J Korean Acad Nurs.  2017 Apr;47(2):178-187. 10.4040/jkan.2017.47.2.178.

The Relationships among Perceived Parental Bonding, Illness Perception, and Anxiety in Adult Patients with Congenital Heart Diseases

• Shin N
• Jang Y
• Kang Y

• KMID: 2426344
• DOI: http://doi.org/10.4040/jkan.2017.47.2.178

Abstract

PURPOSE
The purposes of this study were to identify the relationships among perceived parental bonding, illness perception, and anxiety and to determine the influences of perceived parental bonding and illness perception on anxiety in adult patients with congenital heart diseases.
METHODS
In this study a descriptive correlational design with survey method was utilized. The participants were 143 adult patients with congenital heart disease being cared for in the cardiology out-patient clinic of A medical center. Data were collected using the Parental Bonding Instrument, Illness Perception Questionnaire Revised Scale, and Cardiac Anxiety Questionnaire Scale. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation analysis, and hierarchial regression analyses.
RESULTS
There showed significant positive relationships of anxiety with maternal overprotection, consequences, and personal control respectively. Among predictors, maternal overprotection (β=.45), consequence (β=.26), and personal control (β=-.03) had statistically significant influence on anxiety.
CONCLUSION
Nursing interventions to decrease maternal overprotection and negative consequence, and to enhance personal control are essential to decrease the anxiety of adult patients with congenital heart diseases.

Keyword

Congenital heart defects; Family relations; Perception; Anxiety

MeSH Terms

Adult
*Anxiety
Female
Heart Defects, Congenital/pathology/*psychology
Humans
Male
Middle Aged
*Parent-Child Relations
Parenting
Perception
Severity of Illness Index
Surveys and Questionnaires
Young Adult

Reference

References

1. Korea Centers for Disease Control and Prevention. Nationwide survey on the prevalence of congenital heart disease in Korea [Internet]. Cheongju: Author;2012. [cited 2016 March 5]. Available from:. http://cdc.go.kr/CDC/notice/CdcKrInfo0201.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU1889&cid=1457.

2. Mylotte D, Pilote L, Ionescu-Ittu R, Abrahamowicz M, Khairy P, Therrien J, et al. Specialized adult congenital heart disease care: The impact of policy on mortality. Circulation. 2014; 129(18):1804–1812. http://dx.doi.org/10.1161/circulationaha.113.005817.

3. Gurvitz M, Valente AM, Broberg C, Cook S, Stout K, Kay J, et al. Prevalence and predictors of gaps in care among adult congenital heart disease patients: HEART-ACHD (The Health, Education, and Access Research Trial). Journal of the American College of Cardiology. 2013; 61(21):2180–2184. http://dx.doi.org/10.1016/j.jacc.2013.02.048.

4. The Korea Heart Foundation. 2014 Statistics for cardiac surgery in congenital heart disease. Seoul: Author;2015. [cited 2016 March 5]. Available from:. http://www.heart.or.kr/korean/board/board.php?sa=list&bid=2.

5. Apers S, Luyckx K, Moons P. Quality of life in adult congenital heart disease: What do we already know and what do we still need to know? Current Cardiology Reports. 2013; 15(10):407. http://dx.doi.org/10.1007/s11886-013-0407-x.

6. Van Damme S, Van Deyk K, Budts W, Verhamme P, Moons P. Patient knowledge of and adherence to oral anticoagulation therapy after mechanical heart-valve replace- ment for congenital or acquired valve defects. Heart and Lung. 2011; 40(2):139–146. http://dx.doi.org/10.1016/j.hrtlng.2009.11.005.

7. Schoormans D, Sprangers MA, van Melle JP, Pieper PG, van Dijk AP, Sieswerda GT, et al. Clinical and psychological characteristics predict future healthcare use in adults with congenital heart disease. European Journal of Cardiovascular Nursing. 2016; 15(1):72–81. http://dx.doi.org/10.1177/1474515114555819.

8. Chu SH, Kang SM, Kim DR, Lee YJ. Perceptions of anticoagulation therapy and medication adherence among patients taking warfarin. Journal of Korean Biological Nursing Science. 2012; 14(1):66–75. http://dx.doi.org/10.7586/jkbns.2012.14.1.66.

