• 대한한의학방제학회지
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• 제31권3호
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• pp.193-201
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• 2023

본 증례에서 기형정자증과 난관 주위 유착이 동시에 있는 난임(難姙) 부부에게 각각 투여한 한약의 임신 효과가 확인되었다. 이 결과는 남녀 한편으로 원인을 특정하기 어려운 난임(難姙)의 진단상황에서 남녀 모두에게 한약의 병행(竝行) 투여는 남녀 생식 생리 기능을 보완하거나 배가하여 임신 효과를 나타낼 수 있는 적절한 치료방식이 될 수 있다는 것을 시사한다.

• 건강소식
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• 제38권10호
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• pp.10-13
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• 2014

10월 10일은 임산부의 날이다. 저출산이 심각한 사회문제로 대두되면서 출산을 장려하고 임신부를 배려하기 위하여 2005년 정부가 제정했다. 풍요와 수확을 상징하는 10월과 임신기간 10개월을 의미한다. 임산부의 날을 맞이해 임신이 되지 않아 고민이 많은 난임 부부들이 궁금해하는 사항을 알아봤다.

• 동서간호학연구지
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• 제24권1호
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• pp.44-51
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• 2018

Purpose: The purpose of this study was to examine the actor and partner effects of self efficacy, marital adjustment and family support on Yangseang in infertile couples using the actor-partner interdependence model. Methods: The participants were 108 infertile couples. Data were collected using the Yangsaeng Scale, Infertility Self Efficacy Scale, Revised Dyadic Adjustment Scale, and Perceived Social Support Scale from March to April in 2016. The Actor-Partner Interdependence Model was used to analyze the actor and partner effects of self-efficacy, marital adjustment and family support on Yangsaeng. Results: The fit indices for the model were Comparative Fit Index (CFI) = 0.99, Normed Fit Index (NFI) = 0.99, Tucker-Lewis Index (TLI) = 0.90, and Root Mean Square Error of Approximation (RMSEA) = 0.01, which met the criteria. We found that only self efficacy had an actor effect on Yangsaeng. Marital adjustment and family support of infertile husbands had an actor effect on the Yangsaeng. In addition, marital adjustment showed an interaction effect. Conclusions: The findings of this study indicate that the level of Yangseang in infertile couples was positively associated with the levels of self efficacy and martial adjustment. Partner effects may be hidden due to much stronger actor effects on Yangseang.

• 여성건강간호학회지
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• 제21권3호
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• pp.171-183
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• 2015

Purpose: The purpose of this study was to explore the perception of infertile women on the use of the national support program that provides medical expense aid to infertile couples. Methods: Thirty Korean infertile women participated in five focus groups. Data were collected from January to August 2014. After obtaining permission from the participants, each session of the focus group was audio-taped and transcribed. The responses were analyzed using qualitative content analysis. Results: The main themes identified from the sessions with the participants were "feeling thankful for the reliable support program," "feeling happy or unhappy," "enduring inconveniences," and "hoping for a more comprehensive support service." Although most of the participants perceived the benefits of the national support service positively, they stated that the service was not comprehensive because it did not cover all the medical expenses for tests and other medical treatments. Conclusion: The benefits given to infertile couples by the program should be increased by covering all the medical expenses, expanding its criteria to include more eligible candidates, and by including special leave benefits for working women. Furthermore, it is essential to take measures for infertility prevention at the individual and national policy levels.

• 한국콘텐츠학회논문지
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• 제14권12호
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• pp.959-972
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• 2014

