• 가정과삶의질연구
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• 제18권2호
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• pp.61-76
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• 2000

In an effort to better understand the relationship between husband and wife in the family, this study investigated wife's emotional support and husband's marital satisfaction. Subjects were 232 husbands in Seoul. Results indicated that the level of wife's emotional support to their husbands and husband's marital satisfaction were generally high. And wife's emotional support to their husbands had the strongest positive effect on husband's marital satisfaction. In addition, husband's income and wife's employment were negatively related to husband's marital satisfaction. It was suggested the importance of the emotional support to their husbands had the strongest positive effect on husband's marital satisfaction. In addition, husband's income and wife's employment were negatively related to husband's marital satisfaction. It was suggested the importance of the emotional support in the spousal relationships.

• 여성건강간호학회지
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• 제26권3호
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• pp.205-212
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• 2020

Purpose: This study aimed to identify the components of preterm birth (PTB) through women's personal narratives and to visualize clinical symptom expressions (CSEs). Methods: The participants were 11 women who gave birth before 37 weeks of gestational age. Personal narratives were collected by interactive unstructured storytelling via individual interviews, from August 8 to December 4, 2019 after receiving approval of the Institutional Review Board. The textual data were converted to PDF and analyzed using the MAXQDA program (VERBI Software). Results: The participants' mean age was 34.6 (±2.98) years, and five participants had a spontaneous vaginal birth. The following nine components of PTB were identified: obstetric condition, emotional condition, physical condition, medical condition, hospital environment, life-related stress, pregnancy-related stress, spousal support, and informational support. The top three codes were preterm labor, personal characteristics, and premature rupture of membrane, and the codes found for more than half of the participants were short cervix, fear of PTB, concern about fetal well-being, sleep difficulty, insufficient spousal and informational support, and physical difficulties. The top six CSEs were stress, hydramnios, false labor, concern about fetal wellbeing, true labor pain, and uterine contraction. "Stress" was ranked first in terms of frequency and "uterine contraction" had individual attributes. Conclusion: The text network analysis of narratives from women who gave birth preterm yielded nine PTB components and six CSEs. These nine components should be included for developing a reliable and valid scale for PTB risk and stress. The CSEs can be applied for assessing preterm labor, as well as considered as strategies for students in women's health nursing practicum.

• 여성건강간호학회지
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• 제28권1호
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• pp.46-55
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• 2022

Purpose: This study aimed to determine the level of postpartum posttraumatic stress disorder (PTSD) and postpartum depression (PPD) in Korean mothers with healthy babies and to explore the factors related to postpartum PTSD. Methods: This study used a longitudinal survey design to explore the levels and association of PPD and PTSD. Two hundred women were recruited during pregnancy and the data were collected via online survey from 166 mothers (84% retained) who gave birth to healthy babies, at two postpartum periods: Fear of childbirth was assessed at the 1st week; and spousal support, PPD, and postpartum PTSD were surveyed at the 4th week postpartum. Descriptive statistics, t-test, one-way analysis of variance, Chi square test, and multiple regression were done. Results: The mean age of mothers was 33.12 (±3.97) years old. Postpartum PTSD was low (8.95±6.49) with 1.8% (n=3) at risk (≥19). PPD was also low (6.68±5.28) and 30.1% (n=50) were identified at risk (≥10). The comorbid rate of PPD with PTSD was 6%. Mothers who did not have a planned pregnancy had higher scores of PPD (t=-2.78, p=.008), whereas spousal support and PPD had negative relationship (r=-.21, p=.006). The overall explanatory power for postpartum PTSD was 55.2%, of which PPD was the only significant variable (β=. 76, t=13.76, p<.001). Conclusion: While only 1.8% was at risk of postpartum PTSD at 4 weeks postpartum, PPD prevalence was 30.1% and PPD was the only influential factor of postpartum PTSD. Assessment and counseling of PPD are required as well as screening for postpartum PTSD. More research is also needed on postpartum PTSD in Korean women.

• 대한가정학회지
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• 제38권1호
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• pp.155-170
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• 2000

The purpose of this study was to examine to the effect of self-efficacy and perceived social support on adjustment in terms of depression. The subject was composed of 174 bereaved older adults in the first 10 years of their spousal bereavement. The major results of findings were as fellowing: 1. Bereaved old persons experienced emotional loneliness(35.8%) as the most stressful life event. 2. Bereaved old persons perceived higher self-efficacy and social support showed lower level of depression than those who perceived lower self-efficacy and social support. 3. The factor to have influence on the depression of bereaved old persons most relatively was appeared as self-efficacy.

