探讨成年造血干细胞移植患者每日使用葡萄糖酸氯己定洗澡的促进因素和障碍。

IF 2.8 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Ashley L Artese, Michele Sainvil, Laura J Fish, Lauren Hill, Tamara Somers, Anita Matthews, Leah Blazek, Elizabeth Sito, Tessa Andermann, Andrew R Rezvani, Taewoong Choi, Cristina J Gasparetto, Mitchell E Horwitz, Gwynn D Long, Richard D Lopez, David A Rizzieri, Stefanie Sarantopoulos, Nelson J Chao, Deborah H Allen, Sanghee Hong, Anthony D Sung
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引用次数: 0

摘要

造血细胞移植(HCT)是治疗血液系统恶性肿瘤的一种很有前景的方法,但强化调理会导致免疫抑制和易发医疗相关感染(HAI)。尽管采取了标准的预防措施,但血流感染(BSI)仍影响着相当一部分免疫功能低下的 HCT 患者。洗必泰葡萄糖酸盐(CHG)浴可减轻 BSI 的发生率--这是一种未得到充分利用的感染预防策略。目的:本研究探讨了患者对葡萄糖酸氯己定洗浴的促进因素、障碍和教育/知识的看法,从而弥补了免疫功能低下的 HCT 患者在实施过程中的不足:本研究采用定性描述的方法来探讨患者对CHG沐浴的促进因素、障碍和知识的感知。14 名 HCT 接受者(平均 51 ± 16 岁)完成了半结构化访谈。采用快速定性分析方法对数据进行了分析,以确定主题:结果:受访者指出了使用 CHG 湿巾的促进因素,包括使用方便、舒适和工作人员的协助,以及障碍,包括等待时间、不适和身体挑战。患者教育主题包括患者对 CHG 目的的理解、学习/使用的难易程度、指导不一致以及程序不一致:结论:CHG 冲洗是 HCT 患者预防感染的重要策略。参与者的观点强调了应对实际挑战和加强教育以提高依从性的重要性。本研究提供了来自 HCT 患者的见解,强调了以患者为中心的干预措施对于减少 HAI 和改善患者整体护理的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring facilitators and barriers to daily chlorhexidine gluconate bathing in adult patients undergoing hematopoietic stem cell transplantation.

Hematopoietic cell transplantation (HCT) is a promising treatment for hematologic malignancies, but intensive conditioning leads to immunosuppression and susceptibility to healthcare-associated infections (HAI). Despite standard prevention measures, bloodstream infections (BSI) impact a significant percentage of immunocompromised HCT patients. Incidence of BSI can be mitigated by chlorhexidine gluconate (CHG) bathing-an underutilized infection-prevention strategy. Gaining HCT recipients' perceptions on CHG bathing can inform strategies to improve adherence and enhance patient outcomes.

Purpose: This study explored patients' perceived facilitators, barriers, and education/knowledge related to CHG bathing and thus addresses the gap in implementation for immunocompromised HCT patients.

Methods: This study used a qualitative description approach to explore patients' perceived facilitators, barriers, and knowledge of CHG bathing. Fourteen HCT recipients (mean 51 ± 16 years) completed semi-structured interviews. Data were analyzed using a rapid qualitative analysis approach to identify themes.

Results: Participants identified facilitators to using CHG wipes including ease of use, comfort, and staff assistance, along with barriers including wait time, discomfort, and physical challenges. Patient education themes encompassed patient understanding of CHG purpose, perceived ease in learning/application, inconsistent instruction, and inconsistent procedures.

Conclusion: CHG bathing is a valuable infection prevention strategy for HCT patients. Participants' perspectives highlight the importance of addressing practical challenges and improving education to enhance adherence. This study contributes insights from HCT recipients, emphasizing the need for patient-centered interventions to reduce HAI and improve overall patient care.

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来源期刊
Supportive Care in Cancer
Supportive Care in Cancer 医学-康复医学
CiteScore
5.70
自引率
9.70%
发文量
751
审稿时长
3 months
期刊介绍: Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.
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