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  • br Bonito A Horowitz N McCorkle

    2019-11-11


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    49. Gallop K, Kerr C, Simmons S, McIver B, Cohen EE. A qualitative evaluation of the validity of published health utilities and generic health utility measures for capturing health-related quality of life (HRQL) impact of differentiated thyroid cancer (DTC) at different treatment phases. Qual Life Res. 2015;24:325e338.
    Journal of Pediatric Nursing xxx (xxxx) xxx
    Contents lists available at ScienceDirect
    Journal of Pediatric Nursing
    A qualitative study exploring coping strategies in Chinese families during children's hospitalization for cancer treatment
    a School of Nursing, Sun Yat-Sen University, Guangzhou, China
    b Sun Yat-Sen Memorial Hospital, Guangzhou, China
    c Shandong College of Traditional Chinese Medicine, Yantai, China
    Article history:
    Available online xxxx
    Keywords:
    Family coping
    Cancer
    Oncology
    Family care
    Hospitalization 
    Purpose: To explore how Chinese families cope with children's hospitalization for cancer treatment.
    Design and methods: A descriptive qualitative inquiry was employed. Semi-structured interview was conducted in four pediatric oncology departments in four hospitals from November 2017 to June 2018. The interviews fo-cused on how families cope with the challenges resulting from their children's hospitalization for cancer treat-ment. Twenty one parents participated into the study.
    Results: Four categories related to family coping strategies emerged from the data, including increasing family strength, maintaining optimistic thoughts, seeking external support, and not disclosing the unfavorable informa-tion.
    Conclusions: Families had adopted multiple coping strategies to handle the challenges caused by children's hos-pitalization for cancer treatment. The influences of Chinese culture on family coping should be taken into consid-eration during family-centered interventions development. Further studies could analyze whether the spouse perspectives are independent from one another and whether the coping strategies change as the time of hospi-talization.
    Practice implications: This study has reminded nurses' to become more concerned about the influences of culture on families' coping strategies during this challenging period. Other nurses in the world could understand how to enhance family coping strategies of Chinese clients.
    Introduction
    Advanced therapy for childhood cancer is often associated with two to three years of repeated and prolonged hospitalization. This process is an immensely stressful experience for the entire family (Long & Marsland, 2011; Wiener et al., 2017) of a child with cancer, and may lead to a family crisis or threaten its integrity. Certain families adapt well to this situation, whereas others continue to experience extremely serious problems (e.g., divorce, disruption of family routine). Family ad-aptation can be assessed exploring family coping according to the Dou-ble ABC-X Model (Kong, 2010).