• Journal of Korean Public Health Nursing
• /
• v.30 no.1
• /
• pp.93-104
• /
• 2016

Purpose: The purpose of this study was to determine the relationship among infertility stress, depression and Resilience of infertile women during infertility treatment. Methods: As a descriptive study, we surveyed 129 infertile women in 1 fertility center from November 2014 to January 2015. The data was analyzed in SPSS WIn 18.0 program. Results: Infertility stress, depression, and resilience averaged $3.23{\pm}.32$ (range of scale 1~6), $1.42{\pm}.39$ (range of scale 1~4), and $3.45{\pm}.35$ (range of scale 1~5), respectively. There was significant difference in infertility stress by job, abortion experience after pregnancy with infertility treatments, anxiety of high risk pregnancy, burden of pregnancy, important of having child. There was significant difference in depression by job, Economy burden on infertility treatment, burden of pregnancy. Infertility stress had a positive correlation with depression (r=.192. p<.029) Resilience had a negative correlation with depression (r=-.349. p<.001). Conclusion: It is necessary to provide infertile women with the counseling on their infertility stress and depression, and the intervention programs for infertile women is expected to help them cope and adapt with their personal and marital problems, reduce their negative emotions, and thus promote their quality of life.

• The Journal of Korean Obstetrics and Gynecology
• /
• v.36 no.2
• /
• pp.85-100
• /
• 2023

Objectives: To evaluate stress patterns and coping abilities in women with infertility by conducting in-depth interviews. Methods: Ten women with infertility who visited the Korean Medicine Hospital and provided consent after being informed of the purpose and method of the study were selected after meeting the inclusion/exclusion criteria. They were requested to complete a preliminary questionnaire developed by the researchers, the Infertility Stress Scale, and the Korean version of the Fertility Problem Inventory (FPI). Subsequently, each participant was interviewed individually. Results: The preliminary questionnaire was used to evaluate sensitivity to each type of infertility-related stress and ability to express and resolve it. Among all infertility stress types, the largest proportion, accounting for an average of 47.5±26.95%, was that felt by the patient herself. Considering stress awareness intensity, the stress felt by the patient was the highest, with an average score of 4.30±0.64. Relative stress sensitivity due to infertility was the highest, with an average score of 3.90±0.94. Compared with general work stress, the average ability to relieve stress related to problems with spouses was the highest, with a score of 2.50±1.20. The average Infertility Stress Scale score was 2.88±1.35 and FPI score was 2.87±2.52. Conclusions: The highest stress scores were observed for the following items: meaning of children, need for parenthood, and stress due to the diagnosis of infertility. The lowest stress scores were allocated to the item concerning relationships with friends and co-workers. Based on the in-depth interviews conducted after the survey, stress in women with infertility may be classified as emotional, physical, and economic. Thus, the requirement for providing appropriate psychological and emotional support depending on the stress type in addition to general medical treatment for infertility treatment was confirmed.

• The Journal of Korean Obstetrics and Gynecology
• /
• v.30 no.1
• /
• pp.56-67
• /
• 2017

Objectives: The purpose of this study is to elucidate infertility women's experience in psychological stress and to suggest effective infertility stress management methods. Methods: Twenty five infertility women who participate in Korean Medicine Pilot Project for Infertility completed questionnaires and Infertility Stress Scale, also, we have interviewed. Results: The Mean degree of stress of the infertile women was 2.24 point with Infertility Stress Scale. In focused interview, the infertility stress was considered to be within the aspects of intra and interpersonal. In regards to intrapersonal aspect, infertility women described the grief with lowered self-esteem and anxiety with obsession for fertility. As for the interpersonal aspect, infertility women were distressed by the relationship with spouse and in-laws, as well as friend and the public. Conclusions: Doctors in infertility clinic need to consider infertility stress of their patients and conduct effective intervention.

