Construction and application of a graded nursing program for exercise rehabilitation in children with hematopoietic stem cell transplantation
10.3761/j.issn.0254-1769.2025.09.002
- VernacularTitle:造血干细胞移植患儿运动康复分级护理方案的构建与应用研究
- Author:
Yinzhi YAN
1
;
Fang WEN
1
;
Min WANG
1
;
Xuemei ZHOU
1
;
Jinling MA
1
;
Huifang WU
1
;
Wenying YAO
1
Author Information
1. 215025 苏州市 苏州大学附属儿童医院血液科
- Publication Type:Journal Article
- Keywords:
Hematopoietic Stem Cell Transplantation;
Exercise;
Delphi Technology;
Rehabilitation Nursing;
Pediatric Nursing
- From:
Chinese Journal of Nursing
2025;60(9):1036-1042
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct a graded nursing program for exercise rehabilitation of children with hematopoietic stem cell transplantation(HSCT)and carry out a preliminary application,aiming to provide a basis for healthcare personnel to guide the exercise rehabilitation of children with HSCT.Methods Literature analysis and Delphi expert correspondence were used to construct a graded nursing program of exercise rehabilitation for children with HSCT.Through the convenience sampling method,children with HSCT in the hematology department of a tertiary-level children's hospital in Suzhou City were selected as the study subjects from June-December 2023,of which 26 children with HSCT from September-December 2023 served as an experimental group,and 23 children with HSCT from June-August 2023 as a control group.The experimental group was applied with the graded nursing program of exercise rehabilitation,and the control group was applied with the conventional nursing care.The comparison of cardiorespiratory fitness and adverse events between the 2 groups after 8 weeks of exercise intervention was conducted,and the adherence to the exercise intervention programme in the experimental group was recorded.Results The final constructed graded care program of exercise rehabilitation for children with HSCT included 6 primary indicators,20 secondary indicators,and 44 tertiary indicators.Finally,21 children in the experimental group and 23 children in the control group were included in the study.After the intervention,the 6 min walking distance of the experimental group increased compared with that of the control group,and the difference was statistically significant(P＜0.001).85.71％of children in the experimental group had good exercise compliance,and there was no adverse events in both groups.Conclusion The constructed graded nursing program of exercise rehabilitation for children with HSCT is scientific,reasonable,safe and feasible,which can improve the cardiorespiratory capacity of children with HSCT and provide the basis for their exercise rehabilitation.
