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난임 여성의 간호 요구 측정 도구 개발 및 타당도 검정

Nursing needs assessment scale for women with infertility: development and validation

  • 박점미 (남서울대학교 간호학과) ;
  • 신나연 (차의과학대학교 분당차병원 간호국) ;
  • 이경미 (삼성서울병원 간호본부)
  • Park, Jummi (Department of Nursing, Namseoul University) ;
  • Shin, Nayeon (Department of Nursing, CHA University Bundang CHA Medical Center) ;
  • Lee, Kyungmi (Department of Nursing, Samsung Medical Center)
  • 투고 : 2020.02.12
  • 심사 : 2020.03.31
  • 발행 : 2020.06.30

초록

Purpose: High-quality nursing care must be provided for women with infertility, and their nursing needs must be identified. Although scales have been developed to assess infertility-related stress, quality of life, and psychosocial status, there is a lack of scales that assess the nursing needs of women with infertility. The purpose of this study was to develop a needs assessment scale for nursing care in women with infertility and to verify its reliability and validity. Methods: The 250 subjects in this study were women with infertility recruited from four hospitals. The scale was developed following the framework of DeVellis, through a literature review, in-depth interviews, development of preliminary items, verification of content validity, development of secondary items, verification of construct validity, and extraction of the final items. Date were analyzed using item analysis, factor analysis, confirmatory factor analysis, Pearson correlation coefficients, and Cronbach's alpha. Reliability was tested using Cronbach's alpha, and validity was evaluated using item analysis, exploratory factor analysis, and criterion validity. Results: The final version of the nursing needs assessment scale for woman with infertility consisted of 18 items. Four factors (physical and psychological nursing needs, needs for information regarding treatment, needs for infertility-related understanding and concern, and supportive needs) explained 66.0% of the total variance. Cronbach's alpha was .92 for the overall instrument and ranged from .88 to .91 for the subscales. Conclusion: These results suggest that this needs assessment scale for nursing care in women with infertility demonstrated acceptable validity and reliability and contained items suitable for assessing the level of nursing care needed by women with infertility.

키워드

참고문헌

  1. Statistics Korea. Interim results of birth and death statistics for 2018 [Internet]. Daejeon: Statistics Korea; 2019 [cited 2019 Dec 1]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=373361
  2. Kang SH, Kim DG. The increase of infertility and the role of health insurance in low birth rate era. KIRI Aging Rev. 2018;20:11-14.
  3. Kim MO. Relationship between infertility stress and quality of life of infertile women: based on the moderating and mediating effects of sexual satisfaction. J Korean Soc Matern Child Health. 2016;20(2):140-151. https://doi.org/10.21896/jksmch.2016.20.2.140
  4. Martinez-Pampliega A, Cormenzana S, Martin S, Navarro L. Marital functioning and treatment outcome in couples undergoing assisted reproduction. J Adv Nurs. 2019;75(2):338-347. https://doi.org/10.1111/jan.13844
  5. Boivin J, Gameiro S. Evolution of psychology and counseling in infertility. Fertil Steril. 2015;104(2):251-259. https://doi.org/10.1016/j.fertnstert.2015.05.035
  6. Hwang N. 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
  7. Newton CR, Sherrard W, Glavac I. The Fertility Problem Inventory: measuring perceived infertility-related stress. Fertil Steril. 1999;72(1):54-62. https://doi.org/10.1016/s0015-0282(99)00164-8
  8. Boivin J, Takefman J, Braverman A. The fertility quality of life (FertiQoL) tool: development and general psychometric properties. Hum Reprod. 2011;26(8):2084-2091. https://doi.org/10.1093/humrep/der171
  9. Lee EH, Moon S, Cho SY, Oh YT, Chun M, Kim SH, et al. Psychometric evaluation of a need scale for cancer patients undergoing follow-up care. J Korean Acad Nurs. 2010;40(4):551-560. https://doi.org/10.4040/jkan.2010.40.4.551
  10. Korea University Research Management System. A study on the current status of infertility counseling and the development of infertility counseling delivery system. Cheongju: Ministry of Health and Welfare; 2016 Dec. Report No.: Q1609601.
  11. Luk BH, Loke AY. A review of supportive interventions targeting individuals or couples undergoing infertility treatment: directions for the development of interventions. J Sex Marital Ther. 2016;42(6):515-533. https://doi.org/10.1080/0092623X.2015.1074133
  12. Allan HT. The anxiety of infertility: the role of the nurses in the fertility clinic. Hum Fertil (Camb). 2013;16(1):17-21. https://doi.org/10.3109/14647273.2013.778423
  13. Denton J, Monach J, Pacey A. Infertility and assisted reproduction: counselling and psychosocial aspects. Hum Fertil (Camb). 2013;16(1):1. https://doi.org/10.3109/14647273.2013.781335
  14. Mourad SM, Nelen WL, Akkermans RP, Vollebergh JH, Grol RP, Hermens RP, et al. Determinants of patients' experiences and satisfaction with fertility care. Fertil Steril. 2010;94(4):1254-1260. https://doi.org/10.1016/j.fertnstert.2009.07.990
  15. van Empel IW, Nelen WL, Tepe ET, van Laarhoven EA, Verhaak CM, Kremer JA. Weaknesses, strengths and needs in fertility care according to patients. Hum Reprod. 2010;25(1):142-149. https://doi.org/10.1093/humrep/dep362
  16. DeVellis RF. Scale development: theory and applications. 3rd ed. Thousand Oaks, CA: Sage Publications; 2012. p. 73-115.
  17. Lynn MR. Determination and quantification of content validity. Nurs Res. 1986;35(6):382-385. https://doi.org/10.1097/00006199-198611000-00017
  18. Costello AB, Osborne JW. Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis. Pract Assess Res Eval. 2005;10:Article 7. https://doi.org/10.7275/jyj1-4868
  19. Kline RB. Principles and practice of structural equation modeling. 3rd ed. New York, NY: The Guilford Press; 2011. p. 51-67.
  20. Leech NL, Barrett KC, Morgan GA. SPSS for intermediate statistics: user and interpretation. 2nd ed. New York, NY: Psychology Press; 2005. p. 88-102.
  21. Hair JF, Black WC, Babin BJ, Anderson R. Multivariate data analysis. 7th ed. Upper Saddle River, NJ: Prentice Hall; 2010. p. 109-137.
  22. Hwang NM. Physical, psychological and social-economic burden and demands of infertile women. Health Welf Issue Focus. 2011;74:1-8.
  23. Lim J, Lee JH. Direction and support level of the fertility welfare policy in South Korea. J Popul Ageing. 2014;7:115-141. https://doi.org/10.1007/s12062-014-9098-3
  24. Park J, Shin N, Lee K, Choi J. Development of nurses' practical educational needs scale for women with infertility. Korean J Women Health Nurs. 2019;25(1):99-111. https://doi.org/10.4069/kjwhn.2019.25.1.99
  25. 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
  26. Cho EY, Sung MH. Effects of irrational parenthood cognition, family support, and resilience on depression of infertile women. Korean J Women Health Nurs. 2019;25(1):60-72. https://doi.org/10.4069/kjwhn.2019.25.1.60
  27. Lee YS, Kwon JH. A survey on the current status and demands of infertility counseling towards the development of an infertility counseling delivery system. J Korean Soc Matern Child Health. 2020;24(1):52-63. https://doi.org/10.21896/jksmch.2020.24.1.52
  28. Blyth E. Guidelines for infertility counselling in different countries: is there an emerging trend? Hum Reprod. 2012;27(7):2046-2057. https://doi.org/10.1093/humrep/des112