DeMeyer E S, Fletcher M A, Buchsel P C
Baylor University Medical Center, Dallas, TX, USA.
Clin J Oncol Nurs. 1997 Oct;1(4):95-104.
The purpose of this article is to illustrate a multidisciplinary team collaborative approach to the management of dermatologic complications related to chronic graft versus host disease (GVHD). GVHD is a complication of allogeneic bone marrow transplantation (BMT) and peripheral blood cell transplantation (BCT). The skin is affected in more than 80% of patients with chronic GVHD who received a BMT. Involvement can be limited or extensive and can seriously affect patient morbidity and mortality. Nursing care of the patient with chronic GVHD induces careful patient assessment, patient and family education, and interventions aimed at preventing or minimizing complications. A coordinated multidisciplinary team approach is essential for the successful management of chronic GVHD. Nurses play a critical role in coordinating the multiple disciplines involved in the care of patients with chronic GVHD.
本文旨在阐述一种多学科团队协作方法，用于管理与慢性移植物抗宿主病（GVHD）相关的皮肤并发症。GVHD是异基因骨髓移植（BMT）和外周血细胞移植（BCT）的一种并发症。在接受BMT的慢性GVHD患者中，超过80%的患者皮肤会受到影响。受累情况可能有限或广泛，会严重影响患者的发病率和死亡率。对慢性GVHD患者的护理需要仔细评估患者、对患者及其家属进行教育，并采取旨在预防或减少并发症的干预措施。协调一致的多学科团队方法对于成功管理慢性GVHD至关重要。护士在协调参与慢性GVHD患者护理的多个学科方面发挥着关键作用。
