Ever since the importance of the psychological aspects of infertility was recognized, researchers have been trying to define adaptation to this non-developmental crisis. Lately, more popular research has been concerned with the question of which factors contribute to better adaptation, rather than what that adaptation is. The majority of these studies are carried out with women who still face infertility, while the women who became parents after facing this crisis are included in just a few studies. Accordingly, the main aim of this research was to examine the opinion on the factors contributing to better adaptation to infertility, as well as the differences in opinion between women who took on the parental role after coping with infertility and those who did not. For that purpose, the Infertility Adaptation Factors Questionnaire was applied on a sample of 192 respondents. The questionnaire consists of 23 items, with four different factors. In their opinion, among the examined factors, the most important is togetherness and intimacy between partners, which is statistically more important than resources, social support and importance of the parental role, the least important factor in this study. There are no significant differences between those who became parents and those who are still dealing with infertility.
U cilju utvđivanja efekata koje na percepciju bračnog kvaliteta, kod žena, ima bračni lokus kontrole, uz praćenje efekata bračne nestabilnosti i dužine braka, ispitana je 1821 žena, starosti od 19 do 75 godina. Bračni lokus kontrole je meren Skalom doživljaja lične efikasnosti u rešavanju bračnih konflikata (Perceived efficacy in solving intimate conflict scale: Fincham & Bradbury, 1987), bračna nestabilnost je izražena Indeksom bračne nestabilnosti (Martial Instability Index: Booth, Johnson, & Edwards, 1983), a percipirani kvalitet braka je meren Skalom prilagođenosti u bračnom odnosu (Dyadic Adjustment Scale – DAS: Spanier, 1976). U obradi prikupljenih podataka, primenjene su četiri hijerarhijske regresione analize, u kojima su kriterijske varijable bile subdimenzije kvaliteta bračnog odnosa: konsenzus, dijadno zadovoljstvo, afektivno-seksualna usaglašenost i kohezivnost. U cilju kontrole uticaja prediktorskih varijabli, u analizu je u prvom koraku uključena dužina braka, u drugom bračana nestabilnost, a u trećem koraku je ispitan odnos bračnog lokusa kontrole i pojedinačnih dimenzija kvaliteta braka. Na osnovu dobijenih rezultata možemo zaključiti da je doživljaj lične efikasnosti u rešavanju bračnih konflikata, kod žena, dobar pokazatelj prvenstveno stepena njihovog zadovoljstva brakom, ali i njihove procene stepena slaganja sa bračnim partnerom po pitanjima koja su od značaja za svakodnevno funkcionisanje. S druge strane, na osnovu procene bračnog lokusa kontrole u manjoj meri možemo zaključivati o bračnoj kohezivnosti i stepenu afektivno-seksualne usaglašenosti supružnika. Procena bračne nestabilnosti povećava stepen razumevanja različitih aspekata kvaliteta braka, dok je doprinos samog vremena koje su supružnici proveli u braku, iako statistički značajan, praktično zanemariv.
Sa ciljem da se ispitaju razlike u motivaciji za roditeljstvo kod trudnica, a uzimajući u obzir trimestar trudnoće i bračnu funkcionalnost, ispitano je 63 trudnice, prosečne starosti 30 godina, kojima je to prva trudnoća. Ispitanice su popunjavale upitnik o demografskim karakteristikama, modifikovanu verziju Skale motiva za roditeljstvo i Skalu prilagođenosti u bračnom odnosu. Na ispitanom uzorku je najzastupljeniji motiv za roditeljstvo motiv nege i brige, zatim socijalni pritisak, a najmanje zastupljen jeste motiv kontinuiteta. Za obradu rezultata primenjena je multivarijantna analiza kovarijanse, pri čemu su različiti oblici motivacije činili zavisne varijable, trimestar je bio kategorijalna nezavisna varijabla, a dimenzije bračne funkcionalnosti kovarijati. Viši motiv nege i brige prisutan je kod ispitanica koje tenziju, ali i kohezivnost u braku, procenjuju nižim, dok ispitanice sa nižim zadovoljstvom brakom imaju izraženije spoljašnje oblike motivacije. Bez obzira na to što je unutrašnji motiv na uzorku najzastupljeniji, dobijeni rezultati ukazuju na potencijalne rizike u narednim razvojnim fazama porodice, budući da sa dolaskom deteta dolazi do dodatnog pada zadovoljstva brakom i učestvovanja u zajedničkim aktivnostima partnera. Ključne reči: motivacija za roditeljstvo, trimestar trudnoće, tranzicija u roditeljstvo, bračna funkcionalnost Uvod Roditeljstvo je istovremeno opisivano kao događaj koji predstavlja izvor najveće sreće (Halle, 2002), ali i jedan od najvećih izazova (Keizer i sar., 2009) budući da preuzimanje roditeljske uloge zahteva mnogo promena u individu-1 Istraživanje prikazano u ovom radu predstavlja deo projekta "Efekti egzistencijalne nesigurnosti na pojedinca i porodicu u Srbiji", koji finansira Ministarstvo prosvete, nauke i tehnološkog razvoja Republike Srbije (DN179022).
Regardless of the trend of using the patient-centred approach in (in)fertility clinics, there has been no research on satisfaction with medical staff care in Serbia yet. Accordingly, the main aim of this study is to examine the metric characteristics of the first quantitative instrument for measuring satisfaction with this type of support in Serbia - the Medical Support Assessment Questionnaire. A total of 87 women, currently facing the problem of infertility, participated in the study. The reliability of the Questionnaire is high and amounts to .96, expressed through the Kronbach's Alpha coefficient.. Using the Principal Components Method, the one-factor solution is obtained. An additional aim of the study is to examine satisfaction levels with different aspects of support. The best rated aspect of the medical staff support refers to technical skills and competencies for treatment implementation, while the worst rated aspects include emotional support by the medical staff and patient education about the emotional effects of treatment. Furthermore, the results indicate that there is no statistically significant difference in these estimates depending on the length of infertility or age of participants. The findings show that medical staff is still focused on the medical aspects of the treatment and its effectiveness instead of focusing on a holistic, patient-centred approach. These open up the space for working on integrating a holistic approach into fertility clinics in Serbia. In addition, the results highlight the importance of having an effective and reliable instrument for measuring satisfaction with medical support for the purposes of monitoring and improving the ART clinics service.
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