Chronic Paradoxes: A Systematic Review of Qualitative Family Perspectives on Living With Congenital Heart Defects

Qual Health Res. 2020 Jan;30(1):119-132. doi: 10.1177/1049732319869909. Epub 2019 Sep 16.

Abstract

There have been substantial advances in the diagnostics and treatment of congenital heart defects (CHDs) in recent decades, and this has improved survival significantly. Consequently, there is a growing interest in how CHDs affect the daily lives of children and youth. We examine life with CHDs as a particular kind of living from the perspectives of both children and youth with CHDs and their families through a systematic review of existing qualitative research. Based on a meta-ethnographic analysis of 20 articles (identified through PubMed, EMBASE, EBSCOhost, PSYCHinfo, Scopus, and Web of Science from January 7 to 12, 2016), we argue that living with CHDs is characterized by chronic paradoxes arising out of the transitions, normalities, and futures that families have to navigate.

Keywords: children’s health; chronic illness; chronic paradoxes; congenital heart defects; families; meta-ethnography; qualitative research; systematic review.

Publication types

  • Research Support, Non-U.S. Gov't
  • Systematic Review

MeSH terms

  • Adaptation, Psychological*
  • Adolescent
  • Anthropology, Cultural
  • Child
  • Child, Preschool
  • Family Health*
  • Female
  • Heart Defects, Congenital / psychology*
  • Humans
  • Infant
  • Interpersonal Relations
  • Male
  • Parent-Child Relations*
  • Qualitative Research