Carga de trabalho de enfermagem em transplante de células-tronco hematopoiéticas: estudo de coorte

Silva, Juliana Bastoni da; Póvoa, Valéria Cristina Oliveira; Lima, Maria; Oliveira, Henrique Ceretta; Padilha, Kátia Grillo; Secoli, Sílvia Regina

doi:10.1590/s0080-623420150000700014

Cited by 11 publications

(16 citation statements)

References 19 publications

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“…The mortality rate associated with treatment is expressed in national and international literature. In Brazil, a study conducted in Campinas-SP, Brazil, with 62 patients submitted to HSCT, showed a death rate of 21% in the period before one year after transplantation 22 . In Iran, a longitudinal study of 587 patients submitted to HSCT revealed that the mean survival time of patients was 517 days 23 .…”

Section: Discussionmentioning

confidence: 99%

Hematopoietic stem cell transplantation and quality of life during the first year of treatment

Marques

Szczepanik

Machado

et al. 2018

Rev. Latino-Am. Enfermagem

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Objective:to evaluate the quality of life of adult patients with hematological cancer comparing Hematopoietic Stem Cell Transplantation modalities during the first year of treatment. Method:this is an observational and longitudinal research with 55 participants. Data collection was performed in six steps: before transplantation, pancytopenia, before hospital discharge, after 100, 180 and 360 days, in a reference hospital in Brazil for this treatment. The international instruments Quality of Life Questionnaire - Core 30 and Functional Assessment Cancer Therapy - Bone Marrow Transplantation were validated and translated into Portuguese (Brazil). Results:the mean age of participants was 36 years, 65% (n = 36) had leukemia diagnosis and 71% (n = 39) had undergone allogenic transplantation. In the Quality of Life Questionnarie - Core30 instrument, the pain symptom was significant between the first and second stages, and loss of appetite between the third and fourth stages, both in the allogenic group. In the Functional Assessment Cancer Therapy - Bone Marrow Transplantation, the functional well-being domain was significant between the third and fourth stages, also in the allogenic group. Conclusions:although the aggressiveness of treatment affects quality of life, patients consider it satisfactory after the first year. There are few significant differences between autologous and allogenic patients, and both groups have recovered in the course of the process.

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Section: Discussionmentioning

confidence: 99%

Hematopoietic stem cell transplantation and quality of life during the first year of treatment

Marques

Szczepanik

Machado

et al. 2018

Rev. Latino-Am. Enfermagem

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“…Nurses were nominally cited as responsible for the care listed in 26 of the primary studies (2,13,(15)(16)(17)(19)(20)(21)(23)(24)27,29,(32)(33)(34)(35)(36)(37)(38)(39)41,(44)(45)(48)(49)(50) , and in the remaining 16 (5,(11)(12)14,18,22,(25)(26)28,(30)(31)40,(42)(43)(46)(47) , the nursing team was mentioned.…”

Section: Resultsmentioning

confidence: 99%

“…Care guidance, for execution by patients and family members at home, was investigated in five studies (15)(16)23,(47)(48) . The combination of technical care and guidance provided was thematic studied in 11 studies (5,12,19,(24)(25)(26)40,(42)(43)(44)49) . The indication of the methodological approach and the research design was based on the description of the studies' authors.…”

Section: Resultsmentioning

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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“…O impacto negativo de uma doença afeta diversas áreas da vida dos pacientes, inclusive a financeira (também considerada uma preocupação adicional Outros fatores devem ser levados em consideração quando se comparam as modalidades de TCTH, tais como: comorbidades, tempo entre o diagnóstico e a realização do transplante, estágio da doença na indicação do transplante, condições clínicas no diagnóstico, entre outros. Um estudo de coorte que avaliou a carga de trabalho de enfermagem em transplante de célulastronco hematopoiéticas (13) demonstrou que para ambas as modalidades de TCTH, autólogo e alogênico, o grau de gravidade foi semelhante no período de condicionamento, dia da infusão e na "pega" medular, entretanto, os pacientes submetidos ao autólogo apresentaram maior gravidade no período de pancitopenia em relação aos submetidos ao alogênico. Outros estudos que avaliaram a QV sugerem que não há diferença significativa entre as modalidades de transplante realizadas (14)(15) .…”

Section: Discussionunclassified

<b>Correlação entre preocupações adicionais e desempenho pessoal com a qualidade de vida na hospitalização para o transplante de células-tronco hematopoiéticas/ Correlation between additional concerns and personal performance with the quality of life in hospitalization for hematopoietic stem cell transplantation<b>

Machado¹,

Marques²,

Lenhani³

et al. 2018

Cienc. Cuid. Saúde

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Objetivou-se correlacionar as preocupações adicionais e o desempenho pessoal com a qualidade de vida geral/global dos pacientes adultos com câncer hematológico, hospitalizados para o transplante de células-tronco hematopoiéticas autólogo e alogênico.Estudo longitudinal, observacional e analítico, realizado em hospital público do sul do Brasil com 55 pacientes. A coleta de dados foi realizada entre setembro de 2013 e novembro de 2015. Foram utilizados os questionários sociodemográfico e clínico, Quality of Life Questionnarie Core-30 e o Functional Assessment of Câncer Therapy – Bone Marrow Transplant. Os dados foram avaliados com o auxílio do software Statística 7.0. A média de idade para o transplante autólogo foi de 45 anos, com predomínio do diagnóstico de mieloma múltiplo; para o alogênico foi de 31 anos com predomínio da leucemia. A qualidade de vida geral/global, o desempenho pessoal e as preocupações adicionais caracterizadas pela imagem corporal, fadiga, sexualidade e apetite apresentaram médias significativamente menores no período de pancitopenia em relação ao basal, com gradativa melhora no período pré-alta hospitalar. Conclui-se que o transplante é uma terapêutica com potencial papel de cura, no entanto, acarreta em impactos negativos nos domínios da qualidade de vida, desempenho pessoal, preocupações adicionais e na experiência de vida dos receptores.

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Carga de trabalho de enfermagem em transplante de células-tronco hematopoiéticas: estudo de coorte

Cited by 11 publications

References 19 publications

Hematopoietic stem cell transplantation and quality of life during the first year of treatment

Hematopoietic stem cell transplantation and quality of life during the first year of treatment

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

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