Self-care guidelines for patients in the post-hematopoietic stem cell transplantation period: a scoping review

Nascimento, Anália Andréia de Araújo; Melo, Jéssica Cristina Alves de; Soares, Katiane Domingos; Marinho, Anne Caroline Lisboa; Ribeiro, Sara Eloise Argimiro; Azevedo, Isabelle Campos de

doi:10.1590/0034-7167-2022-0383

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Revista Brasileira de Enfermagem

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Sumário

REVIEW • Rev. Bras. Enferm. 76 (4) • 2023 • https://doi.org/10.1590/0034-7167-2022-0383 copy

Self-care guidelines for patients in the post-hematopoietic stem cell transplantation period: a scoping review

Orientaciones para el autocuidado de pacientes en el post-trasplante de células madre hematopoyéticas: revisión de alcance

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To map the evidence on self-care guidelines for patients in the post-hematopoietic stem cell transplantation (HSCT) period.

Method:

Scoping review supported by Joanna Briggs Institute recommendations, with searches conducted between March and April 2022 in national and international databases and repositories of theses and dissertations.

Results:

Of the 11 studies that composed the final sample, the guidelines had a social and personal aspect, as post-transplant patients need to follow numerous essential recommendations for the prevention of infections and complications for successful treatment and improved quality of life.

Conclusion:

Knowing the self-care guidelines that must be performed by post-HSCT patients is fundamental for the nursing team to provide the necessary information for care outside the controlled environment of the hospital, in addition to minimizing episodes of infection, death, and increasing the survival and quality of life of transplant recipients.

Descriptors
Nursing Care; Patient Discharge Summaries; Hematopoietic Stem Cell Transplantation; Self Care; Health Education

Database or Repository

Search strategy used

LILACS, SCIENCE DIRECT, CAPES Theses and Dissertations Catalog, Latin American Theses and Dissertations

#1- patients AND patient discharge summaries AND hematopoietic stem cell transplantation
#2- patients AND patient discharge summaries AND bone marrow transplantation

PUBMED, SCOPUS, WoS, COCHRANE, TROVE, DIVA, ERIC, DART-Europe E-Theses Portal, EthOS, RCAAP, National ETD Portal, Theses Canada.

#1- patients OR (education, patient OR patient education OR education of patients) AND patient discharge summaries OR (discharge, patient OR discharge planning) AND hematopoietic stem celltransplantation OR (hematopoietic stem cell OR hematopoietic progenitor cells)
#2- patients OR (education, patient OR patient education OR education of patients) AND patient discharge sumaries OR (discharge, patient OR discharge planning) AND bone marrow transplantation OR (bone marrow cell transplantation)

