RESUMO
BACKGROUND AND OBJECTIVE: The Haematology Service has undergone significant advances in recent years. Given the vital part played by the nurse in the care of the haematology patient, ensuring optimal management by adapting their role to meet the current healthcare needs is a priority. The aim of this study was to evaluate the level of agreement among professionals of the Haematology Service regarding the role of the nursing professional and their importance in the comprehensive management of these patients in a multidisciplinary work setting. PATIENTS AND METHOD: A national multicentre Delphi study with haematology specialists and nursing professionals. A two-round questionnaire was used, and consensus was reached when > 75% of the panellists scored on the same tertile (1-3: disagreement, 7-9: agreement), and the interquartile range of the median of the responses was ≤4. RESULTS: A total of 33 professionals from the Haematology Department were invited to participate, of whom 19 were haematology specialists and 14 were nursing professionals. In the first round, 25 panellists responded (14 haematology specialists and 11 nursing professionals), and in the second round, 22 panellists responded (12 haematology specialists and 10 nursing professionals). The panel of experts agreed that haematology nurses should have specific training in haematology (96%) and on the definition of the role of nursing in the care process of the haematology patient, except in the possible participation in decision-making with regard to the most appropriate oncological treatment for a patient (58%). The role of the nursing professional as a reference for the patient throughout the healthcare process and their involvement in the process at the time of diagnosis were agreed upon in the second round (72.7% and 68.2%). Their role in the control of nutritional status (100%), visit compliance (96%), and health education for the patient and the family (96%) were included in the highly agreed upon aspects. The panel considered the improvement of adherence to treatment (96%), and the role as consultant for specific care of the haematology patient within the hospital (96%) as important aspects. Together with health education and patient follow-up, a total of 88% of the panellists considered that the haematology nurse reduces patient visits to the emergency department as well as physical visits to the outpatient clinics of the health centre. CONCLUSIONS: The current profile of the haematology nursing professional implies a high level of specialisation. The competencies of the haematology nursing professional are aimed at guaranteeing an integral management of these patients; with important healthcare functions, as well as a key element in the flow of information, and are framed within a multidisciplinary work setting.
RESUMO
OBJETIVO: descrever a soroprevalência do vírus linfotrópico de células T humanas (HTLV) entre doadores de sangue em hemocentros nos municípios de Maringá-PR e Boa Vista-RR, Brasil. MÉTODO: estudo descritivo com dados secundários dos resultados de exames realizados em amostras de sangue de doações realizadas no período de 2001 a 2010 em Maringá, e de 2007 a 2010 em Boa Vista. RESULTADOS: foram estudadas 126.386 doações em Maringá e 50.855 em Boa Vista; considerando-se os registros de sorologia positiva para HTLV, foi possível constatar que em Maringá, entre 2007 e 2010, o número de casos permaneceu baixo e estável, enquanto em Boa Vista, ocorreu aumento de 1,6 para 11,2 casos positivos para cada 10 mil doações. CONCLUSÃO: evidenciou-se perfil epidemiológico distinto entre os doadores dos hemocentros nas duas cidades, sugerindo a necessidade de incremento das ações com enfoque mais regionalizado, para a prevenção da transmissão do HTLV no Brasil.
OBJECTIVE: to describe human T cell lymphotropic virus (HTLV) seroprevalence among blood donors at blood centers in Maringá-Paraná and Boa Vista-Roraima. METHODS: this was a descriptive study of secondary data of tests on blood samples from first time and loyal donors in Maringá (2001-2010) and Boa Vista (2007-2010). RESULTS: 126,386 blood donations were studied in Maringá and 50,855 in Boa Vista. Based on the records of positive serology for HTLV between 2007 and 2010, the number of cases in Maringá remained low and stable, while in Boa Vista it increased from 1.6 to 11.2 positive cases per 10,000 donations. CONCLUSION: this study showed a different epidemiological profile among donors in the two cities. This suggests the need to increase actions with a more regionalized approach to preventing HTLV virus transmission in Brazil.
OBJETIVO: evaluar la seroprevalencia de infección por el virus linfotrópico de células T humanas (HTLV) en donantes en los bancos de sangre de Maringá (PR) y Boa Vista (RR). MÉTODO: estudio descriptivo de los datos secundarios de laboratorio realizados con muestras de las donaciones de sangre entre 2001 y 2010 en la ciudad de Maringá y 2007-2010 en Boa vista. RESULTADOS: se estudiaron 126.386 donaciones en Maringá y 50.855 en Boa Vista; considerándose los registros de serología positiva para HTLV, se encontró que en Maringá entre los años 2007 a 2010, el núme ro de casos se mantuvo bajo y estable, mientras que en Boa Vista se incrementaron 1,6 a 11,2 casos positivos para cada 10 mil donaciones. CONCLUSIÓN: el presente estudio mostró diferencia epidemiológica entre las ciudades de Maringá y Boa Vista, lo que sugiere la necesidad de incrementar las acciones con enfoque más regional para prevenir la transmisión del virus HTLV en Brasil.
