본 연구에서는 난임 여성의 삶의 질 향상을 위한 ACT(Acceptance Commitment Therapy: ACT, 수용전념치료) 집단상담 프로그램을 구성하고 그 효과를 검증하고자 하였다. 이를 위해 난임 여성의 특성을 파악하고 ACT의 핵심치료 기제인 수용과 탈중심화, 가치 중심의 삶 등을 구성하여 난임 여성의 삶의 질을 향상시키도록 프로그램을 구성하였다. 자녀 출산의 경험이 없는 난임 여성으로 총 21명을 선별하여 실험집단 11명과 통제집단 10명을 무선 배정하였으며, 실험집단은 매주 1회 150분씩 8주간 ACT 프로그램을 실시하였다. 실험집단과 통제집단은 프로그램 효과 분석을 위한 사전-사후 설문 작성에 참여하였으며, 연구도구로는 난임 스트레스, 탈중심화, 난임 관련 삶의 질 척도를 사용하였다. 효과 검증을 위한 자료 분석으로는 사전 점수가 사후에 미치는 영향을 통제할 수 있도록 사전 점수를 공변인으로 하는 공분산분석(ANCOVA)을 실시하였다. 프로그램 적용 결과, 난임 여성의 난임 스트레스, 탈중심화, 난임 관련 삶의 질에서 유의미하게 효과가 나타나 본 프로그램이 난임 여성의 삶의 질 향상에 효과가 있음을 검증하였다.
The purpose of this study is to establish an ACT group counseling program for the improvement of the quality of life of women with infertility and those with subfertility and to validate its effects. I designed this program to improve the women’s quality of life by identifying their characteristics and organizing ACT s main treatment mechanisms (acceptance, decentering [cognitive defusion], and a value-centered life). The participants were women with infertility between 30 and 50 years of age who had been married over a year but had never had a child. A total of 21 participants were selected; 11 were randomly assigned to the experimental group and 10 to the control group. For the experimental group, the ACT program was performed once a week for 150 minutes for 8 weeks. The experimental group and control group participated in pre-post questionnaires to analyze the program’s effects. The Fertility Problem Inventory (FPI), Experience Questionnaire (EQ), and Fertility Quality of Life Questionnaire (FertiQoL) were used as research tools. To analyze effect validation, I used covariance analysis (ANCOVA), where the pre-score was the covariate variable, in order to control the influence of the pre-score on post-mortem, and analyzed the content of the activities and experience reports by period. The results of this study were as follows: FPI, EQ, and FertiQoL were significantly influenced in the experimental group, and this program has proven to be effective in improving the quality of life of women with infertility. In addition, we also reported on the experience of helping to shape the spouse’s self-awareness and acceptance through the change of perception in the sub-domain of the quality of life, and consequently to develop intimacy in the couple.
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연구방법
프로그램 구성
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