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Abstract

 

INTRODUZIONE: Il Trapianto di Cellule Staminali Ematopoietiche (TCSE) è diventato lo standard di cura per alcune malattie ematologiche che non rispondono ai trattamenti tradizionali; la terapia pre- trapianto causa ancora oggi una elevata mortalitaÌ€ e morbilitaÌ€. Per l'elevato rischio, l'assistenza ai pazienti necessita di attenta valutazione e di interventi spesso complessi, intensivi e non privi di rischi. La classi- ficazione NANDA-I fornisce un modo per classificare e standardizzare le aree di interesse infermieri- stico. Un precedente consensus tra esperti aveva identificato 61 diagnosi, secondo la classificazione NANDA-I 2018-2020, rilevanti in ambito onco-ematologico.

OBIETTIVO: Lo scopo dello studio è stato quello di identificare quali delle 61 diagnosi fossero rilevanti per i pazienti sottoposti a TCSE.
Metodo. E' stato condotto uno studio Delphi in 2 round; per la costruzione del consenso è stato utilizzato un questionario strutturato su scala Likert a 4 punti coinvolgendo 57 infermieri esperti arruolati nei Centri GITMO italiani.

RISULTATI: Il presente studio ha identificato 34 diagnosi NANDA-I rilevanti nei pazienti sottoposti a TCSE; inoltre ha definito fondamentali 11 diagnosi, avendo queste ottenuto un consenso assoluto. DISCUSSIONE: Utilizzare le diagnosi NANDA-I per conoscere, attraverso un panel di esperti, i problemi di salute più importanti e rilevanti associati alla tossicità del trattamento pre-TCSE, può orientare l'as- sistenza e le risorse sugli esiti attesi e noti, così da poter intervenire efficacemente con prestazioni fina- lizzate a ridurne i rischi e le complicanze specifiche.

PAROLE CHIAVE: Trapianto di cellule staminali emopoietiche, tecnica Delphi, terminologia infermieri- stica standardizzata, diagnosi infermieristiche

Relevance of NANDA-I diagnoses in patients undergoing haematopoietic stem cell transplantation: a Delphi study

ABSTRACT

INTRODUCTION: Haematopoietic Stem Cell Transplantation ( HSCT) has become the standard of care for some haematological diseases that do not respond to traditional treatments: pre-transplant therapy still causes high mortality and morbidity today. Due to the high risk, patient care requires careful evalua- tion and often complex, intensive and non-risk free interventions; the NANDA-I classification provides a way to classify and standardise areas of nursing interest. A previous consensus among experts had iden- tified 61 diagnoses, according to the classification NANDA-I 2018-2020, relevant in onco-haematolo- gical field.

OBJECTIVE: The aim of the study was to identify which of the 61 diagnoses were relevant for patients undergoing HSCT.


METHOD: A Delphi study was conducted in two rounds; a structured questionnaire on a 4 point Likert scale was used to build consensus, involving 57 experienced nurse enrolled in Italian GITMO Centres. Results: The present study has identified 34 relevant NANDA-I diagnoses in patients undergoing HSCT; it also defined 11 as important diagnoses having obtained absolute consensus.

DISCUSSION: Use the NANDA-I diagnoses to know, from a panel of experts, the most important and relevant health problems associated with the toxicity of pre- HCSE treatment,
it can direct assistance and resources towards expercied and known outcomes so as to be able to intervene effectively with performances aimed at reducing risks and specific complications.

PAROLE CHIAVE: Hematopoietic Stem Cell Transplantation, Delphi Technique, Standardized Nursing Terminology, Nursing Diagnosis.

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Come citare
Cioce, M., Moroni, R., Gifuni, M. C., Botti, S., Orlando, L., Soave, S., Serra, I., Zega, M., & Gargiulo, G. (2019). Rilevanza delle diagnosi NANDA-I nei pazienti sottoposti a Trapianto di Cellule Staminali Emopoietiche: uno studio Delphi. PROFESSIONI INFERMIERISTICHE, 72(2). Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/628
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