• Women's Health Nursing
• /
• v.5 no.1
• /
• pp.36-50
• /
• 1999

The purpose of this study was determine the relationship between social support and the infertility stress of infertile women. The subjects for this were 64 infertile women living in S city, Kyung Book Province. The data was collected during $4^{th}$ July and $14^{th}$ August, 1988 using the social support scale developed by Park(1985) and the infertility stress scale developed by Kim et. al.(1995) The data analysis was done by descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression using SPSS PC program. The results were as follows. 1. The mean of social support of the infertile women was 3.80. 2. The negative correlation was revealed between social support and the infertility stress(r=-.56, p=.001). 3. Research has revealed that the support need of social support was a predictor of the infertility stress of the infertile women, explaining 30.9% of total variance. 4. the general characteristic variable significantly related to the level of the infertility stress of the infertile women was marriage satisfaction(t=-3.28, p=.004). The results of this study suggest that social support is related to the infertility stress of the infertile women. Therefore, The nurse is recommended to apply supportive intervention in caring for infertile women.

• The Journal of Korean Obstetrics and Gynecology
• /
• v.18 no.4
• /
• pp.165-182
• /
• 2005

Purpose : To investigate the stress degree of infertile women and its correlations with Qi-stasis. Methods : 162 women, enrolled for treatment at oriental hospital, completed Infertility Stress Scale, Stress Response Inventory and Qi-stasis questionnaire. Their demographic features and infertility-related factors were recorded. 137 infertile women and 25 normal subjects were analyzed. Results : 1. 43 infertile women(33.86%) among the sample group were diagnosed as Qi-stasis. 2. There were close score correlations among Infertility Stress Scale, Stress Response Inventory, and Qi-stasis(p=.000). 3. Experience of Assisted Reproductive Technology (ART), possibility of spontaneous pregnancy, coitus frequency, whether the spouse is the eldest son or not had the influences on Infertility Stress. Abortion experience had influences on stress response and Qi-stasis. 4. It was revealed that Infertile women(n=137) had significantly higher scores of 'Infertility Stress' and subscales such as 'sexual satisfaction', 'marital satisfaction', 'familial adjustment', 'social adjustment' as well than control group(n=25). Conclusion : The results provide that the stress degree of infertile women had significant correlations with Qi-stasis and show the possibilities of oriental medicine treatment for stresses of infertile women.

• Journal of the Korea Convergence Society
• /
• v.11 no.8
• /
• pp.107-113
• /
• 2020

Purpose: The purpose of this study was to identify the relationships between social support and infertility stress in infertile men. Method: Participants were 120 infertile men in a hospital located S city Korea. The structured questionnaire included social support scale, fertility problem inventory scale. The data were examined using descriptive statistics, t-test, ANOVA, and Pearson's correlation with SPSS 25.0. Results: Social support was significantly correlated with infertility stress(r=-.32, p=<.001). Conclusion: Based on this study, infertility stress could be decreased by social support improvement in infertile men. Theses results suggests that infertile men need nursing intervention to minimize infertility stress by promoting social support.

• Women's Health Nursing
• /
• v.20 no.2
• /
• pp.163-172
• /
• 2014

Purpose: The purpose of this study was to determine the stress, depression, and fetal attachment of pregnant women who underwent infertility treatment, and to identify factors associated with fetal attachment. Methods: As a correlation survey design, data were collected from 136 pregnant women who underwent infertility treatment. Data were analyzed using ${\chi}^2$-test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: Stress, depression, and fetal attachment averaged $3.01{\pm}0.60$ (range of scale 1~5), $10.02{\pm}6.51$ (out of a possible 63), and $3.64{\pm}0.55$ (range of scale 1~5), respectively. Level of fetal attachment was higher when mother's age was less than 35, having other children, and having prenatal education experience. Lower score of depression and client's age less than 35 were significant factors affecting fetal attachment. Conclusion: Infertility is a life-affecting trauma for the individual, and personal and social changes due to infertility cause physical and psychological difficulties even after a successful pregnancy with infertility treatment. Therefore, prenatal management programs need to be developed giving consideration to the emotional and physical changes in order to promote physical and psychological stability in the women pregnant following infertility treatment.

