Compliance of an immunization protocol after Autologous hematopoietic stem cell transplantation
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Pardo Fernández MM, Vázquez Veira ML, Iglesias Fernández M, Sastre Moral JL. Cumplimiento del protocolo de vacunación tras el TPH autólogo. Metas de Enferm dic 2012/ene 2013; 15(10): 13-17
Contact address
María Mercedes Pardo Fernández. C/ Cesáreo González, 3-4º D. 32005 Orense.
Contact email: mparfer3@hotmail.com
Abstract
Patients undergoing hematopoietic stem cell transplantation (HSCT) receive high doses of chemotherapy makes them loose their acquired immunity and thus represents a high risk of infection. Order to protect them these patients should again follow an immunization schedule.
Objective: To determine the degree of compliance with the immunization schedule, the reasons for noncompliance and to describe the role of the nurse.
Material and methods: Cross-sectional descriptive study of the vaccines administered during the last 15 years to 152 patients transplanted in our department. The data collection instrument was data sheet that was opened for each patient at the beginning of the immunization schedule, designed jointly by the doctor and nurse team, based on the proposal of the Spanish Group for Hematopoietic Transplantation.
Results: A large number of immunization schedules (63.8%), many without incidents, were completed (37.5%). Most vaccines were administered on the schedule date (91.2%) and a high percentage of failures were justified (almost 25% were due to exitus, relapses or progressions). We identified 11 different nursing actions related to the implementation of the vaccination schedule.
Conclusions: The results obtained show that the nursing performance is not reduced only to management and that prescribing vaccines after transplantation is performed by the nurse, which is another example of collaborative nurse prescribing.
Objective: To determine the degree of compliance with the immunization schedule, the reasons for noncompliance and to describe the role of the nurse.
Material and methods: Cross-sectional descriptive study of the vaccines administered during the last 15 years to 152 patients transplanted in our department. The data collection instrument was data sheet that was opened for each patient at the beginning of the immunization schedule, designed jointly by the doctor and nurse team, based on the proposal of the Spanish Group for Hematopoietic Transplantation.
Results: A large number of immunization schedules (63.8%), many without incidents, were completed (37.5%). Most vaccines were administered on the schedule date (91.2%) and a high percentage of failures were justified (almost 25% were due to exitus, relapses or progressions). We identified 11 different nursing actions related to the implementation of the vaccination schedule.
Conclusions: The results obtained show that the nursing performance is not reduced only to management and that prescribing vaccines after transplantation is performed by the nurse, which is another example of collaborative nurse prescribing.
Keywords:
Bone marrow transplantation; hematology; nurse prescribing; therapeutic compliance; vaccination
Versión en Español
Título:
Cumplimiento del protocolo de vacunación tras el trasplante autólogo de progenitores hematopoyéticos
