Pediatric Nursing تمريض الأطفال

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Browsing Pediatric Nursing تمريض الأطفال by Author "Donya Mohammad Sobhi Anbar"

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    Self-Perceived Health Status and Sense of Coherence among Children with Cancer in the West Bank, Palestine
    (Al-Quds Univeersity, 2026-01-03) Donya Mohammad Sobhi Anbar; دنيا محمد صبحي عنبر
    Introduction: Self-perceived health status (SPHS) and sense of coherence (SOC) are important concepts in understanding the health experience of children with cancer. This study aims to identify the level of SPHS and SOC, identify the relationship between medical and sociodemographic characteristics and SPHS/SOC, and identify the relationship between SPHS and SOC among children aged 8 to 18 years with a cancer diagnosis. This study aims to fill that gap by exploring the relationship between SOC and SPHS in children with cancer in the West Bank, Palestine. Understanding these concepts will reveal the children's coping mechanisms and help healthcare providers improve SOC in routine care to enhance SPHS, assist policymakers in creating supportive programs, and ensure psychological needs are met, while also guiding future research. Methodology: A cross-sectional descriptive design was used. Two hundred participants completed the surveys, with a response rate of 54.1%. Participants were between 8 and 18 years old, had received a cancer diagnosis, were admitted to pediatric oncology/hematology wards or attended outpatient clinics at Najah National University Hospital (NNUH)/Nablus, Al-Istishari Hospital/Ramallah, and Beit-Jala Hospital/Bethlehem. Among the participants, 72% of children with cancer aged 8 to 18 years completed the PedsQL 3.0 Cancer Module Arabic Version, while 28% of children aged 13 to 18 years completed both the PedsQL 3.0 Cancer Module Arabic Version and the SOC-13 Arabic Version. The study period was from October 15, 2024, to December 16, 2025. Results: The findings revealed that the PedsQL mean was 52.02 (SD = 17.02) and had low SPHS; the highest score was in the domains of communication (mean = 67.96 ± 28.11), while the lowest SPHS was in the domains of worry (mean = 36.00 ± 29.02) and procedural anxiety (mean = 36.62 ± 27.68). Also, the SOC mean score was 55.02 (SD = 12.27), and 76.8% of participants had low SOC. The SOC domains were 19.54 ± 6.78 out of 35 for comprehensibility, 17.59 ± 3.86 out of 28 for manageability, and 17.89 ± 4.61 out of 28 for meaningfulness. Otherwise, Statistical analysis demonstrates a significant co-relationship between SPHS and SOC with r = 0.490, P-value < 0.01. Which means, high SOC indicates high SPHS, as a result, coping with stressors and living with cancer. Conclusion: The political situation in Palestine may negatively affect SOC in children overall, and specifically impact those with cancer, due to a lack of services and medication, and difficulty accessing healthcare. Tracking SPHS and SOC helps in understanding the impact of these barriers and assists caregivers in developing more effective interventions to improve the quality of care and support provided to these children. In summary, SOC is a key concept that affects SPHS among children with cancer. This shows that the psychological aspect in children is just as important as the medical aspect.