Infusão de células-tronco hematopoiéticas pelo enfermeiro: um relato de experiência

Abstract

Introduction: hematopoietic Stem Cell Transplantation (HSCT) is a treatment for blood disorders, particularly certain types of cancers such as leukemias, lymphomas, and myelodysplasias, aimed at replacing the diseased hematopoietic system with a healthy one. The process involves the administration of high doses of chemotherapy and sometimes total body irradiation to destroy the diseased marrow, leaving the patient vulnerable and unable to perform hematopoiesis. For the transplant to occur, physical and organizational infrastructure and several stages such as pre-admission, admission, conditioning, infusion, engraftment, and hospital discharge are required. This experience report aims to describe the stages and results of HSCT experienced by a resident nurse in a bone marrow transplant center. Method: the methodology used included a literature review and direct observation to identify the main responsibilities and challenges of nursing in each stage of the transplant process and to explain the teaching and learning process while in a postgraduate program. Review/Discussion: the relevance of nurses' up-to-date knowledge about the techniques and strategies used in transplantation is highlighted, as they play a fundamental role in assessing, preparing, and monitoring patients during all stages of treatment. Furthermore, the importance of research in hematopoietic stem cell transplantation for the development of new techniques and strategies that can further enhance this therapy is emphasized. Conclusion: finally, it is concluded that HSCT is an important therapeutic strategy for various hematological diseases and that nursing care and attention to these patients become essential factors in ensuring their quality of life and well-being.