• Journal of Korean Academy of Nursing
• /
• v.25 no.1
• /
• pp.141-155
• /
• 1995

The objective of this study was to develop a scale to measure stress in infertile couples and to test its reliability and validity. Prior to item generation, a basic decision was made to conceptualize stress in infertile couples as including two dimensions and four subdimensions. The dimensions were, intrapersonal stress including cognitive and affective stress, and interpersonal stress including marital and social stress. Initially 95 items were generated from the inter-view data of 31 primary or secondary infertile women and from a literature review. These items were analyzed through the Index of Content Validity(CVI) and 69 items were selected which met 70% or more of the CVI. This preliminary Infertility Stress Scale were analyzed for reliability and construct validity. Item analysis and factor analysis were applied for construct validity. Forty items were selected through item analysis. This procedure was based on the inter-item correlation matrix, a corrected average inter-item correlation coefficient(.30~.70), a corrected item to total correlation coefficient (.03 or more) and information about the alpha estimate if this item was dropped from the scale. The result of the initial factor analysis including varimax rotation produced eight factors. Five items deleted because of factor complexity(indiscriminate factor loadings). The secondary factor analysis including varimax rotation produced seven factors that coincided with the conceptual framework posed for the scale developed. The seven factors were labeled as ‘meaning of children’,‘worthiness’,‘tenacious linking’,‘marital satisfaction’,‘sexual satisfaction’,‘familial adjustment’ and ‘social adjustment’. The alpha coefficient relating to internal consistency was .93 for reliability The results of this study suggest that the measurement derived from the Infertility Stress Scale is useful in assessing the stress of infertile couples.

• Women's Health Nursing
• /
• v.26 no.2
• /
• pp.141-150
• /
• 2020

Purpose: High-quality nursing care must be provided for women with infertility, and their nursing needs must be identified. Although scales have been developed to assess infertility-related stress, quality of life, and psychosocial status, there is a lack of scales that assess the nursing needs of women with infertility. The purpose of this study was to develop a needs assessment scale for nursing care in women with infertility and to verify its reliability and validity. Methods: The 250 subjects in this study were women with infertility recruited from four hospitals. The scale was developed following the framework of DeVellis, through a literature review, in-depth interviews, development of preliminary items, verification of content validity, development of secondary items, verification of construct validity, and extraction of the final items. Date were analyzed using item analysis, factor analysis, confirmatory factor analysis, Pearson correlation coefficients, and Cronbach's alpha. Reliability was tested using Cronbach's alpha, and validity was evaluated using item analysis, exploratory factor analysis, and criterion validity. Results: The final version of the nursing needs assessment scale for woman with infertility consisted of 18 items. Four factors (physical and psychological nursing needs, needs for information regarding treatment, needs for infertility-related understanding and concern, and supportive needs) explained 66.0% of the total variance. Cronbach's alpha was .92 for the overall instrument and ranged from .88 to .91 for the subscales. Conclusion: These results suggest that this needs assessment scale for nursing care in women with infertility demonstrated acceptable validity and reliability and contained items suitable for assessing the level of nursing care needed by women with infertility.

• Women's Health Nursing
• /
• v.1 no.2
• /
• pp.244-259
• /
• 1995

This study was designed and carried out to describe the stress of the infertile women and identify its predictors. The subjects of this study, 131 infertile women, were in primary or secondary infertility. the were conveniently sampled out from the infertility clinics of K University Medical Center and C Hospital in Seoul. The data were collected by using the Infertility Stress Scale which consisted of 35 items with four dimensions(cognitive, affective, marital and social stress) from August to November 1994. The data were analyzed by using the pc-SAS program. The information was obtained of Mean, Standard Deviation, Frequencies, Percentile, t-test, ANOVA, Duncan's multiple comparison test and Multiple Regression. The results are as follows; 1. The Mean of the stress of the infertile women is 2.78. The Means of the stress in 4 dimensions are 3.81 in the cognitive dimension, 3.05 in the affective dimension, 2.06 in the marital adjustment dimension and 2.41 in the social adjustment dimension. 2. The predictors of the stress of the infertile women are their educational levels and subjective economic status. They explain 14.08% of total variance.