title: Coping with a child with acute lymphocytic leukemia: the experiences of Chinese fathers in Hong Kong.
abstract: Using a qualitative approach, this article aims to describe the experiences of Hong Kong Chinese fathers whose children were diagnosed with acute lymphocytic leukemia. The experiences and coping strategies used were viewed from the gender perspective. Two in-depth interviews scheduled to coincide with the disease trajectory of acute lymphocytic leukemia were conducted with 9 fathers, and data were analyzed using the matrix system described by Miles and Huberman. Four categories were identified, including fathers' initial reactions to the child's confirmed diagnosis, the decision to disclose the child's diagnosis to others, social support of the fathers, and their effective coping mechanisms. Previous research has shown that men are expected to be emotionally strong to support their spouse. Findings from this study indicate that Hong Kong Chinese fathers need emotional support especially at the onset of the child's diagnosis. Implications for healthcare professionals include the need for ongoing psychosocial support and education over the course of the child's illness. Thus, assessment of the different coping strategies used by the fathers plays a vital role in providing quality care to these fathers. Limitations of the study and recommendations for future research are also included.
authors.affiliation: Trent/Fleming School of Nursing, 1600 West Bank Drive, Peterborough, Ontario, Canada. bettywills@trentu.ca
authors.forename: Betty Shuc Han
authors.initials: BS
authors.lastname: Wills
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D030881:Disclosure; D004644:Emotions; D005195:Family Relations; D005220:Fathers / Q000523:psychology*; D005260:Female; D006723:Hong Kong; D006801:Humans; D008297:Male; D009859:Oncology Nursing / Q000379:methods; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000451:nursing / Q000523:psychology*; D036301:Qualitative Research; D012944:Social Support