자기효능감, 부부적응도 및 가족 지지가 난임부부의 양생에 미치는 자기효과와 상대방효과 = Actor and Partner Effect of Self Efficacy, Marital Adjustment, and Family Support on Yangsaeng in Infertile Couples

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to examine the actor and partner effects of self efficacy, marital adjustment and family support on Yangseang in infertile couples using the actor-partner interdependence model. Methods: The participants were 108 infertile couples. Data were collected using the Yangsaeng Scale, Infertility Self Efficacy Scale, Revised Dyadic Adjustment Scale, and Perceived Social Support Scale from March to April in 2016. The Actor-Partner Interdependence Model was used to analyze the actor and partner effects of self-efficacy, marital adjustment and family support on Yangsaeng. Results: The fit indices for the model were Comparative Fit Index (CFI) = 0.99, Normed Fit Index (NFI) = 0.99, Tucker-Lewis Index (TLI) = 0.90, and Root Mean Square Error of Approximation (RMSEA) = 0.01, which met the criteria. We found that only self efficacy had an actor effect on Yangsaeng. Marital adjustment and family support of infertile husbands had an actor effect on the Yangsaeng. In addition, marital adjustment showed an interaction effect. Conclusions: The findings of this study indicate that the level of Yangseang in infertile couples was positively associated with the levels of self efficacy and martial adjustment. Partner effects may be hidden due to much stronger actor effects on Yangseang.

참고문헌 (Reference)

1 이수정, "중년여성의 양생에 영향을 미치는 요인" 기본간호학회 21 (21): 39-47, 2014

2 김애경, "중년여성의 양생과 건강관련 삶의 질" 한국여성건강간호학회 16 (16): 297-306, 2010

3 김주희, "자기-상대방 상호의존모형 분석을 적용한 임신부부의 건강증진행위에 관한 연구" 한국간호과학회 47 (47): 467-475, 2017

4 박영숙, "여성노인의 양생행위 경로모형 분석" 한국지역사회간호학회 22 (22): 325-332, 2011

5 김애정, "양생(養生) 측정 도구 개발에 관한 연구" 한국간호과학회 34 (34): 729-738, 2004

6 김주희, "불임 여성의 삶의 질 모형 구축" 한국간호과학회 43 (43): 312-320, 2013

7 박영숙, "노인의 양생(養生)행위에 영향을 미치는 요인" 한국간호과학회 41 (41): 72-79, 2011

8 김수경, "국내 수도권 중⋅노년층의 한방건강증진행위 예측모형" 대한예방한의학회 19 (19): 1-12, 2015

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

10 Shin S, "Traditional Yangsaeng oriental health promotion in patients with cardiovascular disease" 62 (62): 312-320, 2015

11 Homan GF, "The impact of lifestyle factors on reproductive performance in the general population and those undergoing infertility treatment: a review" 13 (13): 209-223, 2007

12 Choi SI, "Revision dyadic adjustment scale: reliability and validity" Kyung Hee University 2004

13 김주희, "Psychometric Properties of the Korean Version of the Infertility Self-Efficacy Scale" 한국간호과학회 11 (11): 159-165, 2017

14 Chachamovich JLR, "Psychological distress as predictor of quality of life in men experiencing infertility: a cross-sectional survey" 7 (7): 1-9, 2010

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

16 Kim SK, "National survey on fertility, family health & welfare" Korea Institute for Health and Social Affairs 2012

17 Hair JF, "Multivariate data analysis" Pearson Prentice Hall 217-, 2006

18 Kenny DA, "Models of non-independence in dyadic research" 13 (13): 279-294, 1996

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

20 Anderson K, "Lifestyle factors in people seeking infertility treatment-a review" 50 (50): 8-20, 2010

21 Boivin J, "International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care" 22 (22): 1506-1512, 2007

22 Greil AL, "Infertility and psychological distress: a critical review of the literature" 45 (45): 1679-1704, 1997

23 Peterson BD, "Examining congruence between partners' perceived infertility-related stress and its relationship to marital adjustment and depression in infertile couples" 42 (42): 59-70, 2003

24 Cousineau TM, "Development and validation of the infertility self-efficacy scale" 85 (85): 1684-1696, 2006

25 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

26 Chachamovich J, "Congruence of quality of life among infertile men and women: findings from a couple-based study" 24 (24): 2151-2157, 2009

27 Khosrorad T, "Comparison of lifestyle in fertile and infertile couples in Kermanshah during 2013" 13 (13): 549-556, 2015

28 Moerbeek H, "Changing families and their lifestyles" Wageningen Academic Publishers 1-340, 2007

29 Berek JS, "Berek & Novak's gynecology" Wolters Kluwer Health/Lippincott Williams & Wilkins 59-65, 2012

30 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