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Transition From Hospital to Home Following Hematopoietic Stem Cell Transplantation: A Feasibility Study for “Rooming in”
Journal of Pediatric Hematology/Oncology Nursing ( IF 1.0 ) Pub Date : 2020-09-24 , DOI: 10.1177/1043454220958643
Cecilia Gladbach 1 , Lindsey J Patton 1 , Xiaohan Xu 2 , Victor Aquino 1, 3
Affiliation  

Background: The experience of hematopoietic stem cell transplant (HSCT) on both the patients and their caregivers is complex and challenging during hospitalization and post discharge. Complex patient populations require heightened attention on discharge practices to ensure that they are prepared for home regimens. “Rooming in” is a standardized intervention implemented prior to discharge that allows patients and caregivers to assume post discharge care with the support of staff. Other complex patient populations have reported positive outcomes related to “rooming in.” Aims: The purpose of this study was to assess the feasibility of a standardized “rooming in” intervention for discharge of pediatric HSCT patients. An additional aim was to describe the quality of discharge teaching, readiness for hospital discharge, and postdischarge coping difficulty in a cohort of HSCT patients using validated questionnaires. Method: Data were collected via medical chart review. A prospective cohort completed validated study questionnaires at discharge and 30 days postdischarge. Results: All caregivers of post-HSCT patients were able to complete the “rooming in” intervention. There was no statistically significant difference for length of stay between the retrospective and prospective cohorts. Caregivers enrolled on the study rated the Quality of Discharge Teaching Scale–Parent Form high (Mdn = 165). Conclusion: We conclude that “rooming in” is a feasible discharge intervention for caregivers of pediatric HSCT patients.

中文翻译:

造血干细胞移植后从医院到家的过渡:“入住”的可行性研究

背景:造血干细胞移植 (HSCT) 对患者及其护理人员的体验在住院期间和出院后都是复杂且具有挑战性的。复杂的患者群体需要对出院实践给予高度关注,以确保他们为家庭治疗做好准备。“入住”是在出院前实施的标准化干预措施,允许患者和护理人员在工作人员的支持下承担出院后护理。其他复杂的患者群体报告了与“入住”相关的积极结果。目的:本研究的目的是评估标准化的“入住”干预对儿科 HSCT 患者出院的可行性。另一个目的是描述出院教学的质量、出院准备情况、使用经过验证的问卷调查一组 HSCT 患者的出院后应对困难。方法:通过病历审查收集数据。一个前瞻性队列在出院时和出院后 30 天完成了经过验证的研究问卷。结果:所有 HSCT 后患者的护理人员都能够完成“入住”干预。回顾性和前瞻性队列之间的住院时间没有统计学上的显着差异。参与该研究的护理人员对出院教学质量量表 - 家长表格的评价很高(Mdn = 165)。结论:我们得出的结论是,“入住”对于儿科 HSCT 患者的护理人员来说是一种可行的出院干预措施。一个前瞻性队列在出院时和出院后 30 天完成了经过验证的研究问卷。结果:所有 HSCT 后患者的护理人员都能够完成“入住”干预。回顾性和前瞻性队列之间的住院时间没有统计学上的显着差异。参与该研究的护理人员对出院教学质量量表 - 家长表格的评价很高(Mdn = 165)。结论:我们得出的结论是,“入住”对于儿科 HSCT 患者的护理人员来说是一种可行的出院干预措施。一个前瞻性队列在出院时和出院后 30 天完成了经过验证的研究问卷。结果:所有 HSCT 后患者的护理人员都能够完成“入住”干预。回顾性和前瞻性队列之间的住院时间没有统计学上的显着差异。参与该研究的护理人员对出院教学质量量表 - 家长表格的评价很高(Mdn = 165)。结论:我们得出的结论是,“入住”对于儿科 HSCT 患者的护理人员来说是一种可行的出院干预措施。参与该研究的护理人员对出院教学质量量表 - 家长表格的评价很高(Mdn = 165)。结论:我们得出的结论是,“入住”对于儿科 HSCT 患者的护理人员来说是一种可行的出院干预措施。参与该研究的护理人员对出院教学质量量表 - 家长表格的评价很高(Mdn = 165)。结论:我们得出的结论是,“入住”对于儿科 HSCT 患者的护理人员来说是一种可行的出院干预措施。
更新日期:2020-09-24
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