본 연구는 1990년부터 2010년까지 20년 동안 한국의 16개 광역자치단체의 무자녀율의 변화 추이와 그러한 무자녀율의 변화에 영향을 미치는 요인들을 규명하기 위한 것이다. 연구결과 지역별로 무자녀율의 차이가 나타났으며 시간의 경과에 따른 무자녀율의 변화 추이를 알 수 있었다. 한편, 연령군별 무자녀율에는 사회발전, 교통수단, 여성의 지위 및 경제발전 등의 요인이 유의미한 정적 영향을 미치고 있는 것으로 밝혀졌다. 뿐만 아니라, 기혼여성의 무자율을 경험적으로 규명하기 위해서는 종속변수로 일반기혼여성 무자녀율을 적용하기 보다는 연령군별 무자녀율을 적용하여 분석하는 것이 무자녀율을 보다 잘 이해하는 방법임을 제시하고 있다. 또한 지난 20년 동안 한국은 난임 부부의 임신을 위한 지원정책이 출산율 제고에 상당한 영향을 미치고 있으나 사회환경 및 여건의 변화로 인하여 지발적 무자녀 현상이 20대 후반부터 40대 중반의 연령층에 걸쳐 해마다 증가하고 있다. 그러므로 출산율 제고를 위해서는 난임 부부의 임신 지원정책을 보다 확대하여 지속적으로 시행하는 것이 요구되며 자발적 무자녀율을 낮추기 위해서는 출산에 우호적인 인식과 태도를 갖도록 인식전환 정책을 비롯한 다양한 노력이 필요하다고 하겠다.

• 한국환경생태학회지
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• 제34권1호
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• pp.72-84
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• 2020

본 연구의 목적은 난임 여성을 위한 산림치유 프로그램 개발의 기초자료를 제공하는 데 있다. 본 연구는 탐색적 연구로 난임 여성의 정서적 특성과 정서적 특성에 따른 산림치유 요구도가 무엇인지 밝혀내어 산림치유 프로그램 개발과 운영을 위한 기초 자료를 제공할 것이다. 본 연구는 서울 소재 난임 전문병원에 내왕하는 난임 여성 200명을 대상으로 난임 여성의 정서적 특성과 산림치유 프로그램 요구도에 대한 33항목을 설문한 조사연구이다. 자료 분석은 SPSS 21.0 프로그램을 이용하여 난임여성의 정서적 특성과 산림치유 프로그램에 대한 요구 사이의 상관관계와 중요도를 파악하고자 빈도분석과 교차분석, 일원분산분석을 진행하였다. 난임 여성들의 정서적 특성은 임신에 대한 압박감, 불안 및 두려움, 우울, 절망감, 무기력, 외로움, 슬픔, 수치심 및 죄책감, 조급함과 답답함, 분노 및 과민함 등으로 나타났다. 난임 여성의 임신에 대한 압박감, 우울, 절망감, 무기력, 외로움, 슬픔과 분노와 과민함, 불안 및 두려움이 높게 나타났다. 난임 여성의 정서적 특성에 따른 산림치유 프로그램 요구도 차이를 알 수 있었다. 임신에 대한 압박감과 수치심 및 죄책감에 따라서 난임 부부 산림치유 프로그램의 운영 형태가 유의한 차이가 있는 것으로 나타났다. 불안과 두려움에 따라서 프로그램 참여 경험이 유의한 차이가 나타났고, 우울, 절망감, 무기력, 외로움, 슬픔에 따라서는 산림치유 프로그램에 참여하지 못하는 이유에 유의한 차이가 있는 것으로 나타났다. 조급함과 답답함에 따라서는 희망하는 산림치유 프로그램 동반 참여자에 대해 유의한 차이가 있는 것으로 나타났다. 분노와 과민함에 따라서 산림치유 프로그램 참여경험 및 난임 여성을 위한 산림치유 프로그램을 통한 자조모임의 효과에 대해 유의한 차이가 있는 것으로 나타났다. 본 연구의 분석 결과가 난임 여성의 심신건강 증진을 위한 산림치유 프로그램을 개발하는 데 기초자료로 활용되기를 기대한다.

• 한국보건간호학회지
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• 제32권1호
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• pp.96-108
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• 2018

Purpose: This study the mediating effects of marital intimacy the relationship between depression and marital satisfaction of infertile women. Methods: 165 infertile women visiting a hospital in Gyeonggi-do and Busan, Korea from January 2016 to April 2016. The data was analyzed the SPSS WIN 22.0 program. Results: Depression, marital satisfaction, and marital intimacy averaged $1.51{\pm}.32$ (range of scale 0~3), $3.50{\pm}.56$ (range of scale 1~5), and $3.74{\pm}.65$ (range of scale 1~5), respectively. Depression had a negative correlation with marital satisfaction (r=-.361, p<.001) and marital intimacy(r=-.183, p<.001). Marital intimacy also had a positive correlation with marital satisfaction (r=.637, p<.001). Marital intimacy partial mediating effects between depression and marital satisfaction (${\beta}=.591$, p<.001). Conclusion: the intimacy of couple can alleviate the causal consequences that lead to a decrease in the marital satisfaction due to depression. Therefore, healthcare providers for infertile women should screen depressed women and help support infertile women from negative values for marriage depression. In addition, it is necessary to include interventions for maintaining and enhancing the intimacy of couples during infertility treatment.

