Jackson P L, Ott M J
J Pediatr Nurs. 1990 Jun;5(3):190-203.
Self-esteem is known to be altered in children with chronic illness. Do accelerated normal changes, such as those that occur in children with precocious puberty, also alter the child's self-esteem? Twenty-eight children with precocious puberty participated in a nonrandomized descriptive pilot study using a structured interview, the Piers-Harris Children's Self-Concept Scale, and self-portrait drawings. Results indicate that the overall self-esteem of the majority of children was within normal limits as measured by the Piers-Harris Children's Self-Concept Scale, but closer analysis found that many of the children had difficulty with peer relationships and increased levels of anxiety. These findings were supported by the results of the structured interview and the children's self-portraits. Nursing implications from this pilot study are discussed.
众所周知，慢性病患儿的自尊会发生改变。像性早熟儿童所经历的那种正常发育加速变化，是否也会改变孩子的自尊呢？28名性早熟儿童参与了一项非随机描述性试点研究，研究采用了结构化访谈、皮尔斯-哈里斯儿童自我概念量表以及自画像。结果表明，根据皮尔斯-哈里斯儿童自我概念量表测量，大多数儿童的总体自尊处于正常范围内，但进一步分析发现，许多儿童在同伴关系方面存在困难，焦虑水平也有所提高。结构化访谈结果和儿童自画像结果支持了这些发现。本文讨论了这项试点研究的护理意义。
