title: Young adults experiences of living with congenital heart disease.
abstract: BACKGROUND
  Advances in care have improved the longevity and quality of life for children with congenital heart disease; however, many of them need lifelong highly qualified specialist care. The cardiac lesion involved may not always be the patient's main problem; issues related to quality of life may dominate.
  
  
  OBJECTIVE
  To explore and gain a deeper understanding of young adults experiences of living with congenital heart disease in order to enhance the quality of care provided by the health care system.
  
  
  METHODS
  Transcribed in-depth interviews were analysed using a phenomenological-hermeneutic method. Six adults with congenital heart disease, aged 22-39 years old, were included in the study.
  
  
  RESULTS
  Analyses yielded two themes, having the disease and living with illness, both originating from the main theme of ambivalence. The interviewees were ambivalent in how they viewed themselves, how they faced their daily life and how they dealt with their encounters with the health care system. They had to strike a balance between being different and not being different; being sick and being healthy; revealing their congenital heart disease or hiding it and living with a hidden handicap. They also had to cope with the disease and with the health care system.
  
  
  CONCLUSIONS
  Young adults with congenital heart disease are ambivalent. They have a strong wish to be healthy and they might hide their symptoms from the healthcare personnel and sometimes even from themselves. A psychosocial preparedness when meeting these patients is necessary.
authors.affiliation: Department of Paediatrics, The Queen Silvia Children's Hospital, Paediatric Growth and Research Centre, and Grown-Up Congenital Heart Unit, Sahlgrenska University Hospital/Ostra, Goteborg, Sweden. malin.berghammer@vgregion.se
authors.forename: Malin
authors.initials: M
authors.lastname: Berghammer
authors.forename: Mikael
authors.initials: M
authors.lastname: Dellborg
authors.forename: Inger
authors.initials: I
authors.lastname: Ekman
mesh_terms: D000328:Adult; D000367:Age Factors; D000375:Aging; D005260:Female; D006330:Heart Defects, Congenital / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy; D006801:Humans; D008297:Male; D011788:Quality of Life; D011795:Surveys and Questionnaires