Abstract
to analyze the available evidence on the nursing care provided to patients after hematopoietic stem cell transplantation. 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. the studies were grouped into three categories: multiple nursing care (n=19), first-line care (n=18), and self-management of care (n=5). 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.
Highlights
Hematopoietic stem cell transplantation (HSCT) presents itself as a curative possibility for malignant and non-malignant diseases that affect the functioning of the bone marrow
Regarding the country of origin, considering the main author, 17 studies are from the United States of America (USA), and 11, from Brazil, with the other countries having the lowest number of publications
In an analysis of the knowledge synthesis generated in this review, it can be inferred that nursing care focuses on the physical aspects, especially, and patients’ psychological and social aspects
Summary
Hematopoietic stem cell transplantation (HSCT) presents itself as a curative possibility for malignant and non-malignant diseases that affect the functioning of the bone marrow. In Brazil, between January and September 2019, 2,575 transplants were reported, with the states of São Paulo and Paraná having the highest number, with 1,253 and 268, respectively. These procedures were carried out by 73 teams. The complexity of carrying out the procedure is related to the fragility of patients’ health condition and the need for special care, related to dietary restrictions, care with personal and environmental hygiene, social isolation, among others, and the risk of potentially fatal complications, such as infection, respiratory failure, metabolic disorders and graft versus host disease (GVHD) [4], making nursing care determinant for treatment
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