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造血干细胞移植患者对健康和口腔护理的看法:巴西卫生服务机构的一项定性研究。

What haematopoietic stem cell transplant patients think about health and oral care: A qualitative study in a Brazilian health service.

机构信息

Department of Community and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brasil.

Department of Operative Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brasil.

出版信息

Eur J Cancer Care (Engl). 2018 May;27(3):e12851. doi: 10.1111/ecc.12851. Epub 2018 Apr 25.

DOI:10.1111/ecc.12851
PMID:29693301
Abstract

Differences in the perceptions of treatment between healthcare team and patients should be identified, aiming to provide a more humanised health care. We sought to understand and evaluate the concepts regarding oral health and dental care among haematopoietic stem cell transplant patients. Individual semi-structured interviews were conducted with patients, from both sexes, in the post-haematopoietic stem cell transplant stage, who underwent dental treatment. All interviews were recorded and transcribed, respecting the spelling and syntax used by the interviewees. A thematic content analysis was performed, and three themes were assessed: what is oral health, why was pre-transplant dental treatment performed, and what was the relevance of dental treatment for the haematopoietic stem cell transplant. Oral health was understood as the act of dental care through oral hygiene. The reason for performing prior dental treatment involves strict guidelines for transplants, and when questioned as to the importance of the dental treatment for transplants, the interviewed subjects' statements focused on the prevention of infections during the low-immunity stage. The individuals saw dental treatment as a step towards a successful transplant; their main concerns were not to re-establish their oral health, but rather to end the dental treatment as quickly as possible.

摘要

应识别医疗团队与患者之间在治疗认知上的差异,旨在提供更人性化的医疗服务。我们旨在了解和评估造血干细胞移植患者的口腔健康和口腔护理观念。对接受过牙科治疗的处于造血干细胞移植后阶段的男女患者进行了个体半结构式访谈。所有访谈均进行了录音和转录,尊重受访者的拼写和语法。进行了主题内容分析,并评估了三个主题:什么是口腔健康,为什么要进行移植前的牙科治疗,以及牙科治疗对造血干细胞移植的重要性。口腔健康被理解为通过口腔卫生进行的牙科护理行为。进行预先牙科治疗的原因涉及移植的严格准则,当被问及牙科治疗对移植的重要性时,接受访谈的受试者的陈述侧重于在低免疫力阶段预防感染。这些人将牙科治疗视为成功移植的一个步骤;他们主要关心的不是重新建立他们的口腔健康,而是尽快结束牙科治疗。

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Brazilian dental consensus on dental management in hematopoietic stem cell transplantation - Part I - pre-HSCT.巴西造血干细胞移植牙科管理共识 - 第一部分 - 造血干细胞移植前
Hematol Transfus Cell Ther. 2023 Jul-Sep;45(3):358-367. doi: 10.1016/j.htct.2023.04.001. Epub 2023 May 30.