ПСИХОСОЦІАЛЬНІ ПРЕДИКТОРИ ЯКОСТІ ЖИТТЯ ПІДЛІТКІВ З УРОДЖЕНИМИ ВАДАМИ СЕРЦЯ

A literature review showed controversial data of the quality of life of young patients with congenital heart disease (CHD), therefore aim of the study was to investigate psychosocial predictors of poor quality of life of adolescents with CHD. The study involved 60 adolescents with CHD and 38 conditionally healthy secondary school students aged from 13 to 15. Study methods included semi-structured interview, psychodiagnostic of the quality of life, anxiety, depression and a sense of coherence. Psychodiagnostic results have shown that adolescents with CHD had low rates in almost all domains of quality of life. The study revealed that 41.67 % of adolescents with CHD had elevated levels of anxiety and 18.33% patients had symptoms of depression. Also the study was found positive moderate relationships between physical functioning domain of quality of life and adolescents’ knowledge about CHD diagnosis, understanding drug prescriptions, allowed physical activity (r=0.45, p<0.01), and general health perceptions domain of quality of life and strong sense of coherence (r=0.39, p<0.05), the presence of anxiety and/or depression and sense of coherence (r = - 0.75, p<0.01). Thus this study revealed predictors of poor quality of life of adolescents with CHD which could be a basis for the development of a comprehensive program of medical and psychological support for patients with CHD.