不妊治療を受けている女性の対処と適応状態との関連について

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  • RELATIONSHIP BETWEEN COPING AND PSYCHOSOCIAL ADJUSTMENT IN WOMEN UNDERGOING TREATMENT FOR INFERTILITY
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本研究の目的は,不妊治療中の女性における対処の特徴,及び対処と適応状態との関連を明らかにすることである。不妊専門外来を受診中の既婚女性に,質問紙調査を依頼し,113名の有効回答を得た。質問紙は以下の5つで,JCS (Jalowiec Coping Scale)に不妊女性の特有な対処を加えた対処質問紙,STAI (State-Trait Anxiety Inventory)の状態不安尺度,Self-Esteem尺度,夫婦間調整テスト,ソーシャルサポート質問紙である。分析の結果,以下のことが明らかになった。1)不妊治療中の女性において,直接的対処が感情的対処や緩衝的対処と比べ,より多く行われている。2)(1)直接的対処を多く行う女性ほど,自尊感情が高く手段的サポートや評価的サポートに満足する,(2)感情的対処を多く行う女性ほど,不安が高く自尊感情が低く夫婦関係を良好とは認知しない,(3)緩衝的対処を多く行う女性ほど夫婦関係を良好とは認知しない。3)3種類の対処を直接的対処,緩衝的対処,感情的対処という順番の頻度で多く行う者はそうではない者に比べ,不安が低く自尊感情が高く夫婦関係を良好と認知し,評価的サポートに満足する。以上より,不妊治療を受ける女性のストレスを軽減し,適応を促すために,3種類の対処をこの順番の頻度で多く行うことを支援する看護が必要であることが示唆された。

This study characterizes coping in women undergoing treatment for infertility and investigates the relationship between coping and Psychosocial adjustment. We obtained informed consent from 113 married women who were outpatients at a fertility clinic to complete a series of questionnaires. To provide an understanding of the coping used by our participants, a revised Jalowiec Coping Scale (JCS) was used. The State-Trait Anxiety inventory (STAI), Self-Esteem scale, Marital Adjustment Test, and social support questionnaire were used to measure psychosocial adjustment. The main findings were as follows: 1. Women who undergo treatment for infertility tended to show 'confrontive coping' rather than 'emotive coping' or 'palliative coping'. 2. Pearson's correlation coefficient revealed: 1) Women who frequently show 'confrontive coping' have higher self-esteem and more satisfaction with instrumental and evaluation support. 2) Women who frequently show 'emotive coping' have higher anxiety, lower self-esteem and a more negative perception of their marital relationship. 3) Women who frequently show 'palliative coping' have a more negative perception of their marital relationship. 3. The most positive coping combination is confrontive, followed by palliative, and emotive coping. These women showed lower anxiety, higher self-esteem, had a more positive perception of their marital relationship, and expressed greater satisfaction with the evaluation support, than other coping combinations. These findings suggest that effective nursing care for infertile women should focus on supporting the most positive combination of coping to promote better adaptation.

source:Journal of Chiba Academy of Nursing Science

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