Abstract
Objetivou-se identificar os principais diagnósticos e intervenções de enfermagem descritos pelaNorth American Nursing Diagnosis Association e Nursing Intervention Classification, para pacientes com doençaenxerto versus hospedeiro submetidos a transplante de células-tronco hematopoiéticas alogênico. Realizou-seum estudo descritivo, exploratório, com abordagem quantitativa. Coletaram-se dados de 30 pacientes, em umaunidade de transplante de medula óssea, de um hospital privado de grande porte, localizado no municípiode São Paulo. Identificaram-se nove principais diagnósticos, segundo a North American Nursing DiagnosisAssociation. Propôs-se 11 intervenções de enfermagem baseadas na Nursing Interventions Classification, alémde 40 atividades. Consideram-se os principais diagnósticos, resultados e intervenções/atividades formuladospara mais de 50% dos participantes do estudo. Este estudo permitiu identificar e selecionar diagnósticos eintervenções de enfermagem, com suas respectivas atividades, para aplicação na prática clínica, com vistas asubsidiar o processo de cuidado e o conhecimento das taxonomias de enfermagem.
Highlights
IntroductionHematopoietic stem cell transplantation (HSCT) corresponds to the intravenous infusion of hematopoietic stem cells (HSCT) to reestablish the spinal function
Hematopoietic stem cell transplantation (HSCT) corresponds to the intravenous infusion of hematopoietic stem cells (HSCT) to reestablish the spinal function. This procedure is recommended when the bone marrow suffers from a pathological process or whom the hematopoietic toxicity is limiting in the aggressive treatment of the disease, including radiotherapy, chemotherapy and/or immune therapy at toxic doses(1)
No diagnosis was found with an incidence rate superior to 50.0% for the patients with graft-versushost disease (GVHD) after allogeneic HSCT related to the following domains of human responses: Domain 6-SelfPerception; Domain 7-Role Relationships; Domain 8-Sexuality; Domain 10-Life Principles; Domain 13-Growth and Development; Domain 1- Health Promotion and Domain 5- Perception and Cognition
Summary
Hematopoietic stem cell transplantation (HSCT) corresponds to the intravenous infusion of hematopoietic stem cells (HSCT) to reestablish the spinal function. This procedure is recommended when the bone marrow suffers from a pathological process or whom the hematopoietic toxicity is limiting in the aggressive treatment of the disease, including radiotherapy, chemotherapy and/or immune therapy at toxic doses(1). Autogeneic HSCT occurs when the hematopoietic stem cells (HSC) derive from the peripheral blood or bone marrow of the person who will be transplanted (receiver). Allogeneic HSCT occurs when the HSC come from the umbilical cord blood of another person (donor) or from the bone marrow of peripheral blood, which can be related, when the receiver and donor are blood-related, or not-related, when the receiver and donor are not blood-related. Syngeneic HSCT occurs when the HSC derive from the bone marrow of an identical twin sibling(2,4)
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