여성건강간호학회지 (Women's Health Nursing)

  • 제26권1호
  • /
  • Pages.72-83
  • /
  • 2020
  • /
  • 3022-7666(pISSN)
  • /
  • 3022-8247(eISSN)
한국여성건강간호학회 (Korean Society of Women Health Nursing)
권호 표지
DOI QR코드

DOI QR Code

보조생식술을 받는 여성의 불확실성과 배우자 지지가 난임 관련 삶의 질에 미치는 영향

Effects of uncertainty and spousal support on infertility-related quality of life in women undergoing assisted reproductive technologies

  • 이혜신 (아주대학교 간호대학) ;
  • 부선주 (아주대학교 간호대학.간호과학연구소) ;
  • 안정아 (아주대학교 간호대학.간호과학연구소) ;
  • 송주은 (아주대학교 간호대학.간호과학연구소)
  • Lee, Hye Shin (College of Nursing, Ajou University) ;
  • Boo, Sunjoo (College of Nursing.Research Institute of Nursing Science, Ajou University) ;
  • Ahn, Jeong-Ah (College of Nursing.Research Institute of Nursing Science, Ajou University) ;
  • Song, Ju-Eun (College of Nursing.Research Institute of Nursing Science, Ajou University)
  • 투고 : 2020.02.08
  • 심사 : 2020.03.15
  • 발행 : 2020.03.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to investigate the effects of uncertainty and spousal support on infertility-related quality of life (QoL) in women undergoing assisted reproductive technologies. Methods: In this correlational survey study, 172 infertile women undergoing assisted reproductive technologies for infertility treatment at M hospital in Seoul participated. Data collection took place at the outpatient department of M hospital using a self-report questionnaire from July to August 2019. Data were analyzed using SPSS for Windows version 28.0. Results: The mean scores for uncertainty, spousal support, and infertility-related QoL were 28.35 (out of 50), 86.67 (out of 115), and 57.98 (out of 100), respectively. Infertility-related QoL was positively correlated with spousal support and negatively correlated with uncertainty. According to the regression analysis, infertility-related QoL was significantly affected by uncertainty, total number of assisted reproductive technology treatments, marriage duration, subjective health status, the financial burden of infertility testing, and the presence of a burdensome person. These variables had an explanatory power of 35.0% for infertility-related QoL. Conclusion: Uncertainty was an important factor influencing infertility-related QoL among women undergoing assisted reproductive technologies. It is necessary to develop and implement a nursing intervention program focused on reducing various forms of uncertainty during assisted reproductive procedures and to consider other factors affecting infertility-related QoL in the clinical setting.

