A positive perspective of knowledge, attitude, and practices for health-promoting behaviors of adolescents with congenital heart disease
Journal
European Journal of Cardiovascular Nursing
Journal Volume
17
Journal Issue
3
Pages
217-225
Date Issued
2018
Author(s)
Abstract
Background: Health-promoting behaviors could serve as a major strategy to optimize long-term outcomes for adolescents with congenital heart disease. The associations assessed from a positive perspective of knowledge, attitudes, and practice model would potentially cultivate health-promoting behaviors during adolescence. Aim: The purpose of this study was to examine the relationships between disease knowledge, resilience, family functioning, and health-promoting behaviors in adolescents with congenital heart disease. Methods: A total of 320 adolescents with congenital heart disease who were aged 12–18 years were recruited from pediatric cardiology outpatient departments, and participated in a cross-sectional survey. The participants completed the Leuven Knowledge Questionnaire for Congenital Heart Disease; Haase Adolescent Resilience in Illness Scale; Family Adaptability, Partnership, Growth, Affection, and Resolve; and Adolescent Health Promotion scales. The collected data were analyzed using descriptive statistics and three multiple regression models. Results: Greater knowledge of prevention of complications and higher resilience had a more powerful effect in enhancing health-promoting behaviors. Having symptoms and moderate or severe family dysfunction were significantly more negatively predictive of health-promoting behaviors than not having symptoms and positive family function. The third model explained 40% of the variance in engaging in health-promoting behaviors among adolescents with congenital heart disease. Conclusion: The findings of this study provide new insights into the role of disease knowledge, resilience, and family functioning in the health-promoting behavior of adolescents with congenital heart disease. Continued efforts are required to plan family care programs that promote the acquisition of sufficient disease knowledge and the development of resilience for adolescents with congenital heart disease. ? 2017, ? The European Society of Cardiology 2017.
Other Subjects
adolescent; adult; Apgar score; Article; asthma; attitude; child; congenital heart disease; contraception; cross-sectional study; exercise; family functioning; female; health behavior; heart atrium septum defect; heart function; heart ventricle septum defect; human; Likert scale; major clinical study; male; physical activity; pregnancy; priority journal; psychological resilience; questionnaire; school child; scoring system; social support; stress management; adolescent behavior; attitude to health; congenital heart malformation; health promotion; psychology; Adolescent; Adolescent Behavior; Child; Cross-Sectional Studies; Female; Health Behavior; Health Knowledge, Attitudes, Practice; Health Promotion; Heart Defects, Congenital; Humans; Male; Surveys and Questionnaires
Type
journal article