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Research article
First published January 1993
THE PHENOMENON OF HAND HOLDING AS A COPING STRATEGY IN ADOLESCENTS EXPERIENCING
TREATMENT-RELATED PAIN
DeLois P. Weekes, RN, DNS, Sarah H. Kagan, RN, MS, OCN, […], Kelly James, RN,
MS, CNS, and Naomi Seboni, RN, Med, MA, RM+1-1View all authors and affiliations
Volume 10, Issue 1
https://doi.org/10.1177/104345429301000105
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SIMILAR ARTICLES:
* Restricted access
Adolescents with Cancer: Correlates of Intraindividual Change in Coping
Strategy
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Journal of the Association of Pediatric Oncology Nurses
Jan 1989
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* Reiko Ueda
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Feb 2010
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Research Design: Descriptive Research
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* Helen L. Dulock
Journal of Pediatric Oncology Nursing
Jan 1993
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Coping With Cancer: A Web-Based Educational Program for Early and Middle
Adolescents
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Adolescents With Cancer: Getting On With Life
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Journal of Pediatric Oncology Nursing
Jan 1990
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Journal of Pediatric Oncology Nursing
Jan 1992
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Psychological Assessment of the Adolescent with Cancer
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* Alan D. Blotcky
* Debra G. Cohen
Journal of the Association of Pediatric Oncology Nurses
Jan 1985
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Children with Cancer: The Pain Experience Away From the Health Care
Setting
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* Elizabeth A. Bossert
* Lois Van Cleve
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Journal of Pediatric Oncology Nursing
Jan 1996
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Cultural Beliefs and Coping Strategies Related to Childhood Cancer: The
Perceptions of South Asian Immigrant Parents in Canada
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ABSTRACT
The purpose of this study was to understand the phenomenon of hand holding as a
coping strategy used by adolescents to deal with treatment-related pain. The
convenience sample consisted of 20 adolescents whose ages were 11 to 19 years:
10 had cancer and 10 had renal disease (this served as the comparison group).
Using a descriptive design, a semistructured interview was conducted with each
adolescent. To supplement and support interview data, structured observations
were conducted as adolescents underwent painful treatments (eg, blood draws,
shunt placement, peripheral chemotherapy, lumbar punctures, and bone marrow
aspirations). Data were analyzed using descriptive statistics and qualitative
analytic techniques similar to those delineated by Strauss and Corbin. The
results of this study indicated that subjects in both the cancer and the renal
disease group perceived hand holding to be a very effective coping strategy in
ameliorating treatment-related pain. Overwhelmingly the patients preferred to
hold their mother's hand. When the mother was unavailable, they preferred to
hold a specific nurse's hand. Hand holding functioned to reduce tension
associated with impending treatments, as a source of distraction, and as a
source of security. Accordingly, adolescents' subjective experience of
treatment-related pain was reduced when they felt more secure, less tense, and
were distracted.
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PUBLISHED IN
Journal of Pediatric Oncology Nursing
Volume 10, Issue 1
Pages: 19 - 25
Article first published: January 1993
Issue published: January 1993
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HISTORY
Published online: January 1, 1993
Issue published: January 1993
PubMed: 8435155
AUTHORS
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DeLois P. Weekes, RN, DNS
Department of Family Health Care Nursing, the Department of Physiological
Nursing, and the Department of Mental Health, Community and Administrative
Nursing. School of Nursing, University of California, San Francisco, CA,
University of California Davis Medical Center, Sacramento, CA.
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Sarah H. Kagan, RN, MS, OCN
Department of Family Health Care Nursing, the Department of Physiological
Nursing, and the Department of Mental Health, Community and Administrative
Nursing. School of Nursing, University of California, San Francisco, CA,
University of California Davis Medical Center, Sacramento, CA.
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Kelly James, RN, MS, CNS
Department of Family Health Care Nursing, the Department of Physiological
Nursing, and the Department of Mental Health, Community and Administrative
Nursing. School of Nursing, University of California, San Francisco, CA,
University of California Davis Medical Center, Sacramento, CA.
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Naomi Seboni, RN, Med, MA, RM
Department of Family Health Care Nursing, the Department of Physiological
Nursing, and the Department of Mental Health, Community and Administrative
Nursing. School of Nursing, University of California, San Francisco, CA,
University of California Davis Medical Center, Sacramento, CA.
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This article was published in Journal of Pediatric Hematology/Oncology Nursing.
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Web of Science: 0
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