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

Abstract

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.

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

“…Patients undergoing HSCT or HSCR generally require complex care and nursing care through all its phases, from indication of the patient to perform the procedure until their discharge from the hospital and follow-up at the hospital. Implementing nursing care systematization (NCS) and compliance with all its stages is urgent in this context 31 - 33 , given that the patient can evolve quickly with complications associated with the underlying disease or toxicities.…”

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

“…Patients undergoing HSCT or HSCR generally require complex care and nursing care through all its phases, from indication of the patient to perform the procedure until their discharge from the hospital and follow-up at the hospital. Implementing nursing care systematization (NCS) and compliance with all its stages is urgent in this context (31)(32)(33) , given that the patient can evolve quickly with complications associated with the underlying disease or toxicities.…”

Construção de protocolo de cuidados de enfermagem à criança no pós-transplante de células-tronco hematopoiéticas

“…A condução da revisão integrativa teve como objetivo analisar as evidências disponíveis sobre os cuidados de enfermagem realizados ao paciente em pós-TCTH. Os cuidados identificados compuseram a construção do protocolo em questão (9) . Na sequência, foi realizada a estruturação e organização teórica do conhecimento produzido pela CIPE ® 2017, complementando os cuidados identificados na literatura, mas também construindo novos, a partir das principais intercorrências e complicações identificadas em perfil clínico prévio da mesma população a quem se destina o protocolo (4) .…”