背景和目的：患有先天性心臟病的兒童存活至青少年以上的人數已大幅增加。處於轉變期的青少年，需被告知其身體狀況，才能負擔日後自我照顧的責任。本篇文章的目的旨在探討患有先天性心臟病青少年對健康衝擊和其生活型態行為，並提出健康促進生活型態行為。方法：查詢1995 到2005 年護理、醫學和社會科學資料庫所發表中文和英文的相關期刊論文。結果：共有26 篇文章符合選取條件，包括：13 篇文獻查證文章(reviewpapers) 和13 篇研究文章(research)。文獻查證文章主要在探討患有先天性心臟病青少年的轉換期照護議題和其健康需求；而作者更以生活型態行為來檢視相關研究文章。文獻回顧中建議健康促進生活型態行為可維持或增進此族群的幸福感(well-being)。結論：當先天性心臟病兒童存活率大幅提升的同時，面臨轉換至成年的青少年是我們最需關切的時期。藉著檢視其健康促進生活型態行為可提供未來發展相關護理指導的參考。

Objectives: The number of children with congenital heart disease (CHD) surviving beyondadolescence is rapidly increasing. To help CHD adolescents make the transition from adolescenceto adult health care, they need to bewell informed about their conditions and take greater personalresponsibility for their care as they mature. The purposes of this articlewere to discuss the impactsof health and lifestyle behaviors in adolescents with CHD, and to propose health-promotinglifestyle behaviors in this population. Methods: A search of the nursing, medical, and socialscience literature was carried out to identify published studies in the English and Chineselanguages from 1995 to 2005. Results: Twenty-six articles were identified as meeting theinclusion criteria, including 13 review papers and 13 studies. The importance of the transitionalcare issues for adolescents with CHDwas recognized as being critical.Health needs of adolescentswith CHD were another focus of the review articles. These studies were further examined basedon the lifestyle behaviors of adolescents. Health-promoting lifestyle behaviors were found topotentially be capable of sustaining or increasing thewell-being of adolescentswith variousCHDs.Conclusions: The transition of adolescents with CHD into adulthood has been a significantclinical concern as their survival rate increases. Examining the appropriateness of healthpromotinglifestyle behaviors for adolescents with CHD may provide a basis for developing ahealth educational program specific for adolescents with CHD that facilitates their transition toadult health care.