DOI QR코드

DOI QR Code

Factors affecting the quality of life related to infertility in Korean infertile women

난임 여성의 난임 관련 삶의 질에 영향을 미치는 요인

  • Received : 2024.08.21
  • Accepted : 2024.09.21
  • Published : 2024.09.30

Abstract

This study is a correlational research to identify the factors influencing the infertility-related quality of life of infertile women. The participants included 131 infertile women who visited the department of obstetrics and gynecology of a general hospital in C city for infertility treatment. Data were collected using a structured questionnaire between May 11 and July 31, 2020. The collected data were analyzed by descriptive statistics, t-test, one-way ANOVA, Schéffe test, Pearson's correlation coefficients, and simultaneous multiple regression using SPSS 18.0 program. The degree of infertility-related quality of life was 3.73±0.65. Infertility-related quality of life had a significant correlation with marital intimacy (r=.37, p<.001), spousal support (r=.38, p<.001), social support (r=.43, p<.001), infertility stress (r=-.74, p<.001) and depression(r=-.54, p<.001). Multiple regression analysis showed that infertility stress (β=-.58, p<.001), depression (β=-.28, p<.001), and social support (β=.16, p=.011) had significant effects on the infertility-related quality of life in infertile women, These variables explained 64.0% of the infertility-related quality of life in infertile women. The main variables affecting infertility-related quality of life were found to be infertility stress, depression, and social support. Therefore, to improve the infertility-related quality of life of infertile women, hospitals should develop an intervention program that can reduce fertility stress and depression and improve social support. Studies should also be conducted to confirm these effects. Depression

본 연구는 난임 여성의 난임 관련 삶의 질에 영향을 미치는 요인을 확인하기 위한 상관성 조사연구로 C시에 소재한 일개 종합병원 산부인과에 난임 치료를 목적으로 내원한 난임 여성 131명을 대상으로 2020년 5월 11일에서 7월 31까지 구조화된 설문지를 이용하여 자료를 수집하였다. 일반적 특성, 난임 관련 특성, 부부친밀감, 배우자지지, 사회적지지, 난임 스트레스, 우울 및 난임 관련 삶의 질 자료를 SPSS 18.0 프로그램을 이용하여 기술통계, t-test, one-way ANOVA, Scheffe test, Pearson's correlation coefficients 및 simultaneous multiple regression을 이용하여 분석하였다. 난임 관련 삶의 질은 부부친밀감(r=.37, p<.001), 배우자지지 (r=.38, p<.001), 사회적지지(r=.43, p<.001), 난임 스트레스 (r=-.74, p<.001) 및 우울(r=-.54, p<.001)과는 상관관계가 있었고, 난임 스트레스(β=-.58, p<.001), 우울(β=-.28, p<.001), 사회적지지(β=.16, p=.011)는 난임 관련 삶의 질을 64.0% 설명하였다. 이상의 결과를 바탕으로 난임 여성의 난임 관련 삶의 질을 향상시키기 위해서는 난임 스트레스 및 우울을 감소시키고 사회적지지를 증진시킬 수 있는 중재 프로그램을 개발하고 효과를 확인하기 위한 연구가 필요하다고 생각된다.

