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Coping and Resilience of Adolescents With Congenital Heart Disease

Authors
 Sunhee Lee  ;  Sue Kim  ;  Jae Young Choi 
Citation
 JOURNAL OF CARDIOVASCULAR NURSING, Vol.29(4) : 340-346, 2014 
Journal Title
 JOURNAL OF CARDIOVASCULAR NURSING 
ISSN
 0889-4655 
Issue Date
2014
MeSH
Adaptation, Psychological* ; Adolescent ; Adolescent Behavior/psychology* ; Attitude to Health* ; Female ; Heart Defects, Congenital/psychology* ; Heart Defects, Congenital/rehabilitation ; Humans ; Male ; Quality of Life/psychology* ; Republic of Korea ; Resilience, Psychological* ; Social Support ; Task Performance and Analysis
Keywords
adolescents ; congenital heart disease ; coping ; resilience
Abstract
BACKGROUND:Congenital heart disease has come to be regarded as a chronic rather than terminal disease owing to dramatic advances in its medical and surgical management. Thus, it is salient for healthcare providers to help adolescents with congenital heart disease increase their resilience by using effective coping strategies. OBJECTIVES:The purpose of this study was to examine the relationship between resilience and task-oriented coping in Korean adolescents with congenital heart disease. METHOD:This descriptive and exploratory study was designed to explore the effectiveness of task-oriented coping for improving resilience in Korean adolescents with congenital heart disease. After approval of the institutional review board was obtained, 103 adolescents with congenital heart disease who had undergone a corrective operation or procedure for heart malformation were recruited from a congenital heart clinic between November 1, 2009, and February 28, 2010. We measured adolescents' coping strategies and resilience using the Coping Inventory for Stressful Situation and the Resilience Scale. RESULTS:Among these adolescents with congenital heart disease, resilience was significantly related to perceived economic status (P < .01), task-oriented coping (P < .01), and avoidance-oriented coping (P < 0.05). The R change of 0.30 in hierarchical linear regression analysis indicated that task-oriented coping increased the explanation of resilience by 30% (P < .001). Adolescents who used task-oriented coping reported the highest resilience compared with those who used other coping strategies. CONCLUSION:Task-oriented coping may be an effective means to increase resilience among Korean adolescents with congenital heart disease. Korean healthcare professionals and researchers should thus test programs to increase task-oriented coping, such as comprehensive education programs and support groups that encourage adolescents in the same situation to discuss issues of importance.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00005082-201407000-00010&LSLINK=80&D=ovft
DOI
10.1097/JCN.0b013e3182865367
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Sue(김수) ORCID logo https://orcid.org/0000-0003-3785-2445
Choi, Jae Young(최재영) ORCID logo https://orcid.org/0000-0002-1247-6669
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/99313
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