Independence and psychological aspects in adults with congenital heart disease

由于医学的进步，大多数患有先天性心脏病(CHD)的儿童能够活到成年后。由于这种情况，我们有了与成人先天性心脏病(ACHD)的社会适应相关的新问题。本研究的目的是阐明ACHD患者的心理社会方面，并确定影响患者心理健康的心理社会因素。因此，影响ACHD患者心理健康的心理社会因素是社会问题解决能力、独立性和自尊。然而，在所有这些方面，冠心病患者的能力都比其他同龄人差。因此，ACHD患者面临着容易失去心理健康平衡的风险。此外，高度焦虑的患者数量随着年龄的增长而增加。医疗护理专业人员应该考虑对ACHD患者进行心理社会干预的可能需要。

Most children with congenital heart disease (CHD) are able to survive beyond adulthood due to medical advancements. Because of this situation, we have new issues related to the social adaptation of adults with CHD (ACHD). The aim of this study is to clarify the psychosocial aspects of ACHD patients and to determine psychosocial factors influencing the mental health of patients. As a result, the psychosocial factors influencing ACHD patients' mental health are social problem-solving, independence, and self-esteem. However, in all of those areas CHD patients have poorer abilities than other people of the same age. Therefore ACHD patients run the risk of easily losing their mental health balance. Furthermore, the number of patients with high anxiety increases with their age. Medical care professionals should consider the possible needfor psychosocial interventions for ACHD patients.