Holmes W
Bone Marrow Transplant Unit, Yale-New Haven Hospital, Connecticut.
Yale J Biol Med. 1990 Sep-Oct;63(5):487-94.
The phases of bone marrow transplantation can be identified as the pre-transplant period, the immediate post-transplant period, and the late post-transplant period. The pre-transplant period is characterized by identification of the appropriate type of transplant to be done and, if necessary, finding an appropriate donor; entry of the patient into the transplant unit; administration of the preparative chemotherapy/irradiation regime; management of early toxicities; and pre-transplant supportive care. Nurses play an integral role during the entire transplant process. During the pre-transplant phase, nursing expertise is exemplified in the administration of chemotherapy, management of side effects, teaching of transplant procedures to patient and family, and supportive care. This paper reviews the patient care issues during the pre-transplant phase of bone marrow transplantation and identifies nursing management strategies.
骨髓移植的阶段可分为移植前期、移植后即刻期和移植后期。移植前期的特点是确定合适的移植类型，如有必要，寻找合适的供体；患者进入移植单元；给予预处理化疗/放疗方案；处理早期毒性反应；以及移植前的支持性护理。护士在整个移植过程中发挥着不可或缺的作用。在移植前期，护理专业技能体现在化疗的给药、副作用的管理、向患者及其家属传授移植程序以及支持性护理方面。本文回顾了骨髓移植移植前期的患者护理问题，并确定了护理管理策略。
