Cuidados De Enfermagem No Transplante Autólogo De Células-Tronco Hematopoiéticas Em Pacientes Com Mieloma Múltiplo

Abstract

Objetivos: Identificar as evidências disponíveis sobre o cuidado de enfermagem no transplante autólogo de células-tronco hematopoiéticas em pacientes com mieloma múltiplo no ambiente hospitalar, relacionar os cuidados identificados na literatura às teorias de enfermagem, quais aspectos têm sido priorizados quanto ao cuidado da enfermagem e compreender em que fase do tratamento o enfermeiro é mais atuante. Método: Estudo de Revisão de Escopo, com busca realizada nas bases de dados LILACS e MEDLINE via PubMed, no mês de junho de 2021, 10 artigos foram identificados. Resultados: Tratam de cuidados relacionados a procedimentos específicos e demonstram a importância que o enfermeiro tem de atuar no controle do ambiente, bem-estar, apoio emocional e da educação em saúde com estímulo à autonomia e ao autocuidado. Conclusão: Observam-se bases teóricas que devem estar presentes em todo o processo de cuidar, guiando a atuação do enfermeiro, que se mostra relevante em todo o processo de tratamento.

Nursing care in autologous hematopoietic progenitor transplantation

“…As for the year of publication, one was published in 2000, three in 2007, one in 2010, one in 2011, one published in 2014, one in 2017, one in 2019, and one in 2021. Six were published in national journals and four in international journals (Paixão et al, 2022). Psychosocial impact of protective isolation in hematopoietic stem cell transplant recipients.…”

“…There are petechiae, bruises, lesions, redness or inflammation so you should immediately inform the nurse or doctor, you should also moisturize your skin with a scentless cream and with the neutral pH preferably that is rich in vitamin A, take care of the skin folds and keep ... On the other hand, hand washing is a fundamental technique that is applied in the transplant room, according to the Pan American Health Organization (PAHO), which is one of the most promoted habits in the world and that it helps prevent diseases and safeguard life (Hand hygiene saves lives -PAHO/WHO | Pan American Health Organization, n.d.). For this reason, it indicates (Cazón, 2022) that hand washing should be done at least 4 times a day, preferably with 2% chlorhexidine soap applying the 11 steps including step 0, which is why they point out (García-Castillo et al, 2021;Paixão et al, 2022) that the hands act as an entity for the transmission of microorganisms, for this reason the patient should wash their hands every time touching any object and mandatory use when the hands are visibly dirty, before and after going to the bathroom, meals and every activity with health personnel to avoid infections.…”

“…Regarding oral hygiene, oral hygiene is a very important aspect to treat since the transplanted patient can generate serious mucus according to (Cazón, 2022) the mouth should be washed 4 times a day, after meals but (Izu & Silvino, n.d.;Paixão et al, 2022) mentions that it will be according to need and medical indication since nystatin, bicarbonate and lidocaine preparations should be made in order to treat or alleviate the adverse events of the high toxicity of chemotherapy. It also refers (Cazón, 2022) that the brush should be soft-bristled, keep the brush with the bristles up and in a dry place, if you have dentures you should brush with soap and water at least twice a day and store them at night in an empty container, you cannot use dental floss or chopsticks to avoid bleeding and injuries On the other hand, it indicates (Izu & Silvino, n.d.) that central venous catheter care is fully performed by the nurse, it must be maintained, evaluated and aseptic cleaning performed daily since it is frequently used for the infusion of solutions necessary in its treatment and will be kept in a closed system.…”