31. DOI : 10.21896/jksmch.2008.12.1.19
  30. R. H. Hwang. (2000). A study on the relationship between state anxiety and maternal fetal attachment in the pregnant women. Thesis Collection of Kwangju Women's University, 3, 429-449. https://doi.org/10.4069/kjwhn.2005.11.3.218
  31. J. I. Kim. (2005). Comparison of prenatal education programs for the primigravida - focused on anxiety and labor efficacy. Korean Journal of Women Health Nursing, 11, 225-231. https://doi.org/10.4069/kjwhn.2005.11.3.225