• 한국사회복지학
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• 제62권2호
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• pp.135-159
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• 2010

본 연구는 결혼이주여성의 결혼적응에 영향을 미치는 요인을 파악하고자 하였다. 분석에 활용한 자료는 부산대학교 사회과학연구소가 조사한 "결혼이주여성의 자아탄력성과 결혼적응"이다. 분석은 각 독립변수와 결혼적응의 관계를 다변량분석과 중다회귀분석을 통해 살펴보았다. 연구결과에 의하면, 결혼만족은 배우자지지, 가족생활스트레스, 의사소통수준이 영향을 미치는 것으로 나타났다. 이혼 의도는 자녀수, 가족생활스트레스가 영향을 미치는 것으로 나타났다. 부부간 애정은 결혼기간, 배우자 지지, 의사소통수준이 영향을 미치는 것으로 나타났다. 결혼이주여성의 결혼적응에서 가족생활스트레스가 공통적이며, 가장 영향력이 큰 변수로 나타났다. 결혼이주여성들의 가족생활스트레스를 줄이기 위한 체계적이고 구조적인 지원이 필요하다는 것을 제안하였다.

• 한국응용과학기술학회지
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• 제38권1호
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• pp.136-146
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• 2021

본 연구는 후기 중년 여성의 자아존중감, 폐경 증상, 배우자지지, 노화불안의 정도를 파악하고 노화불안에 미치는 영향 요인을 알아보고자 하는 서술적 조사연구로 2020년 5월 23일부터 6월 13일까지 3주 동안 대한민국에 거주하는 기혼자 중 후기 중년 여성을 대상으로 온라인 설문지를 이용하여 총 110명의 자료를 수집하였다. 자료 분석 결과, 후기 중년 여성의 노화불안에 미치는 영향 요인은 폐경 증상(β=.515, p<.001), 자아존중감(β=-.268, p=.001) 순으로 회귀모형의 설명력은 41.4%로 나타났다. 따라서 노화불안을 낮추기 위해서는 후기 중년 여성의 폐경 증상에 대한 적극적인 중재가 필요하며 자아존중감을 높이기 위한 방안이 마련되어야 할 것이다.

• 여성건강간호학회지
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• 제27권4호
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• pp.326-336
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• 2021

Purpose: This study explored the prevalence of prenatal and postpartum depression in Korea and its influencing factors from 20 weeks of pregnancy to 12 weeks postpartum. Methods: Using a prospective cohort study design, data on women's depression and its influencing factors were collected at 20, 28, and 36 weeks of pregnancy and at 2, 6, and 12 weeks postpartum. The participants were 219 women and 181 spouses during pregnancy; and 183 mothers and 130 spouses after childbirth. Depressive symptoms were assessed by the Edinburgh Postnatal Depression Scale and influencing factors were measured by the Postpartum Depression Predictors Inventory-Revised, parity, and spousal depression. Results: The prevalence of maternal depression was 10.5% to 21.5% before birth, and it was 22.4% to 32.8% postpartum. The prevalence slightly decreased during the prenatal period but peaked at 2 weeks postpartum. Antenatal depression was influenced by low socioeconomic status, lower self-esteem, having experienced prenatal depression, having experienced prenatal anxiety, a previous history of depression, lower social support, lower marital satisfaction, and higher life stress. The factors influencing postpartum depression were lower self-esteem, having experienced prenatal depression, having experienced prenatal anxiety, lower social support, lower marital satisfaction, and higher life stress, as well as infant temperament and maternal blues. Parity and spousal depression had no impacts. Conclusion: The prevalence and influencing factors of maternal depression changed over time. Nurses need to screen women accordingly during the perinatal period and should provide education or counseling to prevent depression and promote adjustment to parenthood.

