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1.
Bull Cancer ; 108(12S): S26-S29, 2021 Dec.
Artigo em Francês | MEDLINE | ID: mdl-34865834

RESUMO

Patients undergoing an allogeneic hematopoietic cell transplant (allo-HCT) need to understand and adhere to the transplant process as well as post-transplant follow-up requirements. A working group has met during the eleventh edition of the Francophone Society of Bone Marrow Transplantation and Cellular Therapy (SFGM-TC) Practice Harmonization Workshops. The analysis of a survey that was sent to several transplant centers belonging to the SFGM-TC has been used as a milestone to this article. While, post-transplant medical follow-up was comparable from one center to another, nursing care was found to lack harmonization between centers, although, all patients would receive therapeutic education at one time or another regarding potential transplant-related complications. A few centers in France has established a therapeutic education program that was approved by French health authorities. The aim of this work was to set up guidelines to help centers establishing such a program in well-harmonized way.


Assuntos
Assistência ao Convalescente , Transplante de Células-Tronco Hematopoéticas/normas , Cooperação do Paciente , Educação de Pacientes como Assunto/normas , Assistência ao Convalescente/organização & administração , Assistência ao Convalescente/normas , França , Pesquisas sobre Atenção à Saúde , Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Humanos , Cuidados de Enfermagem/organização & administração , Cuidados de Enfermagem/normas , Complicações Pós-Operatórias , Sociedades Médicas , Transplante Homólogo
2.
Bull Cancer ; 107(1S): S62-S67, 2020 Jan.
Artigo em Francês | MEDLINE | ID: mdl-31000319

RESUMO

Recommendations for visits or environment restrictions, and sometimes for food are usually well described for inpatient within HSCT unit procedures where those measures are less precise and detailed for outpatient from the discharge to the immune reconstitution achievement. The present paper main objective is to define risk patient groups depending on time, immune-suppressive drugs as well as graft-versus-host disease and immune reconstitution. We define here 3 risk patient groups and propose measures about house cleaning, pets, schools, social activities, hygiene, foods, sexual life and siblings.


Assuntos
Assistência ao Convalescente/normas , Transplante de Células-Tronco Hematopoéticas , Alta do Paciente/normas , Adolescente , Aloenxertos , Animais , Criança , Dieta , Suscetibilidade a Doenças , Exposição Ambiental , Relações Familiares , Feminino , Doença Enxerto-Hospedeiro/etiologia , Habitação , Humanos , Higiene , Hospedeiro Imunocomprometido , Terapia de Imunossupressão , Controle de Infecções/métodos , Controle de Infecções/normas , Relações Interpessoais , Masculino , Animais de Estimação , Medição de Risco , Instituições Acadêmicas , Comportamento Sexual
3.
Bull Cancer ; 106(1S): S83-S91, 2019 Jan.
Artigo em Francês | MEDLINE | ID: mdl-30528618

RESUMO

JACIE (Joint Accreditation Committee ISTC EBMT) regulations and standards impose a quality and safety requirement for graft reinjection by nurses. However, the standards do not provide a step-by-step graft reinjection procedure. Because of high medical team turnover, the opening of new transplant centers, and continual questions from colleagues trying to decipher the JACIE standards, the need for a specific procedure goes without saying. We collected graft reinjection procedures from each SFGM-TC center that participated in our survey, thus creating an inventory of the different steps that make up graft reinjection. In addition to reviewing the main regulatory texts and JACIE standards, we sought advice from medical and cellular therapy experts. We observed that most centers use a mix of practices and some unjustified practices. In some transplant units, it is still standard practice to defrost cell therapy products in the transplant unit. Caregivers are aware of the need for a rigorous application of the regulatory requirements and are willing to administer a procedure that provides specific steps for each stage of the process. In this workshop, we questioned each stage of the graft reinjection procedure, which helped us define clear methods of implementation. In the form of a checklist, we offer bone marrow and stem cell transplant units a step-by-step procedure.


Assuntos
Transplante de Medula Óssea/normas , Transplante de Células-Tronco Hematopoéticas/normas , Retratamento/normas , Transplante de Medula Óssea/legislação & jurisprudência , Transplante de Medula Óssea/métodos , Criopreservação , França , Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Transplante de Células-Tronco Hematopoéticas/legislação & jurisprudência , Transplante de Células-Tronco Hematopoéticas/métodos , Humanos , Sistemas de Identificação de Pacientes/métodos , Pré-Medicação/métodos , Pré-Medicação/normas , Retratamento/efeitos adversos , Retratamento/métodos , Sociedades Médicas , Temperatura
4.
Bull Cancer ; 104(12S): S71-S75, 2017 Dec.
Artigo em Francês | MEDLINE | ID: mdl-29126585

RESUMO

Providing information to living donors is first and foremost a legal obligation as well as an ethical one, not to mention necessary to health care provision. It's been shown that quality of information concerning the procedure's practical aspects, scheduling of clinical tests and examinations, withdrawing stem cells for the donation, post-donation symptoms, and support provided by healthcare teams, directly impacts the donor's quality of experience. Taking this into consideration our group decided it was essential to create an informational support for donors in the form of a booklet to be provided in different hematopoietic stem cell transplant centers across France. In September 2016 in Lille, France, the Francophone Society of Bone Marrow Transplantation and Cellular Therapy (SFGM-TC) organized the 7th allergenic hematopoietic stem cell transplantation clinical practices harmonization workshops. As part of these workshops, our group worked collectively to develop a basis of indispensable information to be included in the booklet and presented using clear and accessible language.


Assuntos
Transplante de Células-Tronco Hematopoéticas , Doadores Vivos/educação , Folhetos , França , Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Transplante de Células-Tronco Hematopoéticas/ética , Transplante de Células-Tronco Hematopoéticas/legislação & jurisprudência , Humanos , Sociedades Médicas
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