키워드

참고문헌

  1. Ministry of Health and Welfare. Strengthening medical and psychological support for infertile patients, pregnant women and mothers [Internet]. Sejong: Author; 2018 [cited 2020 Jan 19]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=345150
  2. Cousineau TM, Domar AD. Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol. 2007;21(2):293-308. https://doi.org/10.1016/j.bpobgyn.2006.12.003
  3. Hwang NM. Unknown causes of infertile couple support projects and policy tasks. Health Welf Issue Focus. 2016;(313):1-4.
  4. Kim JH, Shin HS. A structural model for quality of life of infertile women. J Korean Acad Nurs. 2013;43(3):312-320. https://doi.org/10.4040/jkan.2013.43.3.312
  5. Jung YJ, Kim HY. Factors influencing infertility-related quality of life in women undergoing assisted reproductive techniques: focusing on depression and resilience. Korean J Women Health Nurs. 2017;23(2):117-125. https://doi.org/10.4069/kjwhn.2017.23.2.117
  6. Yang SR, Yeo JH. Effects of irrational parenthood cognition, post traumatic stress disorder and spousal support on quality of life of infertile women. Korean J Women Health Nurs. 2017;23(2):145-153. https://doi.org/10.4069/kjwhn.2017.23.2.145
  7. Kang HS, Kim MJ. Experiences of infertile women in unsuccessful in vitro fertilization (IVF). Korean J Women Health Nurs. 2004;10(2):119-127. https://doi.org/10.4069/kjwhn.2004.10.2.119
  8. Rooney KL, Domar AD. The impact of stress on fertility treatment. Curr Opin Obstet Gynecol. 2016;28(3):198-201. https://doi.org/10.1097/GCO.0000000000000261
  9. Oh YK, Hwang SY. Impact of uncertainty on the quality of life of young breast cancer patients: focusing on mediating effect of marital intimacy. J Korean Acad Nurs. 2018;48(1):50-58. https://doi.org/10.4040/jkan.2018.48.1.50
  10. Kim MO, Park JS, Nam HA. Factors associated with marital satisfaction of women under infertility treatments. J Korean Soc Matern Child Health. 2016;20(3):228-238. https://doi.org/10.21896/jksmch.2016.20.3.228
  11. Lee YH, Park JS. Factors affecting the infertility-related quality of life among the infertility women. J Korean Soc Matern Child Health. 2019;23(3):191-201.
  12. Hwang NM. Factors related to the depression of infertile women. Health Soc Welf Rev. 2013;33(3):161-187. https://doi.org/10.15709/hswr.2013.33.3.161
  13. Maleki-Saghooni N, Amirian M, Sadeghi R, Latifnejad Roudsari R. Effectiveness of infertility counseling on pregnancy rate in infertile patients undergoing assisted reproductive technologies: a systematic review and meta-analysis. Int J Reprod Biomed (Yazd). 2017;15(7):391-402. https://doi.org/10.29252/ijrm.15.7.391
  14. Chachamovich JR, Chachamovich E, Ezer H, Fleck MP, Knauth D, Passos EP. Investigating quality of life and health-related quality of life in infertility: a systematic review. J Psychosom Obstet Gynaecol. 2010;31(2):101-110. https://doi.org/10.3109/0167482X.2010.481337
  15. Kim JY, Lee DH, Lee KS. Influence of women's age on the outcome of in vitro fertilization and ovarian blood flow. Korean J Obstet Gynecol. 2008;51(4):413-419.
  16. Mishel MH. Uncertainty in illness. Image J Nurs Sch. 1988;20(4):225-232. https://doi.org/10.1111/j.1547-5069.1988.tb00082.x
  17. Kim M, Kim S. Development of an uncertainty scale for infertile women. Korean J Women Health Nurs. 2010;16(4):370-380. https://doi.org/10.4069/kjwhn.2010.16.4.370
  18. Nam KS. A study on the correlation between spouse support and the body image of female patients who have done mastectomy and hysterectomy [master's thesis]. Seoul: Ewha Women University; 1988. 65 p.
  19. Park MK. A study on relationship between infertile female stress and husband support [master's thesis]. Seoul: Hanyang University; 2007. 68 p.
  20. The WHOQOL GROUP. The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995;41(10):1403-1409. https://doi.org/10.1016/0277-9536(95)00112-K
  21. Boivin J, Takefman J, Braverman A. The Fertility Quality of Life (FertiQoL) tool: development and general psychometric properties. Fertil Steril. 2011; 96(2):409-415.e3. https://doi.org/10.1016/j.fertnstert.2011.02.046
  22. Kim MO. The effect of a mind-body therapeutic program for infertile women repeating IVF treatment on uncertainty, anxiety, and implantation rate [master's thesis]. Seoul: Yonsei University; 2009. 93 p.
  23. Kiesswetter M, Marsoner H, Luehwink A, Fistarol M, Mahlknecht A, Duschek S. Impairments in life satisfaction in infertility: Associations with perceived stress, affectivity, partnership quality, social support and the desire to have a child. Behav Med. 2019;1-12. [published online ahead of print, 2019 Feb 6]. https://doi.org/10.1080/08964280903521347
  24. Lalos A, Lalos O, Jacobsson L, von Schoultz B. The psychosocial impact of infertility two years after completed surgical treatment. Acta Obstet Gynecol Scand. 1985;64(7):599-604. https://doi.org/10.3109/00016348509156369
  25. Ministry of Health and Welfare. Guidelines for government support for infertility surgery in 2019 (revised in Jul 19) [Internet]. Sejong: Author; 2019 [cited 2020 Jan 20]. Available from: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=350368&page=1
  26. Li J, Long L, Liu Y, He W, Li M. Effects of a mindfulness-based intervention on fertility quality of life and pregnancy rates among women subjected to first in vitro fertilization treatment. Behav Res Ther. 2016;77:96-104. https://doi.org/10.1016/j.brat.2015.12.010
  27. Karabulut A, Ozkan S, Oguz N. Predictors of fertility quality of life (FertiQoL) in infertile women: analysis of confounding factors. Eur J Obstet Gynecol Reprod Biol. 2013;170(1):193-197. https://doi.org/10.1016/j.ejogrb.2013.06.029
  28. Park M. Influencing factors on the quality of life of young married womens: utilize the National Health and Nutrition Examination Survey (2013-2015). Asia-pacific J Multimed Serv Converg Art Humanit Sociol. 2017;7(1):451-458.
  29. Matthiesen SM, Frederiksen Y, Ingerslev HJ, Zachariae R. Stress, distress and outcome of assisted reproductive technology (ART): a meta-analysis. Hum Reprod. 2011;26(10):2763-2776. https://doi.org/10.1093/humrep/der246
  30. Kim YS, Tae YS. The influencing factors on quality of life among breast cancer surviors. J Korean Oncol Nurs. 2011;11(3):221-228. https://doi.org/10.5388/jkon.2011.11.3.221

피인용 문헌

  1. 난임 환자를 담당하는 간호사의 난임 간호 교육 요구도 조사 vol.11, pp.8, 2020, https://doi.org/10.15207/jkcs.2020.11.8.131
  2. Review and Future Perspectives of the Korea Counseling Center for Fertility and Depression (KCCFD) Counseling Service Based on User Characteristics: Focusing on Infertility vol.24, pp.4, 2020, https://doi.org/10.21896/jksmch.2020.24.4.181
  3. The Study of Relationship among Infertility Stress, Gratitude, and Couple Relationship Changes of Women Undergoing Reproductive Treatments vol.25, pp.3, 2020, https://doi.org/10.21896/jksmch.2021.25.3.169