Keywords

References

  1. Statistics Korea. (2024.). Total Fertility Rate. Daejeon : Statistics Korea. https://www.index.go.kr/unify/idx-info.do?pop=1&idxCd=5061 
  2. N. M. Hwang. (2020). Physical, mental, and socio-economic burdens of infertile women [Internet]. Sejong: Korea Institute for Health and Social Affairs. http://repository.kihasa.re.kr/handle/201002/5982 
  3. Health-topics. (2020). Infertility. Geneva: World Health Organization (WHO) https://www.who.int/health-topics/infertility#tab=tab_1 
  4. Healthcare Bigdata Hub. (n.d.). Healthcare Bigdata Hub. Wonju: HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE. http://opendata.hira.or.kr/op/opc 
  5. S. Y. Lee et al. (2018). The 2018 national survey on fertility and family health and welfare. Sejong: orea Institute for Health and Social Affairs. 
  6. M. O. Kim & S. Kim. (2010). Development of an uncertainty scale for infertile women. Korean Journal of Women Health Nursing, 16(4), 370-380. DOI : 10.4069/kjwhn.2010.16.4.370 
  7. S. J. Son. (2020). A phenomenological study of lived experiences in infertile women over 35 years of age. Journal of Learner-centered Curriculum and Instruction, 20(19), 435-450. DOI : 10.22251/jlcci.2020.20.19.435 
  8. S. R. Yang & J. H. Yeo. (2017). Effects of irrational parenthood cognition, post traumatic stress disorder and spousal support on quality of life of infertile women. Korean Journal of Women Health Nursing, 23(2), 145-153. DOI : 10.4069/kjwhn.2017.23.2.145 
  9. J. H. Kim & H. S. Shin. (2013). A structural model for quality of life of infertile women. Journal of Korean Academy of Nursing, 43(3), 312-320. DOI : 10.4040/jkan.2013.43.3.312 
  10. A. Taghipour et al. (2020). Coping strategies of women following the diagnosis of infertility in their spouses: A qualitative study. Evidence Based Care, 10(1), 15-24. DOI : 10.22038/ebcj.2020.42136.2120 
  11. M. Kim, H. Nam & M. Youn. (2016). Infertility stress, depression, and resilience in women with infertility treatments. Journal of Korean Public Health Nursing, 30(1), 93-104. DOI : 10.5932/JKPHN.2016.30.1.93 
  12. J. H. Kwon. (2016). A Study on the current status of infertility counseling and the development of infertility counseling delivery system. Sejong: Ministry of Health and Welfare. Report No. : 11-1352000-001853-01. 
  13. M. O. Kim, J. S. Park & H. A. Nam, (2016). Factors associated with marital satisfaction of women under infertility treatments. Journal of the Korean Society of Maternal and Child Health, 20(3), 228-238. DOI : 10.21896/jksmch.2016.20.3.228 
  14. A. D. Domar, P. C. Zuttermeister & R. Friedman, (1993). The psychological impact of infertility: a comparison with patients with other medical conditions. Journal of psychosomatic obstetrics and gynaecology, 14, 45-52. 
  15. H. S. Lee, S. Boo, J. A. Ahn & J. E. Song, (2020). Effects of uncertainty and spousal support on infertility-related quality of life in women undergoing assisted reproductive technologies. Korean Journal of Women Health Nursing, 26(1), 72-83. DOI : 10.4069/kjwhn.2020.03.15 
  16. J. McQuillan, A. L. Greil, L. White & M. C. Jacob. (2003). Frustrated fertility: Infertility and psychological distress among women. Journal of Marriage and Family, 65(4), 1007-1018. 
  17. 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), 19-32. DOI : 10.21896/jksmch.2008.12.1.19 
  18. J. L. Chachamovich et al. (2010). Psychological distress as predictor of quality of life in men experiencing infertility: a cross-sectional survey. Reproductive health, 7, 1-9. DOI : 10.1186/1742-4755-7-3 
  19. Y. J. Jung & H. Y. Kim. (2017). Factors influencing infertility-related quality of life in women undergoing assisted reproductive techniques: focusing on depression and resilience. Korean Journal of Women Health Nursing, 23(2), 117-125. DOI : 10.4069/kjwhn.2017.23.2.117 
  20. N. Hwang. (2013). Factors related to the depression of infertile women. Health and Social Welfare Review, 33(3),161-187. DOI : 10.15709/hswr.2013.33.3.161 
  21. S. S. Mousavi, M. N. Klyani, S. Karimi & S. Piriaee. (2015). The relationship between social support and mental health in infertile women. Scholars Journal of Applied Medical Sciences, 3(1D), 244-248. 
  22. M. Kim. (2016). Relationship between infertility stress and quality of life of infertile women: based on the moderating and mediating effects of sexual satisfaction. Journal of the Korean Society of Maternal and Child Health, 20(2), 140-151. 
  23. M. N. Park & S. Y. Choi. (2012). The effects of infertility stress and depression on quality of life in infertile couples. Journal of Korean Data Anal Soc, 14(4), 1987-2000. 
