Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of State-Anxiety and Dyadic Adjustment on Pregnant Women's Pregnancy Stress

임부의 상태불안, 부부적응이 임신스트레스에 미치는 영향

  • 황란희 (광주여자대학교 간호학과)
  • Received : 2018.12.28
  • Accepted : 2019.05.20
  • Published : 2019.05.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate state-anxiety, dyadic adjustment and pregnancy stress in pregnant women and to identify factors influencing pregnancy stress. Data were collected 158 pregnant women. Data were analyzed using t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, stepwise regression analysis. There was statistically significant difference in state-anxiety on variable such as age. There were statistically significant difference in dyadic adjustment on variables such as education, religion, income. There was not statistically significant difference in pregnancy stress on variables. Pregnancy stress was positively correlated with state-anxiety. Pregnancy stress was negatively correlated with dyadic adjustment. State-anxiety was negatively correlated with dyadic adjustment. Factor influencing pregnancy stress was state-anxiety, which explained 25.1%. Findings provide useful information for further studies in pregnancy stress of pregnant women. Therefore, to reduce pregnancy stress of pregnant women, it is necessary to standardized nursing intervention program.

본 연구의 목적은 임부의 상태불안, 부부적응 및 임신스트레스 정도를 측정하고, 상태불안과 부부적응이 임신스트레스에 미치는 영향을 파악하여 산전교육프로그램 개발을 위한 기초 자료를 제공하는데 있다. 본 연구는 158명의 임부를 대상으로, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, stepwise regression analysis를 이용하여 지료를 분석하였다. 대상자의 상태불안은 평균 $39.59{\pm}8.78$점(범위:20~80점)으로, 연령에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 부부적응은 평균 $59.62{\pm}12.69$점(범위:14~84점)으로, 교육정도, 종교 유무 및 가족의 수입에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 임신스트레스는 평균 $61.75{\pm}13.86$점(범위:27~135점)으로, 일반적 특성에 따라 유의한 차이가 없는 것으로 나타났다. 대상자의 임신스트레스는 상태불안과 유의한 수준의 양의 상관관계가 있는 것으로 나타났고, 부부적응과는 유의한 수준의 음의 상관관계가 있는 것으로 나타났으며, 상태불안과 부부적응과는 유의한 수준의 음의 상관관계가 있는 것으로 나타났다. 임부의 임신스트레스에 영향을 주는 요인은 상태불안이었다. 임부의 상태불안이 1점 높을수록 임신스트레스는 0.799만큼 증가하는 것으로 나타났으며, 임신스트레스 영향요인에 대한 회귀모형은 유의하였고 설명력은 25.1%였다. 본 연구결과는 임부의 정서적 건강관리를 위한 산전교육에 유용한 자료로 활용될 수 있을 것이며, 향후 임부의 임신스트레스와 상태불안 완화를 위한 표준화된 간호중재프로그램 개발이 필요하다.

Keywords

Table 1. General Characteristics of Subjects

DJTJBT_2019_v17n5_225_t0001.png 이미지

Table 2. Levels of Pregnancy Stress, State-Anxiety, and Dyadic Adjustment according to General Characteristics of Subjects

DJTJBT_2019_v17n5_225_t0002.png 이미지

Table 3. Correlations among State-Anxiety, Dyadic Adjustment, and Pregnancy Stress of Subjects

