불임 여성의 삶의 질 모형 구축 = A Structural Model for Quality of Life of Infertile Women

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to test a model for quality of life among infertile women. This model was based primarily on the concept of the Fertility Quality of Life by Boivin et al. (2011) and the Infertility Resilience Model by Rindenour (2009). Methods: Fifteen measurable variables were used to estimate quality of life. They included endogenous variables such as fertility quality of life and resilience, and exogenous variables such as infertility related stress, depression, marital adjustment,and family support. Data sets (n=203) used for analysis were collected in a general hospital which had, on average, 400assisted reproductive technologies per month. Results: The assessment of the modified model indicated acceptable fit, with χ2/d.f=2.07, GFI=.90, AGFI=.89, NFI=.89, CFI=.91, RMSEA=.07. Depression, infertility related stress, marital adjustment, resilience,and family support had direct influences on quality of life. Conclusion: The results of this study should contribute to the development of nursing intervention programs to enhance quality of life using factors that affect fertiQol (fertility quality of life) of infertile women.

참고문헌 (Reference)

1 김혜숙, "신장이식 수혜자의 삶의 질 예측모형 구축" 한국간호과학회 39 (39): 518-527, 2009

2 민소원, "불임여성의 스트레스, 우울과 삶의 질에 미치는 영향요인" 한국모자보건학회 12 (12): 19-32, 2008

3 신영희, "만성질환아의 극복력(resilience)과 건강관련 삶의 질" 아동간호학회 12 (12): 295-303, 2006

4 임수진, "국제결혼 이주여성의 우울과 불안에 미치는 영향요인 -광주․전남지역을 중심으로" 한국여성심리학회 14 (14): 515-528, 2009

5 Chachamovich, J. R, "What variables predict generic and health-related quality of life in a sample of Brazilian women experiencing infertility?" 22 (22): 1946-1952, 2007

6 Choi, S. I., "Validity and reliability of the revised Dyadic Adjustment Scale" 35 : 97-114, 2004

7 Suh, M. J., "The study on factors influencing the state of adaptation of the hamiplegic patients" Seoul National University 1989

8 Park, Y. J., "The stress of the infertile women" 1 (1): 209-221, 1995

9 Domar, A. D., "The psychological impact of infertility: A comparison with patients with other medical conditions" 14 : 45-52, 1993

10 Ridenour, A. F., "The infertility resilience model : Assessing individual, couple, and external predictive factors" 31 (31): 34-51, 2009

11 Boivin, J, "The fertility quality of life (FertiQoL) tool: Development and general psychometric properties" 26 (26): 2084-2091, 2011

12 Newton, C. R., "The fertility problem inventory : Measuring perceived infertility-related stress" 72 (72): 54-62, 1999

13 Woo, J. P., "The concept and understanding of structural equation model" Hannarae Publishing 2012

14 Kim, S. K., "The 2009 national survey on fertility, family health and welfare in Korea" Korea Institute for Health and Social Affairs 2009

15 Matthiesen, S. M, "Stress, distress and outcome of assisted reproductive technology (ART): A meta-analysis" 26 (26): 2763-2776, 2011

16 Herrmann, D., "Resilience in infertile couples acts as a protective factor against infertility-specific distress and impaired quality of life" 28 (28): 1111-1117, 2011

17 Aarts, J. W, "Relationship between quality of life and distress in infertility: A validation study of the Dutch FertiQoL" 26 (26): 1112-1118, 2011

18 Gourounti, K, "Psychometric properties and factor structure of the fertility problem inventory in a sample of infertile women undergoing fertility treatment" 27 (27): 660-667, 2011

19 Chachamovich, J. L, "Psychological distress as predictor of quality of life in men experiencing infertility: A cross-sectional survey" 7 (7): 2010

20 Cohen, S., "Positive events and social supports as buffers of life change stress" 13 (13): 99-125, 1983

21 Hair, J. F., "Multivariate data analysis" Prentice Hall 2006

22 Spanier, G. B., "Measuring dyadic adjustment : New scales for assessing the quality of marriage and similar dyads" 38 (38): 15-28, 1976

23 Onat, G., "Marital relationship and quality of life among couples with infertility" 30 (30): 39-52, 2012

24 Monga, M., "Impact of infertility on quality of life, marital adjustment, and sexual function" 63 (63): 126-130, 2004

25 Peterson, B. D., "Examining congruence between partners’ perceived infertility-related stress and its relationship to marital adjustment and depression in infertile couples" 42 (42): 59-70, 2003

26 Wagnild, G. M., "Development and psychometric evaluation of the Resilience Scale" 1 (1): 165-178, 1993

27 Beck, A. T., "Depression: Clinical, experimental, and theoretical aspects" Hoeber 1967

28 Gameiro, S., "Congruence of the marital relationship during transition to parenthood : A study with couples who conceived spontaneously or through assisted reproductive technologies" 33 (33): 91-106, 2011

29 Valsangkar, S., "An evaluation of the effect of infertility on marital, sexual satisfaction indices and health-related quality of life in women" 4 (4): 80-85, 2011

30 Mahajan, N. N, "Adjustment to infertility: The role of intrapersonal and interpersonal resources/vulnerabilities" 24 (24): 906-912, 2009

31 Lee, Y. H., "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales" 10 (10): 98-113, 1991