TY - JOUR
T1 - Healthcare needs and Quality of Life in Youths with Congenital Heart Disease
T2 - Health-Promoting Behaviors as a Mediator
AU - Chen, Yan Ju
AU - Wang, Jou Kou
AU - Liu, Chieh Yu
AU - Yang, Chiu Yueh
AU - Chiang, Yueh Tao
AU - Chen, Chi Wen
N1 - Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Purpose: The aims of this study were to examine the relationship between healthcare needs, health-promoting behaviors and quality of life (QoL) of youths with congenital heart disease (CHD), and to determine whether health-promoting behaviors were a mediating variable. Design and methods: This cross-sectional descriptive study was conducted recruiting 205 youths aged 15 to 24 with either ventricular septal defect (VSD) or tetralogy of Fallot (TOF). A self-reported questionnaire was used to collect demographic information; furthermore, the thickness of the triceps skinfold was measured. The Healthcare Needs Scale for Youth with CHD, Adolescent Health Promotion-short form scale, and World Health Organization QoL-BREF scale were administered, and Pearson's correlation, multiple regressions, and the Sobel test were conducted. Results: The triceps skinfold of participants with VSD was significantly thicker than that of participants with TOF (p < 0.05). Healthcare needs, health-promoting behaviors, and QoL were positively correlated. The overall health-promoting behaviors served as a partial mediator between overall healthcare needs and QoL, accounting for 40.1% of the total variation. Conclusions: The study illustrates that health-promoting behaviors have an impact on healthcare needs and QoL of youths with CHD. The development of tailored health consulting interventions to fulfill healthcare needs is required to improve physical and psychosocial wellness among youths with CHD. Practice implications: Targeting individual and public health strategies for enhancing health-promoting behaviors should be integrated in CHD care planning.
AB - Purpose: The aims of this study were to examine the relationship between healthcare needs, health-promoting behaviors and quality of life (QoL) of youths with congenital heart disease (CHD), and to determine whether health-promoting behaviors were a mediating variable. Design and methods: This cross-sectional descriptive study was conducted recruiting 205 youths aged 15 to 24 with either ventricular septal defect (VSD) or tetralogy of Fallot (TOF). A self-reported questionnaire was used to collect demographic information; furthermore, the thickness of the triceps skinfold was measured. The Healthcare Needs Scale for Youth with CHD, Adolescent Health Promotion-short form scale, and World Health Organization QoL-BREF scale were administered, and Pearson's correlation, multiple regressions, and the Sobel test were conducted. Results: The triceps skinfold of participants with VSD was significantly thicker than that of participants with TOF (p < 0.05). Healthcare needs, health-promoting behaviors, and QoL were positively correlated. The overall health-promoting behaviors served as a partial mediator between overall healthcare needs and QoL, accounting for 40.1% of the total variation. Conclusions: The study illustrates that health-promoting behaviors have an impact on healthcare needs and QoL of youths with CHD. The development of tailored health consulting interventions to fulfill healthcare needs is required to improve physical and psychosocial wellness among youths with CHD. Practice implications: Targeting individual and public health strategies for enhancing health-promoting behaviors should be integrated in CHD care planning.
KW - Congenital heart disease
KW - Health care transition
KW - Health-promoting behaviors
KW - Healthcare needs
KW - Quality of life
UR - http://www.scopus.com/inward/record.url?scp=85063373249&partnerID=8YFLogxK
U2 - 10.1016/j.pedn.2019.03.011
DO - 10.1016/j.pedn.2019.03.011
M3 - Article
C2 - 30928310
AN - SCOPUS:85063373249
SN - 0882-5963
VL - 50
SP - e113-e118
JO - Journal of Pediatric Nursing
JF - Journal of Pediatric Nursing
ER -