DJTJBT_2019_v17n5_225_t0003.png 이미지

Table 4. Influencing Factor of Pregnancy Stress

DJTJBT_2019_v17n5_225_t0004.png 이미지

References

  1. R. T. Mercer & L. O. Walker. (2006). A review of nursing interventions to foster becoming a mother. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 35(5), 568-582. https://doi.org/10.1111/j.1552-6909.2006.00080.x
  2. J. H. Kang. (1980). A Study on Fear and Anxiety of Pregnant Women The process of having baby including pregnancy, labor and birth. Master's thesis, Yonsei University, Seoul. Korea.
  3. H. Light & C. Fenster. (1974). Maternal concerns during pregnancy. American Journal of Obstetrics & Gynecology, 118(1), 46-50. https://doi.org/10.1016/s0002-9378(16)33644-4
  4. I. S. Lee & Y. S. Park. (1996). A study on pregnant women's health cognition and self care.The Seoul Journal of Nursing, 10(1), 11-24.
  5. R. P. Lederman. (1984). Psychology adaptation in pregnancy. Englewood Cliffs, N. J., Prentice-Hall Inc.
  6. G. B. Spanier. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Jounal of Marriage and the Family, 38(1), 15-28. https://doi.org/10.2307/350547
  7. M. H. Sung & K. S. Joo. (2011). Relationships among marital satisfaction, spousal support and practice of taekyo in pregnant women. Korea Journal of Women Health Nursing, 17(1), 31-38. https://doi.org/10.4069/kjwhn.2011.17.1.31
  8. M. K. Kwon. (2007). Antenatal depression and mother-fetal interaction. Korean Academy of Child Health Nursing, 13(4), 416-426.
  9. R. T. Mercer, S. Ferketich, K. S. May, I. DeJoseph & D. Solid. (1988). Futher exploration of maternal and paternal fetal attachment. Research in Nursing and Health, 11, 83-95. https://doi.org/10.1002/nur.4770110204
  10. S. Brummelte & L. A. Galea. (2010). Depression during pregnancy and postpartum: contribution of stress and ovarian hormones. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 34(5), 766-776. https://doi.org/10.1016/j.pnpbp.2009.09.006
  11. S. M. Woods, J. L. Melville, Y. Guo, M. Y. Fan & A. Gavin. (2010). Psychosocial stress during pregnancy. American Journal of Obstetrics and Gynecology, 202(1), 61.e61-61.e67. https://doi.org/10.1016/j.ajog.2009.07.041
  12. P. Zhu, F. Tao, J. Hao, Y. Sun & X. Jiang. (2010). Prenatal life events stress: implications for preterm birth and infant birth weight. American Journal of Obstetrics and Gynecology, 203(1), 34.e31-34.e38. https://doi.org/10.1016/j.ajog.2010.02.023
  13. A. Rodriguez & G. Bohlin. (2005). Are aternal smoking and stress during pregnancy related to ADHD symptoms in children? Journal of Child Psychology and Psychiatry, 46(3), 246-254. https://doi.org/10.1111/j.1469-7610.2004.00359.x
  14. Y. A. Kim. (2007) Relationship between maternal stress during pregnancy and neonatal stress response. Unpublished master's thesis, Seoul University, Seoul.
  15. H. R. Ahn. (1984). An experimental study of the effects of Husband s supportive behavior reinforcement education on stress relief of primigravidas. Doctor degree, Yonsei University, Seoul. Korea. https://doi.org/10.4040/jnas.1985.15.1.5
  16. Y. Kim. (2016). Development of the Pregnancy Stress Scale in Korea Women. Doctoral degree, Seoul University, Seoul, Korea.
  17. R. H. Hwang. (2005). A Study on the Relationship Between State Anxiety and Maternal Fetal Attachment of Unmarried Mothers in a Welfare Center. Korean Journal of Women Health Nursing, 11(3), 218-224. https://doi.org/10.4069/kjwhn.2005.11.3.218
  18. R. H. Hwang. (2013). Relationship Between Maternal Fetal Attachment and State Anxiety of Pregnant Women in the Preterm Labor. Korean Journal of Women Health Nursing, 20(2), 42-152. DOI : 0.4069/kjwhn.2013.19.3.142
