Rehabilitation care for a pediatric patient undergoing sequential hematopoietic stem cell transplantation following liver transplantation
10.3761/j.issn.0254-1769.2024.24.014
- VernacularTitle:1例肝移植术后患儿行造血干细胞移植的护理
- Author:
Liwei XU
1
;
Zhengwen PAN
;
Aiping HUANG
;
Xiaoyu ZHOU
;
Liqing CAI
;
Aiyun JIN
Author Information
1. 310003 杭州市 浙江大学医学院附属第一医院护理部
- Publication Type:Journal Article
- Keywords:
Erythropoietic Protoporphyria;
Hematopoietic Stem Cell Transplantation;
Liver Transplantation;
Pediatric Nursing
- From:
Chinese Journal of Nursing
2024;59(24):3036-3040
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing experience of a pediatric patient who underwent hematopoietic stem cell transplantation following liver transplantation for erythropoietic protoporphyria,several key nursing points were identified.These included implementing plasma exchange to prevent liver failure,employing light-avoidance therapy to reduce photosensitivity,enhancing skin and mucosal care to minimize bacterial colonization,and strengthening caregiver management to prevent cross-infection.After hematopoietic stem cell transplantation,the main focus of nursing care shifted towards drug management to mitigate liver damage,closely monitoring the patient's condition for potential nervous system lesions,implementing effective diarrhea management strategies to prevent perianal infection,prioritizing psychological support in order to alleviate negative emotions experienced by the patient,and providing individualized health education and follow-up management plans aimed at promoting rehabilitation.Because of meticulous nursing provided by a dedicated multidisciplinary team,the child showed significant improvement within 34 days post-transplantation and continued recovering well during outpatient follow-up visits conducted 4 months after hospital discharge.
