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Kim and Shin: A Structural Model for Quality of Life of Infertile Women
Original Article

Journal of Korean Academy of Nursing 2013; 43(3): 312-320.

Published online: 28 June 2013

DOI: https://doi.org/10.4040/jkan.2013.43.3.312

A Structural Model for Quality of Life of Infertile Women

Ju Hee Kim1, Hye Sook Shin2

1Department of Nursing, Dankook University, Cheonan, Korea.

2College of Nursing Science, Kyung Hee University, Seoul, Korea.

Address reprint requests to: Shin, Hye Sook. College of Nursing Science, Kyung Hee University, 26 Kyunghee-daero, Dongdaemon-gu, Seoul 130-701, Korea. Tel: +82-2-961-9143, Fax: +82-2-961-9398, suksh@khu.ac.kr

Received 6 October 2012       Accepted 15 February 2013

© 2013 Korean Society of Nursing Science

Abstract

Purpose

The purpose of this study was to test a model for quality of life among infertile women. This model was based primarily on the concept of the Fertility Quality of Life by Boivin et al. (2011) and the Infertility Resilience Model by Rindenour (2009).

Methods

Fifteen measurable variables were used to estimate quality of life. They included endogenous variables such as fertility quality of life and resilience, and exogenous variables such as infertility related stress, depression, marital adjustment, and family support. Data sets (n=203) used for analysis were collected in a general hospital which had, on average, 400 assisted reproductive technologies per month.

Results

The assessment of the modified model indicated acceptable fit, with χ2/d.f=2.07, GFI=.90, AGFI=.89, NFI=.89, CFI=.91, RMSEA=.07. Depression, infertility related stress, marital adjustment, resilience, and family support had direct influences on quality of life.

Conclusion

The results of this study should contribute to the development of nursing intervention programs to enhance quality of life using factors that affect fertiQol (fertility quality of life) of infertile women.

Keywords: Quality of life, Infertile women, Structural model

Figures and Tables

Figure 1
Theoretical framework.
jkan-43-312-g001
Figure 2
Path diagram for the modified model.
jkan-43-312-g002
Table 1
General and Infertility related Characteristics of Respondents (N=203)
jkan-43-312-i001

AI=artificial insemination; IVF=In vitro fertilization.

Table 2
General and Infertility related Characteristics of Respondents (N=203)
jkan-43-312-i002
Table 3
Estimates and Effects for the Modified Model
jkan-43-312-i003

SMC=squared multiple correlations.

*p<.05, |t|=1.96; **p<.01, |t|=2.58.

Notes

This manuscript is a condensed form of the first author's doctoral thesis from Kyung Hee University.

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