• 동서간호학연구지
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• 제29권2호
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• pp.150-160
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• 2023

This study aimed to identify the actor and partner effects of parenting efficacy, spousal support on parenting stress and depression in couples with children with attention deficit hyperactivity disorder (ADHD). Methods: A cross-sectional survey design was used. Participants were 103 couples (103 husbands, 103 wives) with children with ADHD visiting child adolescent psychiatry clinic or community mental health center in Seoul, Gyeonggi-do, South Korea. Data were analyzed by SPSS 20.0 and AMOS 20.0 program. Results: The parenting efficacy of husbands and wives had direct actor effect (β=-.69, p=.004; β=-.60, p=.004) and partner effect (β=-.22, p=.007; β=-.18, p=.026) on their parenting stress. In addition, husbands and wives's parenting efficacy had a direct actor effect (β=-.25, p=.031; β=-.21, p=.025) on their depression and indirect actor effect (β=-.25, p=.004; β=-.34, p=.004) through parenting stress on their depression. However, parenting stress did not show a partner effect on depression. Husband and wife's parenting efficacy had a direct effect (β=.46, p=.004; β=.25, p=.009) on perceived spousal support. The effects of husbands and wives were the same in actor effect size (χ² differences=0.74, p=.390) and partner effect size (χ² differences=0.20, p=.652) of parenting efficacy on parenting stress. In addition, the effect sizes of husbands and wives were the same in actor effect size (χ² differences=0.93, p=.334) and partner effect size (χ² differences=0.15, p=.704) for parenting stress and depression. Conclusion: The results of this study may provide the foundation for developing a nursing intervention program that can maximize interaction between couples with ADHD children.

• 한국사회복지학
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• 제65권4호
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• pp.165-193
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• 2013

본 연구의 목적은 노년기 배우자 사별 후의 성장과정을 살펴보고, 그에 대한 이론을 개발하는 것이다. 이를 위해 배우자와 사별한 노인 17명을 대상으로 질적 연구를 실시하였다. 심층면접 후 Strauss와 Corbin(1998)의 근거이론 방법을 적용하여 분석한 결과, 143개의 개념과 43개의 하위범주, 19개의 범주가 도출되었다. 배우자 사별 후 참여자들에게 나타난 중심현상은 '우울', '막막함', '생활상의 스트레스', '심리적 위축감', '회한', '홀가분함' 등의 심리적 반응이었다. 이러한 사별 직후의 심리적 손상 정도는 인과적 조건으로서 사별 전의 '부부관계', '개인의 독립적/의존적 성향', '사별에 대한 마음의 준비'에 따라 차이가 있었으며, 맥락적 조건에는 '친밀한 인간관계 구축에 대한 욕구', '독립성 유지에 대한 욕구'가 존재하였다. 현상을 극복하기 위한 작용/상호작용 전략은 '현실에 대한 직시'와 '새로운 삶을 위한 노력'이었으며, 이를 촉진, 제어하는 중재적 조건은 '사회적지지'와 '신앙생활'이었다. 나타난 결과, 즉 성장의 내용은 '삶의 의미 찾기', '자존감의 향상', '인간관계의 강화', '포용과 수용'이었다. 노년기 배우자 사별 후 성장의 과정은 시간 순에 따라 '슬픔과 절망단계', '끌어안고 나아가기 단계', '성장단계'로 이어졌다. 마지막으로 유형분석의 결과, 배우자 사별 후 성장과정은 '적극적 변화형', '발전적 적응형', '포용형', '답보형', '원망형'의 5가지로 분류되었다. 본 연구의 결과, 노년기 배우자 사별 후 성장은 노년기에 보편적으로 경험하게 되는 "발달적 위기 이후의 삶의 통합과정으로서, 배우자 사별 직후의 절망을 딛고 일어서 삶의 주체자로서 새로운 삶을 모색하고 더욱 강해진 자아를 발견해 나가며, 배우자를 포용해 나가는 과정"으로 개념화할 수 있다.

• 여성건강간호학회지
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• 제25권2호
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• pp.182-193
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• 2019

Purpose: The purpose of the study was to identify effects of anxiety, social support, and Taegyo practice toward maternal-fetal attachment in pregnant women having an abortion. Method: Participants included 99 pregnant women having an abortion, who participated in this study. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation, and multiple regression with the SPSS WIN 23.0 program. Results: Maternal-fetal attachment was significantly negatively correlated with anxiety, and significantly positively correlated with social support and Taegyo practice. Spousal support and Taegyo practice, explained 43.8% of participants' maternal-fetal attachment. Conclusion: Results indicate that less anxiety and more social support, and Taegyo practice in pregnant women having an abortion, were associated with stronger maternal-fetal attachment. To strengthen the maternal-fetal attachment of pregnant women having an abortion experience, it would be necessary to develop and implement the Taegyo program, focusing on practicing Taegyo-related encouragement. Additionally, it is recommended that nursing intervention is provided, to encourage families to participate in the Taegyo practice together throughout the gestational period, and to maintain a positive relationship among partners.