青少年癌症患者与糖尿病患者身份认同危机的比较：一项横断面研究
Comparison of identity crisis in adolescents with cancer and diabetes, a cross-sectional study.
作者信息
Hassani Mohammadjavad, Mohammadi Fateme, Khazaie Salman, Effat Panah Marzie, Khalili Arash
机构信息
Student Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Pediatric Nursing, School of Nursing and Midwifery, Mother and Child Care Research Center, Institute of Health Sciences and Technology, Hamadan University of Medical Sciences, Hamadan, Iran.
出版信息
BMC Pediatr. 2025 Aug 22;25(1):635. doi: 10.1186/s12887-025-05672-y.
BACKGROUND
Identity crisis during adolescence is an important issue; on the other hand, adolescents suffering from chronic diseases such as cancer and diabetes increase the challenges of this period and the importance of successfully overcoming it. The present study was conducted with the aim of comparing identity crisis in adolescents with cancer and diabetes.
METHODS
This cross-sectional study was conducted from August 2022 to November 2024 on 300 adolescents within the age range of 15-17 years with cancer and diabetes (150 in each group) who were selected with convenience sampling. Data were collected using demographic characteristics and identity crisis questionnaires. Data analysis was performed using SPSS-22 software. The significance level in all tests was less than 0.05.
RESULTS
The mean of identity crisis in adolescents with cancer and diabetes was 130.82 ± 2.38 and 123.49 ± 2.45, respectively. The mean total score of identity crisis and scores of areas of dissatisfaction with life, hopelessness, sadness (p < 0.001), aimlessness, worthlessness, and anxiety (p < 0.01) were higher in adolescents with cancer than in those with diabetes. The variables of the age of adolescents, cancer duration, family income, and education of the mother predicted 56.63% of the variance changes in the identity crisis of adolescents with cancer and 55.76% of the variance changes in the identity crisis of adolescents with diabetes.
CONCLUSION
Identity crisis is one of the important challenges in the lives of adolescents with cancer and diabetes. These adolescents experience moderate to severe identity crises, and this condition is more common in adolescents with cancer.
CLINICAL TRIAL NUMBER
Not applicable.
背景
青春期的身份认同危机是一个重要问题；另一方面，患有癌症和糖尿病等慢性病的青少年增加了这一时期的挑战以及成功克服它的重要性。本研究旨在比较患有癌症和糖尿病的青少年的身份认同危机。
方法
本横断面研究于2022年8月至2024年11月对300名年龄在15 - 17岁之间患有癌症和糖尿病的青少年（每组150名）进行，采用方便抽样法选取。使用人口统计学特征和身份认同危机问卷收集数据。使用SPSS - 22软件进行数据分析。所有检验的显著性水平均小于0.05。
结果
患有癌症和糖尿病的青少年身份认同危机的均值分别为130.82 ± 2.38和123.49 ± 2.45。患有癌症的青少年的身份认同危机总均分以及对生活不满意、绝望、悲伤（p < 0.001）、无目标感、无价值感和焦虑（p < 0.01）方面的得分均高于患有糖尿病的青少年。青少年年龄、癌症病程、家庭收入和母亲受教育程度等变量预测了患有癌症青少年身份认同危机方差变化的56.63%以及患有糖尿病青少年身份认同危机方差变化的55.76%。
结论
身份认同危机是患有癌症和糖尿病青少年生活中的重要挑战之一。这些青少年经历中度至重度的身份认同危机，且这种情况在患有癌症的青少年中更为常见。
临床试验编号
不适用。
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