A scope review of self-management intervention research in patients with hematopoietic stem cell transplantation
10.3761/j.issn.0254-1769.2023.24.015
- VernacularTitle:造血干细胞移植患者自我管理干预研究的范围综述
- Author:
Zhengwen PAN
1
;
Xiaoyu ZHOU
;
Aiyun JIN
;
Liwei XU
;
Weiwei ZHOU
;
Shuyi DING
;
Zhe XU
;
Yin CHENG
;
Yixuan HUANG
;
Jiali YAN
;
Kai CAO
;
Wei XIE
Author Information
1. 310003 杭州市 浙江大学医学院附属第一医院骨髓移植中心
- Keywords:
Hematopoietic Stem Cell Transplantation;
Self-Management;
Intervention Studies;
Scoping Review;
Nursing Care
- From:
Chinese Journal of Nursing
2023;58(24):3045-3053
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the research of self-management intervention in patients with hematopoietic stem cell transplantation,clarify the intervention elements,so as to provide references for clinical practice and future related research.Methods According to the scoping review framework,a literature search was performed in the PubMed,Embase,CINAHL,Web of Science,Cochrane Library,CNKI,Wan fang Database,VIP,CBMdisc for all the studies on self-management intervention of patients with hematopoietic stem cell transplantation.The retrieval time was from the establishment of the database to December,2022.There were 2 researchers who extracted and analyzed the data of the included literature.Results A total of 12 articles were included,including 3 randomized controlled trials,8 quasi-experimental studies,and 1 mixed study.6 studies were conducted with interventions based on the theoretical basis or nursing model such as self-management oriented 5A nursing model,continuous nursing model,problem-based learning theory.The intervention methods of 12 studies included nurse-led self-management guidance,mobile applications,multidisciplinary collaboration,and graphic cards.The intervention time was mostly 1～3 months.The outcome indicators included feasibility evaluation indicators such as operability,ease of use,and user satisfaction of the application,and effect evaluation indicators such as self-management ability,quality of life,and medication compliance of patients.The results showed that self-management interventions could improve patient self-management ability,quality of life,medication compliance,and improve their psychological and nutritional status.Conclusion The research on self-management intervention in patients with hematopoietic stem cell transplantation is still in the development stage,and its positive effect has been preliminarily verified.Medical staff should strengthen the self-management evaluation of patients with hematopoietic stem cell transplantation,play the role of multidisciplinary team,use electronic health intervention methods,and formulate multi-level,scientific and effective self-management intervention programs.