  19. M. Kim. (2014). Stress, Depression, and Fetal Attachment in Pregnant Women having Infertility Treatments. Korean Journal of Women Health Nursing, 20(2), 163-172. DOI : 10.4069/kjwhn.2014.20.2.163
  20. R. H. Hwang. (2018). Self-Esteem, Body Image and Factors Influencing on Maternal Fetal Attachment Behavior of Pregnant Women. Journal of Digital Convergence, 16(9), 197-206. DOI : 10.14400/JDC.2018.16.9.000
  21. E. Y. Lee. (2015). Influence of Anxiety and Dyadic Adjustment on Maternal-fetal attachment in High-Risk Pregnant Women. Master's thesis, Kyungpook National University, Daegu, Korea. DOI : 10.14257/ijseia.2015.9.12.32
  22. S. A. Lee. (2014). Factors Influencing Maternal-fetal attachment among Pregnant Women. Master's thesis, Kyungpook National University, Daegu, Korea. DOI : 10.14257/astl.2015.116.20
  23. C. D. Spielberger, R. L. Gorsuch & R. E. Lushene. (1970). Manual for the state - trait anxiety inventory. CA: California Consulting Psychologist press.
  24. J. T. Kim. (1978). The Relationship of Trait Anxiety and the Sociality. Unpublished Master's thesis, Korea University, Seoul.
  25. D. M. Busby, C. Chistensen, D. R. Crane, & J. H. Larson. (1995). A revision of the dyadic adjustment scale for use with distressed and nondistressed couple: Construct hierarchy and multidimensional scales. Journal of Marital and Family Therapy, 21(3), 289-308. https://doi.org/10.1111/j.1752-0606.1995.tb00163.x
  26. S. I. Choi. (2004). Revision dyadic adjustment scale: Reliability and Validity. Gho Hwang non Jip Kyung Hee Graduate School, 35.
  27. J. A. Jo & Y. H. Kim. (2007). Mother's Prenatal Environment, Stress During Pregnancy, and Children's Problem Behaviors. Journal of Human Ecology, 11(2), 43-91.
  28. R. H. Hwang. (2000). A study on the relationship between state anxiety and maternal fetal attachment in the pregnant women. Thesis Collection of Kwangju Women's University, 3, 429-449.
  29. J. I. Kim. (2005). Comparison of prenatal education programs for the primigravida - focused on anxiety and labor efficacy. Korean Journal of Women Health Nursing, 11, 225-231. https://doi.org/10.4069/kjwhn.2005.11.3.225
  30. A. Yarcheski, N. E. Mahon, T. J. Yarcheski, M. M. Hanks & B. L. Cannella. (2009). A meta analytic study of predictors of maternal-fetal attachment. International Journal of Nursing Studies, 46, 708-715. http://dx.doi.org/10.1016/j.ijnurstu.2008.10.013
  31. H. J. Locke & K. M. Wallace. (1959). Short marital-adjustment and prediction tests:Their reliability and validity. Marriage and Family Living, 21, 251-255. https://doi.org/10.2307/348022
  32. H. J. Baek. (2009). Mediation effect of recognition of spousal support and emotional state on the relationship of pregnant women's attachment to mother and maternal-fetal attachment. Unpublished doctoral'sthesis, Hongik University, Seoul.
  33. V. J. Pop, A. M. Pommer, M. Pop-Purceleanu, H. A. Wijnen, V. Bergink & F. Pouwer.(2011). Development of the Tilburg pregnancy distress scale: the TPDS. BMC pregnancy and childbirth, 11(1), 80. https://doi.org/10.1186/1471-2393-11-80
  34. Y. F. Tseng, C. M. Hsu, Y. H. Liu & C. H. Chen. (2008). The experiences of prenatal depression among Taiwanese women. Journal of Advanced Nursing, 64(5), 495-503. https://doi.org/10.1111/j.1365-2648.2008.04805.x
  35. R. H. Hwang. (1999). A study on the relationship between stress and maternal fetal attachment in the pregnant women. Chonnam Journal of Nursing Science, 4(1), 53-69.