디지털융복합연구 (Journal of Digital Convergence)

  • 제16권6호
  • /
  • Pages.317-323
  • /
  • 2018
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

보조생식술을 받는 여성의 우울과 극복력 관계 : 신체증상 매개효과 중심으로

Depression and resilience of women undergoing assisted reproductive techniques: the mediating effect of somatic symptoms

  • 투고 : 2018.05.04
  • 심사 : 2018.06.20
  • 발행 : 2018.06.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 논문의 목적은 보조생식술을 받고 있는 난임 여성의 우울과 극복력의 관계에서 신체증상의 매개효과를 확인하고자 하였다. 연구대상자는 난임 클리닉에서 보조생식술 치료를 받고 있는 여성 97명이었으며, 자가보고형 설문지를 통해 자료 수집 하였다. 자료분석 결과, 대상자의 우울과 신체증상 및 극복력은 유의한 상관관계를 가지고 있었으며, 신체증상은 우울이 극복력에 미치는 영향에서 유의한 완전매개 효과가 있는 것으로 나타났으며(${\beta}=.73$, p< .001), 그 영향력은 53%였다(Z=6.32, p< .001). 이러한 연구결과를 통해, 향후 임상현장에서 보조생식술을 받고 있는 난임 여성을 대상으로 의료서비스를 제공함에 있어 이들이 스스로 건강문제를 극복하는 능력을 향상시키기 위해서는 신체증상 관리 프로그램 개발과 적용이 적극적으로 필요함을 알 수 있었다.

The purpose of this study was to identify the mediating effect of somatic symptoms between depression and resilience of women undergoing assisted reproductive techniques. The data were collected by structured questionnaire from 97 infertile women who were receiving assisted reproductive techniques in clinic for fertility treatment. There was a significant correlation among depression, somatic symptoms and resilience. Somatic symptoms had a complete mediating effect(${\beta}=.73$, p< .001) on the relationship between depression and resilience(Z=6.32, p< .001). And impact of influence was 53%. Based on the findings of this study, it was found that the development and application of somatic symptoms management program for improving resilience should be needed for nursing women undergoing assisted reproductive techniques in the clinical setting.

키워드

참고문헌

  1. World Health Statistics. Global health indicators: total fertility rate [Internet]. New-York: World Health Organization 2015 [cited 2017 April 9]. Available from: http://www.who.int/gho/publications/world_health_statis tics/EN_WHS2015_Part2.pdf?ua=1
  2. National Health Insurance Service. Infertility women[Internet]. Wonju: National Health Insurance Service; 2014 [cited 2016 August 13]. Available from: http://www.nhis.or.kr/bbs7/boards/B0039/3031
  3. J. H. Lee. (2015). The constitutional understanding of the low birthrate problem and approaches for its resolution. Journal of Korea University Law, 79, 85-128.
  4. H. P. Justyna, M. Jarema & A. Wichniak. (2015). Clinical determinants of mental disorders occurring during the infertility treatment. Psychiatry & Neurology, 49(5), 965-982.
  5. M. N. Park & S. Y. Choi. (2012). The Effects of infertility stress and depression on quality of life in infertile couples. Journal of the Korean Data Analysis Society, 14(4), 1987-2000.
  6. D. Suthersan, S. Kennedy & M. Chapman. (2011). Physical symptoms throughout IVF cycles. Human Fertility, 14(2), 122-128. https://doi.org/10.3109/14647273.2011.571748
  7. S. B. Im, H. Y. Oh, Y. I. Park, E. H. Lee & S. Lee. (2002). Analytical review of resilience for preventive mental health nursing. The Journal of Psychiatric and Mental Health Nursing, 11(3), 304-315.
  8. A. F. Ridenour, J. B. Yorgason & B. Peterson. (2009). The infertility resilience model: Assessing individual, couple, and external predictive factors. Contemporary Family Therapy, 31(1), 34-51. https://doi.org/10.1007/s10591-008-9077-z
  9. 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. https://doi.org/10.4069/kjwhn.2017.23.2.117
  10. M. S. Kim, I. S. Lee & C. S. Lee. (2007). The validation study of Korean BDI-II: In female university students sample. Korean Journal of Clinical Psychology, 26(4), 997-1014. https://doi.org/10.15842/kjcp.2007.26.4.011
  11. T. J. Su, Y. C. Chen & Y. S. Yang. (2001). Somatic symptoms during in vitro fertilization treatment. Formosan Journal of Medicine, 5, 145-153.
  12. G. Wagnild & H. Young. (1993). Development and psychometric. The Journal of Nursing Measurement, 1, 165-178.
  13. Y. S. Song. (2004). Determinants of resilience of the physically disabled at home. Master's thesis. Kosin University, Busan.
  14. N. M. Hwang. (2013). Factors related to the depression of infertile women. Health and Social Welfare Review, 33(3), 161-187. https://doi.org/10.15709/hswr.2013.33.3.161
  15. J. H. Lee. (2015). Review Article : Perinatal Outcomes of Pregnancy with Assisted Reproductive Technology. Korean Journal of Perinatology, 26(2), 114-120. https://doi.org/10.14734/kjp.2015.26.2.114
  16. J. L. Lin, Y. H. Lin & K. H. Chueh. (2013). Somatic symptoms, psychological stress and sleep disturbance among infertile women with intrauterine insemination treatment. Journal of Clinical Nursing, 23, 1677-1684.
  17. K. Y. Lee & S. W. Lee. (2005). Concept Analysis of Resilience. The Korean Journal of Stress Research, 13(1), 9-18.
  18. M. Rutter. (1987). Psychosocial resilience and protective mechanisms. American Journal of Orthopsychiatry, 57(3), 316. https://doi.org/10.1111/j.1939-0025.1987.tb03541.x
  19. M. O. Kim, H. A. Nam & M. S. Youn. (2016). Infertility stress, depression, and resilience in women with infertility treatments. Journal of Korean Public Health Nursing, 30(1), 93-104. https://doi.org/10.5932/JKPHN.2016.30.1.93
  20. J. L. Lin, Y. H. Lin & K. H. Chueh. (2012). Psychological distress in women who have experienced intrauterine insemination. The Journal of Nursing Research, 20, 310-315. https://doi.org/10.1097/jnr.0b013e3182748f26
  21. S. S. Luthar, D. Cicchetti & B. Becker. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71(3), 543-562. https://doi.org/10.1111/1467-8624.00164
  22. T. M. Cousineau & A. D. Domar. (2007). Psychological impact of infertility. Best Practice & Research Clinical Obstetrics & Gynecology, 21(2), 293-308. https://doi.org/10.1016/j.bpobgyn.2006.12.003