Thesis (M.Sc.)-Cairo University, 2023.

Bibliography: pages 87-96.

Chemotherapy still has a significant effect on children’s well-being, improving the physical, psychological, and social status of children, and also, it has a remarkable effect on self-image and self-esteem. Aim: To assess self-esteem of acute leukemic children undergoing chemotherapy. Design: A descriptive exploratory research design was used. Setting: The study was conducted at two pediatric oncology outpatient clinics at Tanta Cancer Center and National Cancer Institute at Cairo University. Sample: A purposive sample of 80 children with acute lymphoblastic leukemia was recruited. Their ages were between 10 and 16 years old. Tools: A structured interview questionnaire and Coopersmith Self-esteem Inventory was used. Results: Overall, more than three fifth were males. Less than half of the children received intravenous chemotherapy, whereas less than one half of the children had both oral and intravenous chemotherapy. More than three fifth of the children had low self-esteem regarding general self, whereas the vast majority of children had low self-esteem regarding their social self-peers. All children had low self-esteem toward their home parents, whereas the vast majority of children had low self-esteem regarding their school academic. The vast majority children (98.8%) had low self-esteem regarding the lie scale. All dimensions of self-esteem were significantly correlated with total score of self-esteem. Conclusion: Children with acute leukemia undergoing chemotherapy had low self-esteem regarding general self, home parents, school academic, and social peers. Self-esteem was negatively affected among school age and adolescent children with acute leukemia who undergoing chemotherapy. Regarding the lie domain, most children always told the truth. Recommendations:Training programs should be designed and constructed for nurses in how to assess self-esteem for children with acute leukemia. Empowerment program should be directed to children with acute leukemia and their caregivers to improve their self-esteem.

قد يعاني الأطفال المصابون بالسرطان خاصة المصابين بسرطان الدم من تدني تقدير الذات والعلاقات الاجتماعية المشوهة والأداء الأكاديمي الضعيف: وهو مدعوم بالعديد من الدراسات التي تبين أنه من الضروري دراسة تقدير الذات بين هؤلاء الأطفال لأنه يلعب دورًا ايجابيًا في تعزيز الذات وتحسين جودة الحياة والرفاهية النفسية والاجتماعية. لا تزال دراسة وتقييم تقدير الذات لدى الأطفال المصابين بسرطان الدم الحاد يمثل تحديًا على أى مستوى. تقدير الذات يعتبرعامل متعدد الأبعاد حيث تشمل العديد من العناصر مثل عنصر الذات العامة، والذات الاجتماعية، والمنزل والوالدين، واالدراسة الأكاديمية، بالإضافة إلى العوامل المتعلقة بمرض السرطان مثل مدة بروتوكول العلاج الكيميائي وطرق اعطائه، والالتزام به.

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Text in English and abstract in Arabic & English.