불임여성의 스트레스 정도와 의료사회사업 접근에 관한 연구

다국어 초록 (Multilingual Abstract)

This study is on the level of infertile women's stress and a medical social work approach to it.
It is a natural phenomenon that infertile women suffer stress because the diagnosis and treatment of infertility often have a lot of demands on time and charge them with psychological and economic burdens, and because gestation is not guaranteed even after treatment. Therefore, medical social workers help them solve their psychological and social problems and receive treatment in comfort and stability.
This study aims to identify demographic and sociological features of infertile women and stress levels of infertility dependent on infertility-related features and to suggest the necessity of a medical and social work approach to infertile women.
For the aims above, previous studies were referred and a questionnaire survey were conducted of infertile women in I Hospital, M Hospital and M Clinic.
The results of the survey were as follows.
1. The stress level of infertile women was 2.13. In the subdivision of the stress, the stress level of infertility is 3.21 in the cognitive sphere, 2.32 in the affective sphere, 1.73 in the sphere of relations with their husband, and 1.54 in the sphere of social relationship.
2. In demographic and sociological features, there was no significant difference between the stress of infertility and infertile women's age, religion and incomes. However, there was a statistically significant difference between the stress of infertility and infertile women's scholastic attainments, state of employment, the length of marriage. Thus, the lower their scholastic attainments and the longer their marriage, the more stress of sterility was found. A high level of stress also was identified when they have no job.
In infertility-related features, there was no significant difference between the stress of infertility and the number of miscarriages, the diagnosis of infertility, the length of treatment and the cause of infertility. There was a statistically significant difference dependent on who was cooperative with the treatment of their infertility.
The following five approaches of medical social work can be suggested based on the results above.
First, the most worrying of infertile women was a psychological problem, the next was a relationship with family, and the third was an economic problem. Medical social workers can suggest a problem-solving approach to help infertile women overcome the stress from those problems.
Second, in the light of the survey result that infertile women wanted to have the counseling services of a medical social worker, medical social workers should help them and their family with their psychological and social problems by providing communication and counseling through a medical social work approach based on family treatment.
Third, since a high demand was identified for information on infertility treatment and adoption in the survey, medical social workers should help infertile women solve their psychological and social problems by providing education and necessary information for them and their family.
Fourth, in the light of the survey result that forty nine percent of infertile women wanted to participate in the group program, medical social workers should try a social work approach to infertile women though the self-help group.
Fifth, the cognitive-behavioral theory can be adopted to help overcome a high level of stress from cognitive and affective spheres.
In conclusion, medical social workers should provide affective support to infertile women, who were out of reach of interest and help from social work because infertility was not considered a disease, by helping them overcome the stress of infertility, maintain good relations with their husband, family and friends, and get assistance from them through a medical social work approach.

목차 (Table of Contents)

• 목차
• 제 1 장 서 론 = 1
• 제 1 절 연구의 목적 = 1
• 제 2 절 연구방법 = 4
• 제 3 절 연구의 한계점 = 4
• 제 2 장 선행연구 = 5
• 제 3 장 이론적 배경 = 18
• 제 1 절 불임의 정의와 진단 = 18
• 1. 불임의 정의 = 18
• 2. 불임의 진단 = 19
• 제 2 절 스트레스의 정의 = 20
• 제 3 절 불임과 스트레스와의 관계 = 22
• 1. 불임스트레스의 개인적 측면 = 23
• 2. 불임스트레스의 관계적 측면 = 24
• 제 4 절 의료사회사업의 이론 = 25
• 1. 의료사회사업의 개념 = 25
• 2. 의료사회사업의 필요성 = 26
• 3. 병원의 의료사회사업 현황 = 27
• 4. 질병에 대한 문제와 의료사회사업 접근의 필요성 = 28
• 5. 의료사회사업의 접근방법 = 31
• 제 4 장 연구방법 = 34
• 제 1 절 조사대상 = 34
• 제 2 절 조사도구 = 35
• 제 3 절 조사방법 = 36
• 제 4 절 조사처리 및 분석 = 36
• 제 5 장 조사결과 및 분석 = 37
• 제 1 절 불임여성의 일반적 특성 = 37
• 1. 불임여성의 인구사회학적 특성 = 37
• 2. 불임여성의 불임관련 특성 = 38
• 제 2 절 불임여성의 스트레스 정도 = 40
• 제 3 절 불임여성의 불임스트레스 정도와 의료사회사업 = 43
• 1. 불임여성의 인구사회학적 특성에 따른 불임스트레스 정도 = 43
• 2. 불임여성의 불임관련 특성에 따른 불임스트레스 정도 = 50
• 3. 의료사회사업의 원조욕구와 그 내용 = 55
• 제 6 장 결론 = 60
• 참고문헌 = 66
• ABSTRACT = 69
• 부록 = 73