Assuntos
Humanos , Masculino , Feminino , Doadores de Sangue/estatística & dados numéricos , Epidemiologia Descritiva , Perfil de Saúde , Serviço de Hemoterapia , Vírus Linfotrópico T Tipo 1 Humano , Estudos SoroepidemiológicosRESUMO
Se realizó un estudio descriptivo y retrospectivo de 64 pacientes mayores de 60 años con leucemia aguda, atendidos en el Servicio de Hematología del Hospital General Docente "Dr. Juan Bruno Zayas Alfonso" de Santiago de Cuba, durante el quinquenio 2006-2011, para determinar las principales características clínicas y hematológicas en el momento del diagnóstico, así como la supervivencia global de los afectados, aunque los tratamientos administrados no tenían criterio curativo. La edad promedio de los ancianos fue de 70 años, en un rango etario de 60 a 90; en tanto, la variedad no linfoblástica representó 98,4 %, y todos los pacientes presentaron anemia y trombocitopenia como alteraciones hematológicas, con incremento en los requerimientos transfusionales. De igual forma, la presencia de blastos en la sangre periférica se demostró en 50 % y la hiperleucocitosis en 59,4 %, mientras las principales causas de muerte estuvieron relacionadas con la hemorragia cerebral y la progresión de la enfermedad con la infiltración multiorgánica, lo cual condujo a una supervivencia muy corta de los integrantes de la serie...
A descriptive and retrospective study of 64 patients older than 60 years with acute leukemia, assisted in the Hematology Service of "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba was carried out during the five year period 2006-2011, to determine the main clinical and hematological characteristics at the moment of diagnosis, as well as the global survival of those affected, although the administered treatments had no healing criterium. The average age of the elderly was 70 years, in an age range of 60 to 90; while the non lymphoblastic variety represented 98.4%, and all the patients presented anemia and thrombocytopenia hematological changes, with increment in the transfusional requirements. Likewise, the blastos presence in the peripheral blood was demonstrated in 50% and the hyperleucocytosis in 59.4%, while the main causes of death were related to the cerebral hemorrhage and the progression of the disease with the multiorganic infiltration, which led to a very short survival of the members of this series...
Assuntos
Leucemia , Leucemia/tratamento farmacológico , IdosoRESUMO
Se realizó un estudio descriptivo y retrospectivo de 64 pacientes mayores de 60 años con leucemia aguda, atendidos en el Servicio de Hematología del Hospital General Docente Dr Juan Bruno Zayas Alfonso de Santiago de Cuba, durante el quinquenio 2006-2011, para determinar las principales características clínicas y hematológicas en el momento del diagnóstico, así como la supervivencia global de los afectados, aunque los tratamientos administrados no tenían criterio curativo. La edad promedio de los ancianos fue de 70 años, en un rango etario de 60 a 90; en tanto, la variedad no linfoblástica representó 98,4 por ciento, y todos los pacientes presentaron anemia y trombocitopenia como alteraciones hematológicas, con incremento en los requerimientos transfusionales. De igual forma, la presencia de blastos en la sangre periférica se demostró en 50 por ciento y la hiperleucocitosis en 59,4 por ciento, mientras las principales causas de muerte estuvieron relacionadas con la hemorragia cerebral y la progresión de la enfermedad con la infiltración multiorgánica, lo cual condujo a una supervivencia muy corta de los integrantes de la serie(AU)
A descriptive and retrospective study of 64 patients older than 60 years with acute leukemia, assisted in the Hematology Service of Dr Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba was carried out during the five year period 2006-2011, to determine the main clinical and hematological characteristics at the moment of diagnosis, as well as the global survival of those affected, although the administered treatments had no healing criterium. The average age of the elderly was 70 years, in an age range of 60 to 90; while the non lymphoblastic variety represented 98.4 percent, and all the patients presented anemia and thrombocytopenia hematological changes, with increment in the transfusional requirements. Likewise, the blastos presence in the peripheral blood was demonstrated in 50 percent and the hyperleucocytosis in 59.4 percent, while the main causes of death were related to the cerebral hemorrhage and the progression of the disease with the multiorganic infiltration, which led to a very short survival of the members of this series(AU)
Assuntos
Humanos , Masculino , Feminino , Idoso , Leucemia , Neoplasias Hematológicas , Doenças Hematológicas , Epidemiologia Descritiva , Estudos RetrospectivosRESUMO
Se efectuó un estudio descriptivo y transversal de 94 niños con leucemia, ingresados en el Servicio de Hematología del Hospital Infantil Sur Docente de Santiago de Cuba durante el quinquenio 2006-2010, a fin de describir las características clinicoepidemiológicas de estos pacientes. La enfermedad predominó en el grupo etario de más de 8 años y en los varones, mientras que entre las formas clínicas de presentación sobresalieron el síndrome anémico, las manifestaciones purpuricohemorrágicas y la fiebre. El tipo de leucemia principalmente observada fue la linfoblástica aguda y la de mayor mortalidad, la mieloide crónica; las infecciones y hemorragias resultaron ser las complicaciones más importantes en la serie.
