同种异体造血干细胞移植后治疗失败并接受两次移植的患者的叙述性护理：1例报告。

IF 0.8 4区医学 Q4 IMMUNOLOGY

Transplantation proceedings Pub Date : 2025-02-27 DOI:10.1016/j.transproceed.2025.02.019

Meijia Li, Xiaodong Xu, Xia Yan

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引用次数: 0

摘要

目的总结1例异体造血干细胞移植失败后接受第二次移植的护理经验。通过外化、解构、改写、重塑等方式对患者进行个性化的叙事护理，提高治疗依从性和护理依从性，辅助症状管理。此外，叙述性护理应用于主要照顾者提供心理咨询，帮助患者及其家属建立战胜疾病的信心。经过精心的叙述性护理和症状管理，患者在住院57天后成功植入白细胞，使其顺利过渡出干净的层流病房。在普通病房治疗8天后，患者自身造血功能恢复，口腔黏膜炎、恶心、呕吐、出血性膀胱炎等症状改善，顺利出院。叙述性护理对接受第二次异体造血干细胞移植的患者及其主要护理人员具有支持作用。建议未来的研究构建相关的项目，为叙事护理在临床护理中的应用提供理论支持。

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Narrative Nursing for a Patient Who Experienced Treatment Failure After Allogeneic Hematopoietic Stem Cell Transplantation and Underwent Two Subsequent Transplants: A Case Report

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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来源期刊

Transplantation proceedings 医学-免疫学

CiteScore

1.70

自引率

0.00%

发文量

502

审稿时长

60 days

期刊介绍： Transplantation Proceedings publishes several different categories of manuscripts, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication. The first type of manuscripts consists of sets of papers providing an in-depth expression of the current state of the art in various rapidly developing components of world transplantation biology and medicine. These manuscripts emanate from congresses of the affiliated transplantation societies, from Symposia sponsored by the Societies, as well as special Conferences and Workshops covering related topics. Transplantation Proceedings also publishes several special sections including publication of Clinical Transplantation Proceedings, being rapid original contributions of preclinical and clinical experiences. These manuscripts undergo review by members of the Editorial Board. Original basic or clinical science articles, clinical trials and case studies can be submitted to the journal?s open access companion title Transplantation Reports.