학술대회 안내 사전등록 안내 초록등록 안내 초록등록/관리 숙박및교통 안내


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ǥ : ȣ - 490541   148 
Relationship between Depression and Resilience Among Adolescents with Congenital Heart Disease
삼성서울병원 심장혈관센터, 성균관의대 소아과¹, 순환기내과 ², 흉부외과 ³
문주령, 허준¹, 강이석¹, 이상철², 박승우², 양지혁³, 전태국³, 박표원³, 정연이, 이흥재¹
Purpose:The purpose of this study was to examine the relationship between depression and resilience and to identify the variables associated with depression among adolescents with congenital heart disease(CHD). Method: The resilience scale (cronbach’s α=.92), the Children's Depression Inventory (cronbach’s α=.72), the Parental Bonding Instrument (cronbach’s α=.88) were administered to 231 adolescents with congenital heart disease(CHD) under observation following open-heart surgery in three major cardiac centers. Mean adolescent age was 15.8yrs (range:13~18yrs), including 114 males and 117 females. Illness severity by cardiologist rating used CHD functional index and NYHA functional class. Results: The mean score for depression was 16.74 (range: 0-54) and for resilience, 115.84 (range: 32-128). There was a significant positive relationship between depression and three variables: age (r=.25, p<.001), NYHA functional class (r=.45, p<.001), and CHD functional index (r=.28, p<0.05). A negative relationship was found between depression and oxygen saturation (r=-.39, p<0.001) as well as academic achievement (r=-.41, p<.001), parental attitude (r=-.49, p<.001), and resilience (r=-.59, p<.001). Multiple regression analysis also showed that depression of adolescents with CHD was explained by 62 % of resilience (β=-.62, p<0.05) and parental attitude(β=-.48, p<0.05). Conclusion: This study demonstrated that adolescents with higher resilience together with an affectionate parent were less depressed. With respect to nursing intervention programs, it is essential to identify the strengths of adolescents with CHD in order to increase resilience. Additionally, it is important that parenting and counseling programs be implemented for the parents of these adolescents.


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