Self-care guidelines for patients in the post-hematopoietic stem cell transplantation period: a scoping review.
Anália Andréia de Araújo Nascimento, Jéssica Cristina Alves de Melo, Katiane Domingos Soares and 3 others
PMID 37820135WHAT IT FOUND
Post-transplant self-care guidance nurses provide covers nutrition and food hygiene, hydration, hand hygiene and skin care, medications, temperature and symptom checks, vaccines, isolation, and when to seek help.
The review maps topics, not tested outcomes.
Key findings
01Eleven articles were included after screening.
02The included studies reported guidance on medications, nutrition and food hygiene, hydration, hand hygiene and skin care, household hygiene, catheter care, temperature and vital signs, laboratory tests, warning signs, vaccination, protective isolation, masks and psychological support.
03The authors state the included studies were mostly reviews and qualitative studies with low levels of evidence.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a scoping review, so it maps reported guidance topics rather than testing whether any topic or teaching method improves patient outcomes. The authors state the included studies were mostly reviews and qualitative studies with low levels of evidence. Only 11 articles were included, and the authors say focusing on self-care guidance after HSCT may have reduced the sample. The authors encourage experimental studies to show efficacy, so the paper does not establish which instructions work.
The easy way to misread this
Do not read this as proof that post-transplant discharge education prevents infections or readmissions. The review maps topics reported in 11 articles, mostly low-evidence reviews and qualitative studies, and the authors call for experimental studies to show efficacy.