Cuidados de enfermagem para crianças pós transplante de células tronco hematopoiéticas durante a internação hospitalar: revisão integrativa

Abstract

Objective: To identify the nursing care provided to children after Hematopoietic Stem Cell Transplantation (HSCT) during hospitalization. Method: integrative literature review, carried out in January 2024, in the Virtual Health Library and Scopus data sources, studies were detailed using the Prisma flowchart, and as an inclusion criterion, primary articles were selected that answered the research question in Portuguese, English, and Spanish, with a time frame from 2014 to 2024, containing children aged zero to twelve years. Results: 5191 were found, which, after applying filters and careful analysis, resulted in 13 articles that were submitted to the classification system proposed by Melnyk, Fineout, and Overhoult, followed by the distribution of the care found in tables according to the following dimensions: Nursing care for children hospitalized after transplantation in the psychobiological dimension; Nursing care for children hospitalized after transplantation in the psychosocial dimension, and nursing care for children hospitalized after transplantation in the psychospiritual dimension. In the psychobiological dimension, care for graft-versus-host disease and routine care emerged. In the psychosocial dimension, care focuses on qualified listening, participation in recreational activities, health education, encouraging the presence of the family in the treatment, and working together with the multi-professional team. In the psychospiritual dimension, care is focused on clear and loving communication, the use of recreational resources to relieve tension, respect for religiosity, and support for beliefs. Conclusion: It has been shown that care in pediatric hematopoietic stem cell transplantation is not limited to the psychobiological dimension but must encompass the psychosocial and psychospiritual dimensions in a multidimensional perspective of knowing, doing, and caring.