Narrative Nursing for a Patient Who Experienced Treatment Failure After Allogeneic Hematopoietic Stem Cell Transplantation and Underwent Two Subsequent Transplants: A Case Report.
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Abstract
To summarize the nursing experience of a patient who underwent a second transplantation after the failure of the first allogeneic hematopoietic stem cell transplantation. The patient received personalized narrative nursing care through externalization, deconstruction, rewriting, and reshaping to improve treatment and nursing compliance and to assist in symptom management. Additionally, narrative nursing was applied to provide psychological counseling to the primary caregiver, helping both the patient and their family to establish confidence in overcoming the disease. After careful narrative nursing and symptom management, the patient's white blood cells were successfully engrafted after 57 days of hospitalization, allowing for a smooth transition out of the clean laminar flow ward. After 8 days of treatment in a general ward, the patient's own hematopoiesis recovered, and symptoms such as oral mucositis, nausea, vomiting, and hemorrhagic cystitis improved, leading to a successful discharge. Narrative nursing has a supportive role for patients undergoing a second allogeneic hematopoietic stem cell transplantation and their primary caregivers. It is recommended that future studies construct relevant programs to provide theoretical support for the application of narrative nursing in clinical care.
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