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

So Ra Yang; Jung Hee Yeo

doi:10.4069/kjwhn.2017.23.2.145

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

Original Article

Korean Journal of Women Health Nursing 2017; 23(2): 145-153.

Published online: 27 June 2017

DOI: https://doi.org/10.4069/kjwhn.2017.23.2.145

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

So Ra Yang¹, Jung Hee Yeo²

¹Pusan National University Hospital, Busan, Korea.

²Department of Nursing, Dong-A University, Busan, Korea.

Corresponding author: Yeo, Jung Hee. Department of Nursing, Dong-A University, 32 Daesingongwon-ro, Seo-gu, Busan 49201, Korea. Tel: +82-51-240-2784, Fax: +82-51-240-2920, jheeyeo@dau.ac.kr

Received 12 May 2017 Revised 2 June 2017 Accepted 13 June 2017

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Infertility, Quality of life, Cognition, Social support, Post traumatic stress disorder

Figures and Tables

Table 1

Differences in Quality of Life by General Characteristics of Subjects (N=113)

Characteristics	Categories	n (%) or M±SD	Quality of life	t or F	p
Characteristics	Categories	n (%) or M±SD	M±SD	t or F	p
Age (yr)		35.3±4.0
	<30	6 (5.3)	63.2±12.4	1.24	.300
	30~34	45 (39.8)	57.0±15.7
	35~39	43 (38.1)	58.2±13.7
	≥40	19 (16.8)	64.1±15.4
Educational level	≤High school	18 (15.9)	56.8±18.9	−0.67	.504
Educational level	≥College	95 (84.1)	59.4±14.0	−0.67	.504
Occupation	Yes	64 (56.6)	58.2±16.0	0.68	.501
Occupation	No	49 (43.4)	60.1±13.3	0.68	.501
Religion	Yes	58 (51.3)	56.6±16.3	1.78	.078
Religion	No	55 (48.7)	61.5±12.7	1.78	.078
Monthly income (10,000 won)	<300	66 (58.4)	59.9±14.0	0.74	.461
Monthly income (10,000 won)	≥300	47 (41.6)	57.8±15.9	0.74	.461

Table 2

Differences in Quality of Life by Infertility related Characteristics (N=113)

Characteristics	Categories	n (%) or M±SD	Quality of life	t or F	p
Characteristics	Categories	n (%) or M±SD	M±SD	t or F	p
Duration of infertility (month)		35.4±22.9
	<36	61 (54.0)	59.9±14.2	0.71	.482
	≥36	52 (46.0)	57.9±15.5	0.71	.482
Causes of infertility	Unexplained	61 (54.0)	59.8±15.3	0.98	.406
	Female	40 (35.4)	58.4±14.5
	Male	8 (7.1)	52.2±13.7
	Both	4 (3.5)	66.4±10.3
Financial burden of infertility treatments	Yes	103 (91.2)	58.2±14.3	−1.86	.066
Financial burden of infertility treatments	No	10 (8.8)	67.2±18.3	−1.86	.066
History of IUI treatment	Yes	79 (69.9)	58.5±14.3	0.56	.576
History of IUI treatment	No	34 (30.1)	60.2±16.1	0.56	.576
History of IVF-ET treatment	Yes	67 (59.3)	57.4±14.7	1.39	.168
History of IVF-ET treatment	No	46 (40.7)	61.3±14.7	1.39	.168
Number of delivery	None	93 (82.3)	58.4±14.3	−0.90	.373
Number of delivery	≥1	20 (17.7)	61.7±17.0	−0.90	.373

IUI=intrauterine insemination; IVF-ET=in vitro fertilization-embryo transfer.

Table 3

Levels of Study Variables (N=113)

Variables	Range	Min	Max	n (%)	M±SD
Irrational parenthood cognition	0~52	11	52		31.8±8.30
Post traumatic stress disorder	0~51	0	33		8.0±8.64
Reexperiencing	0~15	0	12		2.0±2.69
Avoidance	0~21	0	14		3.6±4.10
Hyperarousal	0~15	0	12		2.4±3.04
Low risk (＜20)				98 (86.7)	5.4±5.65
High risk (≥20)				15 (13.3)	25.1±3.64
Spousal support	10~40	14	40		33.7±5.25
Quality of life	0~100	15.6	89.6		59.0±14.8
Emotional part	0~100	0.0	95.8		57.5±18.5
Mind-body part	0~100	8.3	0100.0		58.6±19.6
Relational part	0~100	20.8	0100.0		66.7±16.4
Social part	0~100	4.2	91.7		53.1±19.4

Table 4

Relationships among Irrational Parenthood Cognition, Post traumatic Stress Disorder, Spousal Support and Quality of Life (N=113)

Variables	Irrational parenthood cognition	Post traumatic stress disorder	Spousal support
Variables	r (p)	r (p)	r (p)
Qualify of life	−.70 (<.001)	−.65 (<.001)	.56 (<.001)

Table 5

Factors Affecting Quality of Life (N=113)

Variables	B	β	t	p
Irrational parenthood cognition	−0.81	−.45	−7.7	<.001
Spousal support	0.90	.32	5.78	<.001
Post traumatic stress disorder	−0.57	−.34	−5.64	<.001
	Adj. R²=.704, F=89.81, p<.001

Notes

This article is a condensed form of the first author's master's thesis from Dong-A University.

Summary Statement

▪ What is already known about this topic?

The quality of life in infertile women has been identified to have an association with depression, infertility related stress, marital adjustment, and family support.

▪ What this paper adds?

Influencing factors on the quality of life of infertile women were irrational parenthood cognition, post traumatic stress disorder, and spousal support.

▪ Implications for practice, education and/or policy

Nurses should take into consideration about irrational parenthood cognition, post traumatic stress disorder, and spousal support when taking care of the infertile couple in order to develop an intervention to improve the quality of life of infertile women.

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