Care performed by family caregivers of children submitted to hematopoietic stem cell transplantation

Gomes, Ingrid Meireles; Lacerda, Maria Ribeiro; Hermann, Ana Paula; Rodrigues, Jéssica Alline Pereira; Zatoni, Débora Cristina Paes; Tonin, Luana

doi:10.1590/1518-8345.2298-3120

Cited by 5 publications

(3 citation statements)

References 15 publications

(32 reference statements)

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“…As in the first transplant, this phase demands specific care with a multidisciplinary team which provides care support during hospitalization and in the post-transplant with outpatient care. The treatment is long and involves risks that predispose the patient to a wide range of complications which need to be managed so that they do not threaten their survival and quality of life 12 - 13 .…”

Section: Discussionmentioning

confidence: 99%

Análise dos fatores associados ao retransplante de células-tronco hematopoiéticas: estudo caso-controle

Azevedo

Júnior

Nascimento

et al. 2022

Rev. Latino-Am. Enfermagem

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Resumo Objetivo: analisar os fatores associados ao insucesso do Transplante de Células-Tronco Hematopoiéticas (TCTH) em pacientes submetidos ao retransplante de Células-Tronco Hematopoiéticas (RCTH). Método: estudo quantitativo do tipo caso-controle para avaliar pacientes submetidos ao RCTH. Para tanto, utilizou-se amostra pareada de dois controles para cada caso (2:1). O grupo caso foi constituído pelos prontuários de saúde com todos os pacientes que foram submetidos ao RCTH (28) e o grupo controle (56) incluiu pacientes que receberam apenas um transplante. Três variáveis nortearam o pareamento: sexo, diagnóstico e tipo de transplante. Resultados: vinte e quatro (85,71%) pacientes do grupo caso receberam retransplante devido a recidiva da doença e quatro (14.29%) devido a falha do enxerto. Uma diferença estatística foi encontrada na análise entre os pacientes que não usaram o ácido ursodesoxicólico, analgésicos opioides ou imunossupressores. A necessidade de um RCTH entre aqueles que usaram estes medicamentos de forma inapropriada foi 16,12, 12,79 e 4,5 vezes maior, respectivamente, do que entre os que as usaram corretamente. Conclusão: houve uma diferença relacionada ao motivo que levou ao retransplante e os indivíduos analisados. A conclusão é que a razão preditiva para retransplante nesta amostra foi a recidiva da doença.

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Section: Discussionmentioning

confidence: 99%

Análise dos fatores associados ao retransplante de células-tronco hematopoiéticas: estudo caso-controle

Azevedo

Júnior

Nascimento

et al. 2022

Rev. Latino-Am. Enfermagem

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show abstract

Section: Discussionmentioning

confidence: 99%

Analysis of factors associated with hematopoietic stem-cell retransplantation: a case-control study

Azevedo,

Ferreira Júnior,

Nascimento

et al. 2022

Rev. Latino-Am. Enfermagem

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Objective: to analyze the factors associated with the failure of Hematopoietic Stem Cell Transplantation (HSCT) in patients undergoing Hematopoietic Stem Cell Retransplantation (HSCR). Method: this study implemented a quantitative approach and was a case-control type which addressed patients undergoing HSCR. To do so, a paired sample of two controls was used for each case (2:1). The case group consisted of the medical records of all patients who underwent HSCR (28) and the control group (56) of those who underwent only one transplant. Three variables guided the pairing: gender, diagnosis and type of transplant. Results: a total of 24 (85.71%) patients in the case group were re-transplanted due to disease relapse and four (14.29%) due to graft failure. There was a statistical difference in the analysis between patients who did not use ursodeoxycholic acid, opioid analgesics and immunosuppressants. The need for HSCR among those who used these medications inappropriately was 16.12, 12.79 and 4.5 times more likely, respectively, than those who used them correctly. Conclusion: there was a difference regarding the reasons which led to the retransplantation and the analyzed subjects, and this study concluded that the predictive reason for retransplantation in the studied sample was disease relapse.

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“…It is worth noting that, in a hospital environment, prior to discharge, nursing care also focuses on providing guidance, preparing patients and caregivers to develop home care. Therefore, care is complex (5)(6) , mainly involving the technical and guidance actions of the nursing team members in charge of assistance.…”

Section: Introductionmentioning

confidence: 99%

Nursing care for patients in post-transplantation of hematopoietic stem cells: an integrative review

et al. 2021

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Objectives: to analyze the available evidence on the nursing care provided to patients after hematopoietic stem cell transplantation. Methods: integrative review with the search for primary studies in four databases and a virtual health library. A broad search strategy was used, including research published in English, Brazilian Portuguese, or Spanish, between 2008 and 2018, totaling a sample of 42 studies. Results: the studies were grouped into three categories: multiple nursing care (n=19), first-line care (n=18), and self-management of care (n=5). Conclusions: nursing care is critical, comprising patients’ physical, psychological and social aspects. It occurs in hospital and home contexts, mainly involving technical actions and health guidance. The evidence identified provide subsidies for decision-making; however, most studies are of the non-experimental type, indicating the need for conducting intervention research.

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Care performed by family caregivers of children submitted to hematopoietic stem cell transplantation

Cited by 5 publications

References 15 publications

Análise dos fatores associados ao retransplante de células-tronco hematopoiéticas: estudo caso-controle

Análise dos fatores associados ao retransplante de células-tronco hematopoiéticas: estudo caso-controle

Analysis of factors associated with hematopoietic stem-cell retransplantation: a case-control study

Nursing care for patients in post-transplantation of hematopoietic stem cells: an integrative review

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