Effects of Irrational Parenthood Cognition, Post Traumatic Stress Disorder and Spousal Support on Quality of Life of Infertile Women

Abstract

Purpose: This study examined degrees of irrational parenthood cognition, post traumatic stress disorder (PTSD), spousal support, and quality of life and investigated factors that influence the quality of life of infertile women. Methods: Research design was a cross sectional correlational survey with a total of 113 female patients receiving treatment for infertility. Data were collected from August 1 to November 30, 2015. The collected data were analyzed using t-test, ANOVA, Pearson's correlation, and multiple regression analysis. Results: The mean score of the quality of life was 59.0±14.8. The quality of life was significantly associated with irrational parenthood cognition (r=-.70), post traumatic stress disorder (r=-.65), and spousal support (r=.56). The factors significantly affecting the quality of life in infertile women were irrational parenthood cognition (β=-.45), post traumatic stress disorder (β=-.34), and spousal support (β=.32). The explained variance by these factors was 70.4%, and the regression model was valid (F=89.81, p<.001). Conclusion: This study may contribute to the development of nursing intervention program to improve the quality of life of infertile women.

Factors Affecting the Infertility-Related Quality of Life among the Infertility Women

“…특히 부부친밀감의 결여는 난임 부부의 부부 관계와 결혼만족도에 즉각적으로 부정적인 영향을 주어 삶 의 질에 영향을 미친다 (Domar et al, 1993). 한편, 난임 여성의 난임 관련 삶의 질에 대한 선행연구를 살펴보면 난임스트레스 (Kim, 2016;Kim & Shin, 2013;Kim et al, 2016a;Min et al, 2008), 극복력 (Jung & Kim, 2017;Kim & Shin, 2013), 우울 (Jung & Kim, 2017;Kim, 2014;Kim & Shin, 2013;Kim et al, 2016a;Min et al, 2008) 결혼만족도 (Kim et al, 2016b), 비합리적 부 모신념, 외상 후 스트레스 장애 (Yang & Yeo, 2017), 지지 (Kim & Shin, 2013) (1) 대상자의 일반적 특성에 따른 난임 관련 삶의 질 정 도의 차이를 파악한다.…”

Mediating Effects of Emotional Self-Disclosure on the Relationship between Depression and Quality of Life for Women Undergoing In-Vitro Fertilization

“…While it is difficult to compare our results with those of the same target group due to the lack of studies that investigated emotional self-disclosure in women undergoing fertility treatment, this score (3.13) is similar to that reported among female family caregivers of adult cancer patients in the study by Kim [ 29 ]. Women experience trauma due to the diagnosis of infertility itself and due to the experience of miscarriage during the process of fertility treatment [ 30 ]. Such psychological discomfort and difficulties may be mitigated by helping women understand their own emotions and appropriately expressing them verbally and behaviorally [ 23 ].…”

Development and Application of a Web-based Integrated Support Service Program for Infertile Women

“…Infertility is the failure to achieve pregnancy within 1 year despite attempts to conceive normally without contraception. 1 Infertility has gradually increased in recent years due to lack of exercise, obesity caused by changes in diet and lifestyle habits, stress, delayed marriage age due to economically active population of women, and so on. 2 Infertility is recognized worldwide as a public health problem, and the total fertility rate in Korea in 2018 was 0.98, which categorizes Korea as an ultra-low fertility country based on the OECD standard, and infertility is considered a nation-wide issue related to low birthrate.…”

“… 13 In this regard, previous studies related to infertility have been mainly focused on physical and psychological problems of female infertility, and their stress, anxiety, depression, and nursing needs were mainly studied. 1 , 2 , 5 Infertile women undergoing assisted reproductive surgery were found to have high stress, 5 which caused anxiety and depression, and thus increased the need for nursing care. 1 , 2 , 12 In spite of the high cost of surgery and the long-term burden, pregnancy was not guaranteed, which increased not only physical stress but also social, psychological, and economic burdens.…”

“… 1 , 2 , 5 Infertile women undergoing assisted reproductive surgery were found to have high stress, 5 which caused anxiety and depression, and thus increased the need for nursing care. 1 , 2 , 12 In spite of the high cost of surgery and the long-term burden, pregnancy was not guaranteed, which increased not only physical stress but also social, psychological, and economic burdens. 5 Moreover, to increase the pregnancy rate of infertile women, it is necessary to correct the lifestyle of prospective parents during pre-pregnancy management.…”