Yoon Hee Ja, Lee Seung Shin, Ye Song Hee, Han Ah Reum, Lim So Ri, Chung Hyun Jung, Park Jum Mi
CHA Gangnam Medical Center, Seoul, Korea.
Korean J Women Health Nurs. 2016 Jun;22(2):71-77. doi: 10.4069/kjwhn.2016.22.2.71. Epub 2016 Jun 28.
This study was a comparative study to understand the levels of anxiety, pain and maternal-fetal attachment between women who became pregnant after infertility treatment and became pregnant naturally.
This study used a comparative survey design. Data were collected by 50 couples of natural pregnancy and of who became pregnant after infertility treatment who visited delivery room in C Medical hospital, Seoul. These couples were to have first baby, and cervix dilatation of women was less than 3 cm regardless of diagnosis.
The score of anxiety of infertile women was significantly higher than that of naturally pregnant women; however, that of spouses showed no difference. The pain score for infertile women was significantly higher in both the active and transition phases. Pain scores that reported by their spouses did not show differences in either phase. The score of maternal-fetal attachment showed no difference between two groups of women.
The result showed the importance of nursing intervention to reduce women's anxiety and pain, through both antenatal-childbirth education programs and assertive nursing interventions. It is necessary to develop and evaluate new intervention which would be more effective for reducing pain and anxiety for couples who became pregnant after infertility treatment.
本研究是一项比较性研究，旨在了解接受不孕症治疗后怀孕的女性与自然受孕的女性在焦虑、疼痛及母婴依恋程度方面的差异。
本研究采用比较性调查设计。数据收集自首尔C医院产房的50对自然受孕夫妇以及接受不孕症治疗后怀孕的夫妇。这些夫妇均为首次生育，且无论诊断结果如何，女性的宫颈扩张均小于3厘米。
不孕女性的焦虑得分显著高于自然受孕女性；然而，配偶的焦虑得分并无差异。在活跃期和过渡期，不孕女性的疼痛得分均显著更高。配偶报告的疼痛得分在两个阶段均无差异。两组女性的母婴依恋得分无差异。
结果表明，通过产前分娩教育项目和积极的护理干预来减轻女性焦虑和疼痛的护理干预非常重要。有必要开发并评估新的干预措施，以更有效地减轻接受不孕症治疗后怀孕夫妇的疼痛和焦虑。
