Autologous hematopoietic stem cell transplantation in systemic sclerosis: nursing actions

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.

Keywords

• Transplante de Células-Tronco Hematopoéticas
• Escleroderma Sistêmico
• Cuidados de Enfermagem