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The Value of Predictive Nursing in Perioperative Period of Allogeneic Hematopoietic Stem Cell Transplantation

Received: 3 September 2020    Accepted: 15 September 2020    Published: 28 September 2020
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Abstract

Background: Predictive nursing is a new concept proposed in recent years. Studies have shown that predictive care is effective in critically ill and surgical patients. However, the application and research of predictive nursing in patients with allogeneic hematopoietic stem cell transplantation (allo-HSCT) during perioperative period is still lacking. Objective: The value and clinical effect of predictive nursing in allo-HSCT during the perioperative period. Methods: Retrospective analysis was performed on 36 patients with hematological disease who had received allo-HSCT. Observation group A was the patient who received oral care, perineal care and perianal care during the transplantation period; group B was the patient who received only one of the three care items; group C was the patient who received no nursing intervention. And then the time of stem cell transplantation, the incidence of infection, and the cost of treatment were analyzed among the three groups. Results: Predictive nursing intervention can significantly shorten the transplantation time of granulocytes and megakaryocytes (A vs. C, P=0.000, P=0.000; B vs. C, P=0.000, P=0.000). Patients receiving oral care, perineal care and perianal care at the same time had a tendency to shorten the transplant time of stem cells and effectively reduce the incidence of respiratory and urinary tract infections compared with patients receiving only one nursing intervention (X2=5.538, X2=5.924; P=0.019, P=0.05). And reduce the cost of treatment during transplantation (A vs. C, P=0.006). Conclusions: In the perioperative period of allogeneic hematopoietic stem cells, various predictive nursing interventions can shorten the transplantation time of stem cells, reduce the incidence of infection, and thus reduce the economic burden of patients. It is a cheap and effective method and worthy of clinical application.

Published in Science Journal of Clinical Medicine (Volume 9, Issue 3)
DOI 10.11648/j.sjcm.20200903.17
Page(s) 82-86
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Predictive Nursing, Allogeneic Hematopoietic Stem Cell Transplantation, Transplantation Time

References
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[2] Zhu Y, Gao Q, Hu J, Liu X, Guan D, Zhang F. Allo-HSCT compared with immunosuppressive therapy for acquired aplastic anemia: a system review and meta-analysis. BMC Immunol. 2020; 21 (1): 10.
[3] Wang YF, Huang SY, Zhang ZH, Dong F, Wang Y, Jing HM, et al. [Clinical Efficacy of Allo-HSCT on FLT3-ITD Positive AML Patients]. Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2020; 28 (4): 1183-1188.
[4] Heath LJ, Delate T, Weffald L, Paulson DC, Sanchez JK, Herner SJ. A Predictive Model to Identify Skilled Nursing Facility Residents for Pharmacist Intervention. Consult Pharm. 2018; 33 (9): 504-520.
[5] Meehan E, Foley T, Kelly C, Burgess Kelleher A, Sweeney C, Hally RM, et al. Advance Care Planning for Individuals With Chronic Obstructive Pulmonary Disease: A Scoping Review of the Literature. J Pain Symptom Manage. 2020; 59 (6): 1344-1361.
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[7] Morris EC, Albert MH. Allogeneic HSCT in Adolescents and Young Adults With Primary Immunodeficiencies. Front Pediatr. 2019; 7: 437.
[8] Girmenia C, Bertaina A, Piciocchi A, Perruccio K, Algarotti A, Busca A, et al. Incidence, Risk Factors and Outcome of Pre-engraftment Gram-Negative Bacteremia After Allogeneic and Autologous Hematopoietic Stem Cell Transplantation: An Italian Prospective Multicenter Survey. Clin Infect Dis. 2017; 65 (11): 1884-1896.
[9] Lee SE, Lim JY, Ryu DB, Kim TW, Park SS, Jeon YW, et al. Alteration of the Intestinal Microbiota by Broad-Spectrum Antibiotic Use Correlates with the Occurrence of Intestinal Graft-versus-Host Disease. Biol Blood Marrow Transplant. 2019; 25 (10): 1933-1943.
[10] Barrett M, Boyne J, Brandts J, Brunner-La Rocca HP, De Maesschalck L, De Wit K, et al. Artificial intelligence supported patient self-care in chronic heart failure: a paradigm shift from reactive to predictive, preventive and personalised care. EPMA J. 2019; 10 (4): 445-464.
[11] Staffas A, van den Brink M. The intestinal flora is required for post-transplant hematopoiesis in recipients of a hematopoietic stem cell transplantation. Bone Marrow Transplant. 2019; 54 (Suppl 2): 756-758.
[12] Hagan T, Cortese M, Rouphael N, Boudreau C, Linde C, Maddur MS, et al. Antibiotics-Driven Gut Microbiome Perturbation Alters Immunity to Vaccines in Humans. Cell. 2019; 178 (6): 1313-1328 e1313.
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  • APA Style

    Yun Pan, Dongdong Chen. (2020). The Value of Predictive Nursing in Perioperative Period of Allogeneic Hematopoietic Stem Cell Transplantation. Science Journal of Clinical Medicine, 9(3), 82-86. https://doi.org/10.11648/j.sjcm.20200903.17