  24. Y. H. Lee & J. S. Park. (2019). Factors affecting the infertility-related quality of life among the infertility women. Journal of the Korean Society of Maternal and Child Health, 23(3), 191-201. DOI : 10.21896/jksmch.2019.23.3.191 
  25. J. Boivin, J. Takefman & A. Braverman. (2011). The fertility quality of life (FertiQoL) tool: development and general psychometric properties. Human reproduction, 26(8), 2084-2091. DOI : 10.1093/humrep/der171. 
  26. K. H. Lee. (1995). A measure of marital intimacy. Journal of the Korean Home Economics Association, 33(4), 235-249. 
  27. K. H. Lee. (1998). Marriage types classified by wives' perception of marital conflict and intimacy. doctoral dissertation, Seoul National University, Seoul. 1-111. 
  28. J. S. House. (1981). Work Stress and Social Support. Reading, Mass : Addison-Wesley. 
  29. Y. J. Lee. (1996). Relation of Stress, Social support, Self-esteem, Depression and Anxiety. Seoul: Seoul Women's University. p. 1-104. 
  30. H. J. Cho. (1996). Original Reports : A Study of Predicting Postpartum Depression and the Recovery Factor from Prepartum Depression. Korean journal of perinatology, 15(3), 245-254. 
  31. J. Lee. (2013). An Analytical Study on Psychosocial Predictors of Depression and Effective Psychosocial Intervention Program for Reducing Depression of Infertile Women being in Infertility Treatment. Seoul: Korea University. p. 1-131. 
  32. A. Abbey, D. J. Abramis & R. D. Caplan. (1985). Effects of different sources of social support and social conflict on emotional well-being. Basic and applied social psychology, 6(2), 111-129. 
  33. J. A. Jeon. (1990). The effects of postpartum stress and social networks on postpartum depression. master's thesis, Seoul Women's University, Seoul. 
  34. C. R. Newton, W. Sherrard & I. Glavac. (1999). The Fertility Problem Inventory: measuring perceived infertility-related stress. Fertility and sterility, 72(1), 54-62. 
  35. L. S. Radloff. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied psychological measurement, 1(3), 385-401. 
  36. S. Lee et al. (2016). Validation of the Korean version of center for epidemiologic studies depression scale-revised (K-CESD-R). Korean Journal of Psychosomatic Medicine, 83-93. 
  37. S. M. S. Matthiesen, Y. Frederiksen, H. J. Ingerslev & R. Zachariae. (2011). Stress, distress and outcome of assisted reproductive technology (ART): a meta-analysis. Human reproduction, 26(10), 2763-2776. DOI : 10.1093/humrep/der246 
  38. Y. M. Kim & J. H. Nho. (2020). Factors influencing infertility-related quality of life in infertile women. Korean Journal of Women Health Nursing, 26(1), 49-60. DOI : 10.4069/kjwhn.2020.03.08 
  39. I. A. Choi et al. (2012). Mental health of mothers and their infant depending on degree of mothers' pre-and post-natal depression. The Korean Journal of Developmental Psychology, 25(3), 125-148. 
  40. K. I. Jeong. (2014). A study on hermeneutic grounded theory of women who experience infertility suffering and relief from pain. Korean Journal of Social Welfare Studies, 45(4), 5-35. 
  41. K. H. Jung & N. Chun. (2019). Influence of stress, social support and lifestyle on health-related quality of life in middle aged women. Journal of Korean Biological Nursing Science, 21(1), 62-69. DOI : 10.7586/jkbns.2019.21.1.62 
  42. S. J. Kim & S. Y. Kim. (2013). A study on the relationship of marital intimacy, depression, and menopausal symptoms in middle-aged women. Korean Journal of Women Health Nursing, 19(3), 176-187. DOI : 10.4069/kjwhn.2013.19.3.176 
  43. M. Lee & J. R. Joeng. (2017). Personal and Family Factors Predicting Intimacy in a Marriage at Old Age for Each Gender. Locality and Globality, 41(3), 27-48. DOI : 10.33071/ssricb.41.3.201712.27 
  44. I. S. Lee. (2002). Depression and husband's support in married women. Korean Journal of Women Health Nursing, 8(4), 482-493. DOI : 10.4069/kjwhn.2002.8.4.482 
  45. S. Y. Kim, D. H. Kim & H. J. Shin. (2007). The study on impact of spousal support and social support on foreign Wives's parenting stress in rural areas. Family and culture, 19(3), 53-78. DOI : 10.21478/family.19.3.200709.003 
  46. M. H. Sung, G. H. Kim & M. H. Jung. (2007). Relationship between stress response, body image perception and spousesupport of breast cancer patients undergoing chemotherapy. Korean Journal of Health Promotion, 7(2), 32-38. 
  47. J. M. Park. (2020). The relationship between social support and infertility stress in infertile men. Journal of the Korea Convergence Society, 11(8), 107-113. DOI : 10.15207/JKCS.2020.11.8.107 
  48. K. M. Kim & A. L. Kim. (2020). Influence of Sleep Quality, Social Support and Fall Efficacy on Depression in Hemiplegia Patients. Journal of the Korean Data Analysis Society, 2(5), 2095-2108. DOI : 10.37727/jkdas.2020.22.5.20951.