• Human Ecology Research
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• 제59권4호
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• pp.465-475
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• 2021

The purpose of this study was to examine actor and partner effects among infertile couples in determining whether self-esteem affects the degree of infertility-related stress via perceived spousal support. The sample comprised 219 couples who experienced infertility, each of whom completed an online survey. To analyze the data, descriptive statistics, t-test, correlation analysis and APIM (Actor-Partner Interdependence Model) were performed using SPSS 25.0 and Mplus 7.3 program. The main results were as follows. First, the actor effect of spousal support on self-esteem was significant in both husbands and wives. Second, the actor effects of spousal support on infertility-related stress and self-esteem on infertility stress were significant only in husbands. Third, in the association between husbands' and wives' spousal support and infertility-related stress, three mediating pathways via husband's self-esteem were found to be significant. Based on these results, the necessity for a couple-level analysis in infertility research, psycho-emotional interventions for infertile couples, and implications for follow-up studies were discussed.

• 대한한방부인과학회지
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• 제26권2호
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• pp.151-165
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• 2013

Objectives: The purpose of this study is to investigate use condition of Korean medical institution and demand of Korean Medical Treatment Project of Infertility in infertile couple. Methods: Questionnaires were distributed to all members of the incorporated association AGAYA(http://www.agaya.org/) via e-mail and to infertile women who visited to Korean medicine OB & GY outpatient clinic of university Korean medicine hospitals of the country and an infertility specialized Korean medicine hospital. One hundred twenty four of completed questionnaires were analyzed. Results: 1. Korean medical institution utilization rate of infertile couple was 89.6% and was similar with western medical institution utilization rate of 87.1%. 2. 96.8% of infertile couple answered that Korean Medical Treatment Project of Infertility is necessary. And 90.3% of infertile couple answered that herbal medicines should be supported first of all. 3. 90.3% of infertile couple answered that they will participate if Korean Medical Treatment Project of Infertility go ahead. Conclusions: It was confirmed that most of the infertile couple have been received Korean medical treatment for infertility, and think that Korean Medical Treatment Project of Infertility is necessary.

• 여성건강간호학회지
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• 제26권1호
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• pp.49-60
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• 2020

Purpose: Infertile women experience various physical, psychological, and relational problems that affect their infertility-related quality of life (QoL). This study investigated infertile women's infertility-related QoL with the goal of identifying how it is influenced by fatigue, depression, and marital intimacy. Methods: A sample of 140 infertile women was surveyed in a cross-sectional study. Data were collected from February to April 2018 using self-report structured questionnaires at three infertility clinics located in Jeonju, Korea. Data were analyzed using the independent t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression analysis in SPSS for Windows version 25.0. The subjects agreed to complete a face-to-face interview, including administration of the Fatigue Severity Scale, Depression Anxiety Stress Scale-21, Marital Intimacy Scale, and the Fertility Quality of Life tool. Results: The mean age of the participants was 35.6±4.3 years. Infertility-related QoL was negatively correlated with fatigue (r=-.42, p<.001) and depression (r=-.56, p<.001), and positively correlated with marital intimacy (r=.30, p<.001). Multiple regression analysis showed that depression (β=-0.44, p<.001), fatigue (β=-0.27, p<.001), and husband's attitude (β=-0.19, p=.007) had significant effects on the QoL of infertile women, accounting for 40.5% of the variance in infertility-related QoL. Conclusion: The study provides insights into how infertile women's infertility-related QoL was influenced by depression, fatigue, and their husbands' attitudes regarding infertility treatment. To improve infertile women's infertility-related QoL, healthcare providers should consider developing strategies to decrease depression and fatigue in infertile women and to address their husbands' attitudes.