9. Zomer AC, Vaartjes I, Grobbee DE, Mulder BJ. Adult congenital heart disease: New challenges. International Journal of Cardiology. 2013; 163(2):105–107. http://dx.doi.org/10.1016/j.ijcard.2012.03.035.

10. Zomer AC, Vaartjes I, Uiterwaal CS, van der Velde ET, Sieswerda GJ, Wajon EM, et al. Social burden and lifestyle in adults with congenital heart disease. The American Journal of Cardiology. 2012; 109(11):1657–1663. http://dx.doi.org/10.1016/j.amjcard.2012.01.397.

11. Bratt EL, Luyckx K, Goossens E, Budts W, Moons P. Patient-reported health in young people with congenital heart disease transitioning to adulthood. The Journal of Adolescent Health. 2015; 57(6):658–665. http://dx.doi.org/10.1016/j.jadohealth.2015.07.021.

12. Schoormans D, Mulder BJ, van Melle JP, Pieper PG, van Dijk AP, Sieswerda GT, et al. Illness perceptions of adults with congenital heart disease and their predictive value for quality of life two years later. European Journal of Cardiovascular Nursing. 2014; 13(1):86–94. http://dx.doi.org/10.1177/1474515113481908.

13. Ong L, Nolan RP, Irvine J, Kovacs AH. Parental overprotection and heart-focused anxiety in adults with congenital heart disease. International Journal of Behavioral Medicine. 2011; 18(3):260–267. http://dx.doi.org/10.1007/s12529-010-9112-y.

14. Luyckx K, Goossens E, Missotten L, Moons P. Adolescents with congenital heart disease: The importance of perceived parenting for psychosocial and health outcomes. Journal of Developmental and Behavioral Pediatrics. 2011; 32(9):651–659. http://dx.doi.org/10.1097/DBP.0b013e3182331e99.

15. Müller J, Hess J, Hager A. General anxiety of adolescents and adults with congenital heart disease is comparable with that in healthy controls. International Journal of Cardiology. 2013; 165(1):142–145. http://dx.doi.org/10.1016/j.ijcard.2011.08.005.

16. Goossens E, Fleck D, Canobbio MM, Harrison JL, Moons P. Development of an international research agenda for adult congenital heart disease nursing. European Journal of Cardiovascular Nursing. 2013; 12(1):7–16. http://dx.doi.org/10.1016/j.ejcnurse.2011.06.009.

17. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007; 39(2):175–191. http://dx.doi.org/10.3758/BF03193146.

18. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates;1988.

19. Parker G, Tupling H, Brown LB. A parental bonding instrument. British Journal of Medical Psychology. 1979; 52(1):1–10. http://dx.doi.org/10.1111/j.2044-8341.1979.tb02487.x.

20. Song JY. The development of the parental bonding instrument-Korean version: Evaluation of the test reliability and validity. Journal of Korean Neuropsychiatric Association. 1992; 31(5):979–992.

21. Moss-Morris R, Weinman J, Petrie KJ, Horne R, Cameron LD, Buick D. The revised illness perception questionnaire (IPQ-R). Psychology and Health. 2002; 17(1):1–16. http://dx.doi.org/10.1080/08870440290001494.

22. Eifert GH. Cardiophobia: a paradigmatic behavioural model of heart-focused anxiety and non-anginal chest pain. Behaviour Research and Therapy. 1992; 30(4):329–345. http://dx.doi.org/10.1016/0005-7967(92)90045-I.

23. Fox J. Applied regression analysis, linear models and related methods. Thousand Oaks, CA: Sage Publications;1997. p. 112–121.

24. Hoyer J, Eifert GH, Einsle F, Zimmermann K, Krauss S, Knaut M, et al. Heart-focused anxiety before and after cardiac surgery. Journal of Psychosomatic Research. 2008; 64(3):291–297. http://dx.doi.org/10.1016/j.jpsychores.2007.09.009.

25. Shin HG, Yoo IY, Oh EG. Relationship between quality of life and parenting attitude and parent-child communication patterns of school age children. Journal of Korean Academy of Child Health Nursing. 2010; 16(3):220–229.