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    ACS Style

    Yun Pan; Dongdong Chen. The Value of Predictive Nursing in Perioperative Period of Allogeneic Hematopoietic Stem Cell Transplantation. Sci. J. Clin. Med. 2020, 9(3), 82-86. doi: 10.11648/j.sjcm.20200903.17

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    AMA Style

    Yun Pan, Dongdong Chen. The Value of Predictive Nursing in Perioperative Period of Allogeneic Hematopoietic Stem Cell Transplantation. Sci J Clin Med. 2020;9(3):82-86. doi: 10.11648/j.sjcm.20200903.17

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  • @article{10.11648/j.sjcm.20200903.17,
      author = {Yun Pan and Dongdong Chen},
      title = {The Value of Predictive Nursing in Perioperative Period of Allogeneic Hematopoietic Stem Cell Transplantation},
      journal = {Science Journal of Clinical Medicine},
      volume = {9},
      number = {3},
      pages = {82-86},
      doi = {10.11648/j.sjcm.20200903.17},
      url = {https://doi.org/10.11648/j.sjcm.20200903.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20200903.17},
      abstract = {Background: Predictive nursing is a new concept proposed in recent years. Studies have shown that predictive care is effective in critically ill and surgical patients. However, the application and research of predictive nursing in patients with allogeneic hematopoietic stem cell transplantation (allo-HSCT) during perioperative period is still lacking. Objective: The value and clinical effect of predictive nursing in allo-HSCT during the perioperative period. Methods: Retrospective analysis was performed on 36 patients with hematological disease who had received allo-HSCT. Observation group A was the patient who received oral care, perineal care and perianal care during the transplantation period; group B was the patient who received only one of the three care items; group C was the patient who received no nursing intervention. And then the time of stem cell transplantation, the incidence of infection, and the cost of treatment were analyzed among the three groups. Results: Predictive nursing intervention can significantly shorten the transplantation time of granulocytes and megakaryocytes (A vs. C, P=0.000, P=0.000; B vs. C, P=0.000, P=0.000). Patients receiving oral care, perineal care and perianal care at the same time had a tendency to shorten the transplant time of stem cells and effectively reduce the incidence of respiratory and urinary tract infections compared with patients receiving only one nursing intervention (X2=5.538, X2=5.924; P=0.019, P=0.05). And reduce the cost of treatment during transplantation (A vs. C, P=0.006). Conclusions: In the perioperative period of allogeneic hematopoietic stem cells, various predictive nursing interventions can shorten the transplantation time of stem cells, reduce the incidence of infection, and thus reduce the economic burden of patients. It is a cheap and effective method and worthy of clinical application.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - The Value of Predictive Nursing in Perioperative Period of Allogeneic Hematopoietic Stem Cell Transplantation
    AU  - Yun Pan
    AU  - Dongdong Chen
    Y1  - 2020/09/28
    PY  - 2020
    N1  - https://doi.org/10.11648/j.sjcm.20200903.17
    DO  - 10.11648/j.sjcm.20200903.17
    T2  - Science Journal of Clinical Medicine
    JF  - Science Journal of Clinical Medicine
    JO  - Science Journal of Clinical Medicine
    SP  - 82
    EP  - 86
    PB  - Science Publishing Group
    SN  - 2327-2732
    UR  - https://doi.org/10.11648/j.sjcm.20200903.17
    AB  - Background: Predictive nursing is a new concept proposed in recent years. Studies have shown that predictive care is effective in critically ill and surgical patients. However, the application and research of predictive nursing in patients with allogeneic hematopoietic stem cell transplantation (allo-HSCT) during perioperative period is still lacking. Objective: The value and clinical effect of predictive nursing in allo-HSCT during the perioperative period. Methods: Retrospective analysis was performed on 36 patients with hematological disease who had received allo-HSCT. Observation group A was the patient who received oral care, perineal care and perianal care during the transplantation period; group B was the patient who received only one of the three care items; group C was the patient who received no nursing intervention. And then the time of stem cell transplantation, the incidence of infection, and the cost of treatment were analyzed among the three groups. Results: Predictive nursing intervention can significantly shorten the transplantation time of granulocytes and megakaryocytes (A vs. C, P=0.000, P=0.000; B vs. C, P=0.000, P=0.000). Patients receiving oral care, perineal care and perianal care at the same time had a tendency to shorten the transplant time of stem cells and effectively reduce the incidence of respiratory and urinary tract infections compared with patients receiving only one nursing intervention (X2=5.538, X2=5.924; P=0.019, P=0.05). And reduce the cost of treatment during transplantation (A vs. C, P=0.006). Conclusions: In the perioperative period of allogeneic hematopoietic stem cells, various predictive nursing interventions can shorten the transplantation time of stem cells, reduce the incidence of infection, and thus reduce the economic burden of patients. It is a cheap and effective method and worthy of clinical application.
    VL  - 9
    IS  - 3
    ER  - 

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Author Information
  • Department of Cardiology, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Cardiology, The First Affiliated Hospital of Jinan University, Guangzhou, China

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