İnfertil Kadınlarda Evlilik Uyumunun Fertilite Uyumuna Etkisi: Tanımlayıcı ve Kesitsel Bir Araştırma

Öz

Amaç: Bu çalışma infertil kadınların evlilik uyumunun fertilite uyumuna etkisini belirlemek amacıyla yapılmıştır. Yöntem: Bu çalışma tanımlayıcı ve kesitsel olarak yapılmıştır. Çalışmanın örneklemini infertilite kliniğine tedavi için başvuran araştırmaya alınma kriterlerini sağlayan 141 kadın oluşturmaktadır. Bu çalışma Türkiye’nin güneydoğusundaki bir ilde Kasım 2020- Ocak 2021 tarihleri arasında yapılmıştır. Araştırmanın verilerinin toplanmasında kişisel bilgi formu, evlilik uyum ölçeği ve fertilite uyum ölçeği kullanılmıştır. Araştırmanın verilerinin değerlendirilmesinde yüzdelik, ortalama, ANOVA ve bağımsız t testi kullanılmıştır. Bulgular: Araştırmaya katılan kadınların evlilik uyumu olan (36,51±5,60) ve olmayan kadınlar (37,36±5,29) arasında fertilite uyumu açısından istatistiksel olarak anlamlı fark saptanmamıştır (p=0,629). Çalışmada infertilite nedenleri evlilik uyumu arasında anlamlı fark saptanmamıştır (p=0,675). Fakat tüm gruplarda evlilik uyum puan ortalaması ölçeğin kesme noktasının altında kaldığı belirlenmiştir. Sonuç: İnfertil kadınların evlilik uyumlarının fertilite uyumlarını etkilemediği bulunmuştur.

Anahtar Kelimeler

• İnfertilite
• kadın
• evlilik uyumu
• fertilite
• partner

The Effect of Marital Adjustment on Fertility Adjustment in Infertile Women: A Descriptive and Cross-Sectional Study

Öz

Aim: This study was conducted to determine the effect of marital adjustment on fertility adjustment among infertile women. Method: Designed as descriptive and cross-sectional, this study involved a sample consisting of a total of 141 women who applied to the infertility clinic for treatment and met the study inclusion criteria. This study was conducted between November 2020 and January 2021 in a province in the southeast of Türkiye. The data were collected using a personal information form, the Marital Adjustment Scale (MAS), and the Fertility Adjustment Scale (FAS) and were evaluated using descriptive statistics (percentage and mean), ANOVA, and independent t-test. Results: There was no statistically significant difference between women with marital adjustment (36.51±5.60) and women without marital adjustment (37.36±5.29) in terms of fertility adjustment (p=0.629). In the study, no significant difference was found between the causes of infertility and marital adjustment (p=0.675). However, the marital adjustment mean score in all groups was below the cut-off score of the scale. Conclusion: Marital adjustment did not affect fertility adjustment in infertile women.

Anahtar Kelimeler

• Infertility
• woman
• marital adjustment
• fertility
• partner

Kaynakça

1. 1. Bilgen Ö, Tekin U. Marriage satisfaction ın the last three months of pregnancy the effect on depression. USBED. 2020;2(2):138-153.
2. 2. Türkseven A, Söylemez İ, Dursun P. Relationship between sexual dysfunctions and marital adjustment. Kriz Dergisi. 2020;28(1):9-20.
3. 3. Öztürk R, Blom TL, Li Y, Bullock LFC. Stress, stigma, violence experiences and social support of US infertile women. J Reprod Infant Psychol. 2021;39:2;205-217.
4. 4. Taşçı Bolsoy N, Kavlak O, Yücesoy F. Marital adjustment in infertile women. TJOD. 2008;5(2):105-110.
5. 5. Şenli A, Parlar H. Examination of doctoral theses written on marital harmony in Turkey. IZU Journal of Education. 2021;3(6):149-164.
6. 6. Yücesoy H, Yıldırım F, Şahin, EA. Current look at the cultural, economic, psychosocial, and sexual aspects of infertility: Basic nursing approaches. Andrology Bulletin. 2021;23:256−263. doi: 10.24898/tandro.2021.97360.
7. 7. Bayley TM, Slade P, Lashen H. Relationships between attachment, appraisal, coping and adjustment in men and women experiencing infertility concerns. Hum Reprod. 2009;24(11):2827-2837. doi: 10.1093/humrep/dep235.
8. 8. Karaca A, Ünsal G. The effects of infertility on women’s mental health and role of psychiatric nursing. Journal of Psychiatric Nursing. 2021;3(2):80-85.

9. 9. Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T. Impact of infertility on quality of life, marital adjustment, and sexual function. Urology. 2004;63(1):26-130.
10. 10. Li X, Wang, K, Huo Y, Zhou, M. The effect of infertility-related stress on Chinese infertile females’ mental health: The moderating role of marital adjustment. PsyCh Journal, 2019;8(2):232–239.
11. 11. Locke HJ, Wallace KM. Short marital-adjustmentand prediction tests: Their reliability and validity. Marriage Fam Living. 1959;21(3):251-255.
12. 12. Tutarel-Kışlak Ş. Reliability and validity study of the marital adjustment scale. Journal of 3P. 1999;7(1):50- 57.
13. 13. Glover L, Hunter M, Richards JM, Katz M, Abel PD. Development of the fertility adjustment scale. Fertil and Steril. 1999;72(4):623-628.
14. 14. Bilgiç D, Aydın Özkan S, Kızılkaya Beji N. The adaptation of the fertility adjustment scale into Turkish; A reliability and validaty study. Turkiye Klinikleri J Obstet Womens Health Dis Nurs-Special Topics. 2016;2(3):40-45.
15. 15. Ağapınar Şahin S, Dağlar G. Infertility with emotional aspect: Case report. Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2018;3(2):1-6.
16. 16. Zeren F, Gursoy E. The importance of dyadic adjustment and quality of life in infertile couples. JERN. 2019;16(1):68–72. doi: 10.5222/HEAD.2019.068.
17. 17. Şenoğlu A, Alan S. An investigation of infertile individuals’ anxiety levels, social support perceptions, and marital adjustment. TJFMPC. 2021;15(4):661-675.
18. 18. Zegers-Hochschild F, Adamson GD, Mouzon J, et al. The international committee for monitoring assisted reproductive technology (ICMART) and the world health organization (WHO) revised glossary on ART terminology. Hum Reprod. 2009;24(11):2683-2687.
19. 19. Kılıç M, Ejder AS, Kızılkaya BN. Infertility and culture. Florence Nightingale Hemşirelik Dergisi. 2021;19(2):109–115.
20. 20. Çağlar M, Satılmış İG. Infertility and quality of life: A systematic review. Androloji Bülteni. 2019;21:170−176. doi: 10.24898/tandro.2019.79836.
21. 21. Wiweko B, Anggraheni U, Elvira SD, Lubis HP. Distribution of stress level among infertility patients. Middle East Fertility Society Journal. 2017;22(2):145-148.
22. 22. Chaves C, Canavarro MC, Moura‐Ramos M. The role of dyadic coping on the marital and emotional adjustment of couples with infertility. Family Process. 2019;58(2):509-523. Bodur NE, Çoşar B, Erdem M. The relationship between dyadic adjustment with demographic and clinical variables in infertile couples. Cukurova Medical Journal. 2013;38(1):51-62.