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Required Patient Education about Daily Living of Allogeneic Hematopoietic Cell Transplantation Recipients Takako Hitomi 1 , Makoto Tanaka 1 , Eiko Sato 1,2 , Keiko Kazuma 1 1Department of Adult Nursing, Graduate School of Medicine, The University of Tokyo 2Department of Nursing, Faculty of Health Care, The University of Kiryu Keyword: 同種造血細胞移植 , デルファイ法 , 患者教育 , allogeneic hematopoietic cell transplantation , delphi process , patient education pp.13-22
Published Date 2010/5/25
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Abstract

 Recipients with allogeneic hematopoietic cell transplantation (allo-HCT) have to manage their daily living for a long time. Although patient education is very important for such recipients, no guidelines have been defined for daily living after allo-HCT. This study aimed to identify the contents of patient education that should be provided by nurses to allo-HCT recipients and to present the contents of patient education according to the level of importance.

 The Delphi process was used to explore areas of agreement regarding importance among respondents. The questionnaire survey contains 80 items concerning five categories: “increased susceptibility to infection”; “GVHD”; “late complications”; “self-management of daily living”; and “contact information”. Subjects comprised 240 Japanese nurses with experience in hematopoietic cell transplantation nursing at 18 institutions that participated in this study.

 Two iterations of the survey resulted in a response rate of 53% (126 respondents), and reached consensus on 75 items as requisite information. Nine items out of the requisite information were assigned to the level of “most important information”, with contents concerning coping with life-threatening problems. Thirty items among the requisite information were assigned to the level of “considerably important information”, with contents regarding practical behaviors that were commonly helpful for most recipients. Thirty-six items from among the 75 items were assigned to “information that should be provided”, including theoretically recommended behaviors and knowledge about behavior. Poor agreement was found for another five items.

 In conclusion, contents of patient education that should be provided by nurses to allo-HCT recipients were clarified and presented according to the level of importance. The results provide reference data for patient education about post allo-HCT.


Copyright © 2010, Japanese Society of Cancer Nursing All rights reserved.

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電子版ISSN 2189-7565 印刷版ISSN 0914-6423 日本がん看護学会

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