Author / Title	Year / Country	Design / Number of participants^* * The number of participants was included in studies involving human subjects; †Evidence from expert opinions, narrative literature reviews, and descriptive studies, according to the Joanna Briggs Institute Manual(16); ‡Coronavirus Disease 2019; §Evidence obtained from well-designed cohort or case-control studies, analytical studies, according to the Joanna Briggs Institute Manual(16); \|\|United States of America; ¶Stem Cells Transplantation;	Self-care guidance provided to patient’s post-HSCT	Evidence level
Nunes et al.(¹¹11 Nunes SS, Montesinos MJL, Pedroso VSM, Tolfo F, Bick MA, Siqueira HCH. Adherence to nursing guidelines in relation to home care of bone marrow transplantees in the ecosystem perscpective. Texto Contexto Enferm. 2020;29:e20180310. https://doi.org/10.1590/1980-265X-TCE-2018-0310 https://doi.org/10.1590/1980-265X-TCE-20... )/Adherence to nursing guidelines in relation to home care of bone marrow transplantees in the ecosystem perscpective	2020 / Brazil	Qualitative / n=40	Care with pets; Use of cosmetics and skin care; Avoid direct contact with infected individuals and/or groups of people; Care with plants; Guidance on contact with sharp materials; Household hygiene; Care for sexual relationships; Guidance on caring for family health.	IV^†
Akbulut et al.(²⁰20 Akbulut G, Yesildemir O. Overview of nutritional approach in hematopoietic stem cell trans-plantation: COVID-19 update. World J Stem Cells. 2021;13(10):1530-48. https://doi.org/10.4252/wjsc.v13.i10.1530 https://doi.org/10.4252/wjsc.v13.i10.153... )/Overview of nutritional approach in hematopoietic stem cell transplantation: COVID-19^‡ update	2021 / Turkey	Review	Nutritional guidance; Food hygiene	IV^†
Bertz (²¹21 Bertz H. Rehabilitation after Allogeneic Haematopoietic Stem Cell Transplantation: a special challenge. cancers. 2021;13(24):6187. https://doi.org/10.3390/cancers13246187 https://doi.org/10.3390/cancers13246187... )/Rehabilitation after Allogeneic Haematopoietic Stem Cell Transplantation: A Special Challenge	2021/ Germany	Review	Self-care; Nutritional guidance; Food hygiene; Personal hygiene; Household hygiene; Medications; Avoiding direct contact with infected individuals and/or groups; Vaccination; Care with plants; Care with domestic animals; Psychological support; Returning to work; Ambulatory appointments; Laboratory exam control.	IV^†
Barban et al.(²²22 Barban A, Coracin FL, Musqueira PT, Barbanc A, Ruiz LP, Ruiz MA, et al. Analysis of the feasibility of early hospital discharge after autologous hematopoietic stem cell transplantation and the implications to nursing care. Rev Bras Hematol Hemoter. 2014;36(4):264-8. https://doi.org/10.1016/j.bjhh.2014.05.003 https://doi.org/10.1016/j.bjhh.2014.05.0... )/Analysis of the feasibility of early hospital discharge after autologous hematopoietic stem cell transplantation and the implications to nursing care	2014 / Brazil	Cross-sectional / n=100	Adverse effects of treatment; Recognition of signs and symptoms of possible complications; Seeking professional help; Hydration intake; Catheter care; Laboratory test control.	III.2^§
Polito et al.(²³23 Polito S, Ho L, Pang I, Dara C, Viswabandya A. Evaluation of a patient self-medication program in allogeneic hematopoietic stem cell transplantation. J Oncol Pharm Pract. 2021;0(0):1-8. https://doi.org/10.1177/10781552211043525 https://doi.org/10.1177/1078155221104352... )/Evaluation of a patient self-medication program in allogeneic hematopoietic stem cell transplantation	2021 / Canada	Cohort / n=51	Medications.	III.2^§
Oguz et al.(²⁴24 Oguz G, Akin S, Durna Z. Symptoms After Hospital Discharge Following Hematopoietic Stem Cell Transplantation. Indian J Palliat Care. 2014;20(1):41-49. https://doi.org/10.4103/0973-1075.125558 https://doi.org/10.4103/0973-1075.125558... )/Sintomas após alta hospitalar após transplante de células-tronco hematopoiéticas	2016 / Turkey	Descriptive / n=66	Orientations on management and common symptoms in the post-HSCT period.	IV^†
Song et al.(²⁵25 Song Y, Chen S, Roseman J, Scigliano E, Redd WH, Stadler G. It takes a team to make it through: the role of social support for survival and self-care after allogeneic hematopoietic stem cell transplant. front. Psychol. 2021;12:624906. Available from: https://doi.org/10.3389/fpsyg.2021.624906 https://doi.org/10.3389/fpsyg.2021.62490... )/It Takes a Team to Make It Through: The Role of Social Support for Survival and Self-Care After Allogeneic Hematopoietic Stem Cell Transplant	2021/ USA^\|\|	Qualitative / n=173	Nutritional guidelines; Medications; Psychological support.	IV^†
Faucher et al.(²⁶26 Faucher C, Soriano AGLC, Esterni B, Vey N, Stoppa AM, Chabannon C, et al. Randomized study of early hospital discharge following autologous blood SCT: medical outcomes and hospital costs. Bone Marrow Transplant. 2012;549-555. https://doi.org/10.1038/bmt.2011.126 https://doi.org/10.1038/bmt.2011.126... )/Randomized study of early hospital discharge following autologous blood SCT^¶: medical outcomes and hospital costs	2011 / France	Randomized Clinical Trial / n=131	Monitoring body temperature; Medication; Need for staying/lodging near the referral hospital.	II^{^ Evidence obtained from at least one randomized controlled clinical trial, according to the Joanna Briggs Institute Manual(16).}
Denzen et al.(²⁷27 Denzen EM, Preussler JM, Murphy EA, Baker KS, Burns LJ, Foster J, et al. Tailoring a survivorship care plan: patient and provider preferences for recipients of hematopoietic cell transplantation. Biol Blood Marrow Transplant. 2019;25(3):562-9. https://doi.org/10.1016/j.bbmt.2018.10.005 https://doi.org/10.1016/j.bbmt.2018.10.0... )/Tailoring a Survivorship Care Plan: Patient and Provider Preferences for Recipients of Hematopoietic Cell Transplantation	2019 / USA^\|\|	Qualitative/n=77	Recognition of signs and symptoms of possible complications; Toxicity; Vaccination.	IV^†
Cioce et al.(²⁸28 Cioce M, Lohmeyer FM, Moroni R, Magini M, Giraldi A, Garau P, et al. Impact of educational interventions on psychological distress during allogeneic hematopoietic stem cell transplantation: a randomised study. Mediterr J Hematol Infect Dis. 2020;12(1):e2020067. https://doi.org/10.4084/MJHID.2020.067 https://doi.org/10.4084/MJHID.2020.067... )/Impact of educational interventions on psychological distress during allogeneic hematopoietic stem cell transplantation: a randomised study	2020 / Italy	Randomized Clinical Trial / n=36	Recognition of signs and symptoms of possible complications; Self-care; Nutritional guidance; Food hygiene; Adverse effects of treatment; Attention to medication side effects; Risks and preventive behavior; Hand hygiene; Protective isolation.	II^{^ Evidence obtained from at least one randomized controlled clinical trial, according to the Joanna Briggs Institute Manual(16).}
Rodrigues et al.(²⁹29 Rodrigues JAP, Lacerda MR, Gomes IM, Paes MR, Ribeiro RP, Mercês NNA. Research contributions for the Nursing care in pediatric transplantation of hematopoietic stem cells. Rev Pesqui Cuid Fundam. 2018;10(4):964-70. https://doi.org/10.9789/2175-5361.2018.v10i4.964-970 https://doi.org/10.9789/2175-5361.2018.v... )/Research contributions for the Nursing care in pediatric transplantation of hematopoietic stem cells	2018 / Brazil	Qualitative / n=138	Nutritional guidance; Food hygiene; Use of masks; Protective isolation; Hand hygiene; Vital signs monitoring; Laboratory test control.	IV^†

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[1] Corresponding author: Isabelle Campos de Azevedo, E-mail: isabellebr2511@gmail.com