Autologous hematopoietic stem cell transplantation in systemic sclerosis: nursing actions

Authors

  • Carolina Scoqui Guimarães Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto
  • Renata Cristina de Campos Pereira Silveira Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto
  • Loren Nilsen Universidade de São Paulo, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto
  • Maria Carolina de Oliveira Rodrigues Universidade de São Paulo, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto

DOI:

https://doi.org/10.5216/ree.v16i1.20962

Keywords:

Hematopoietic Stem Cell Transplantation, Scleroderma, Systemic, Nursing Care

Abstract

The objective of this cross-sectional study was to identify the complications and the implemented nursing actions in systemic sclerosis patients undergoing autologous hematopoietic stem cell transplantation, during the conditioning regimen. Evaluations were performed with 27 patients, with a mean age of 34 years. Regarding the time of diagnosis, 48.1% underwent transplantation between two and three years after discovering the disease. Regarding the main signs in patients, 96.2% had skin and mucous membrane lesions and 81.4% had Raynaud’s phenomenon. As to the complications during the conditioning regimen, water retention occurred in 100% of patients, and the following nursing actions were implemented: administration of furosemide, rigorous fluid intake control, physical examination, monitoring vital signs, weight and central venous pressure. The results allow for learning the health needs of patients with systemic sclerosis during the conditioning regimen and offer support for nursing care planning.

Descriptors: Hematopoietic Stem Cell Transplantation; Scleroderma, Systemic; Nursing Care.

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Author Biographies

Carolina Scoqui Guimarães, Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto

Enfermeira, Doutora em Enfermagem. Professora Doutora da EERP/USP. Ribeirão Preto, SP, Brasil. E-mail: recris@eerp.usp.br.

Renata Cristina de Campos Pereira Silveira, Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto

Discente do curso de Graduação em Enfermagem da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo (EERP/USP). Bolsista do PET/Sisu/MEC. Ribeirão Preto, SP, Brasil. E-mail: carolinascoqui@hotmail.com.

Loren Nilsen, Universidade de São Paulo, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto

Enfermeira, Mestre em Ciências da Saúde. Enfermeira da Unidade de Terapia Imunológica do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto (HCFMRP) da USP. Ribeirão Preto, SP, Brasil. E-mail: lorenusp@bol.com.br.

Maria Carolina de Oliveira Rodrigues, Universidade de São Paulo, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto

Médica, Doutora em Clínica Médica. Médica Assistente da Unidade de Terapia Imunológica do HCFMRP/USP. Ribeirão Preto, SP, Brasil. E-mail: mcarolor@yahoo.com.br.

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Published

2014-03-31

Issue

Vol. 16 No. 1 (2014)

Section

Original Article