A descriptive and cross-sectional study of 94 children with leukemia, admitted in the Hematology Service of the Teaching Southern Children Hospital from Santiago de Cuba was carried out during the five year period 2006-2010, in order to describe the clinical and epidemiological characteristics of these patients. The disease prevailed in the age group of more than 8 years and in males, while among the clinical forms of presentation there were: the anemic syndrome, the purpureal and hemorrhagic manifestations and fever. The type of leukemia mostly observed was the lymphoblastic acute leukemia and that of higher mortality, was the chronic myeloid leukemia. Infections and hemorrhages were the most important complications in the series.
Assuntos
Humanos , Masculino , Feminino , Criança , Hospitais Pediátricos , Leucemia Mieloide , Leucemia-Linfoma Linfoblástico de Células Precursoras , Estudos Transversais , Epidemiologia DescritivaRESUMO
Se efectuó un estudio descriptivo y transversal de 94 niños con leucemia, ingresados en el Servicio de Hematología del Hospital Infantil Sur Docente de Santiago de Cuba durante el quinquenio 2006-2010, a fin de describir las características clinicoepidemiológicas de estos pacientes. La enfermedad predominó en el grupo etario de más de 8 años y en los varones, mientras que entre las formas clínicas de presentación sobresalieron el síndrome anémico, las manifestaciones purpuricohemorrágicas y la fiebre. El tipo de leucemia principalmente observada fue la linfoblástica aguda y la de mayor mortalidad, la mieloide crónica; las infecciones y hemorragias resultaron ser las complicaciones más importantes en la serie(AU)
A descriptive and cross-sectional study of 94 children with leukemia, admitted in the Hematology Service of the Teaching Southern Children Hospital from Santiago de Cuba was carried out during the five year period 2006-2010, in order to describe the clinical and epidemiological characteristics of these patients. The disease prevailed in the age group of more than 8 years and in males, while among the clinical forms of presentation there were: the anemic syndrome, the purpureal and hemorrhagic manifestations and fever. The type of leukemia mostly observed was the lymphoblastic acute leukemia and that of higher mortality, was the chronic myeloid leukemia. Infections and hemorrhages were the most important complications in the series(AU)
Assuntos
Humanos , Masculino , Feminino , Criança , Leucemia Mieloide , Leucemia-Linfoma Linfoblástico de Células Precursoras , Hospitais Pediátricos , Epidemiologia Descritiva , Estudos TransversaisRESUMO
Se hizo un estudio descriptivo y retrospectivo de 71 pacientes con leucemia linfoide crónica, atendidos en el Servicio de Hematología del Hospital General Docente Dr Juan Bruno Zayas Alfonso de Santiago de Cuba, desde enero del 2001 hasta noviembre del 2006, con vistas a identificar algunas variables clinicoepidemiológicas en ellos, mostrar las terapéuticas más empleadas, así como evaluar la supervivencia, las principales causas de la entidad clínica y la mortalidad. En la serie predominaron los ancianos, el sexo masculino y la categoría de alto riesgo correspondiente a los estadios avanzados. El esquema terapéutico de clorambucil y prednisona fue el más empleado, con buenos resultados en la mayoría de los integrantes de la casuística. La supervivencia de los pacientes, en general, osciló entre 1-5 años, en tanto las muertes ocurridas fueron causadas por progresión de la enfermedad, procesos infecciosos respiratorios, transformación prolinfocítica, segundas neoplasias y accidentes vasculares encefálicos.
A descriptive and retrospective study of 71 patients with chronic lymphoid leukemia, attended at the Hematology Service from Dr Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba was carried out from January, 2001 to November, 2006, in order to identify some clinical epidemiological variables on them, to show the therapeutical variables more used, as well as to assess survival, mortality, and the main causes of the clinical entity. Elderly, male sex, and high risk category related to advanced stage were predominant in the series. The therapeutical schedule of chlorambucil and prednisone was the most used, achieving good results in the majority of the case material. The survival of patients, in general, ranged among 1-5 years, whereas deaths occurred due to disease progression, infectious respiratory processes, pro-lymphocytic transformation, second neoplasias, and strokes.
Assuntos
Humanos , Masculino , Feminino , Idoso , Ciclofosfamida/uso terapêutico , Clorambucila/uso terapêutico , Doxorrubicina/uso terapêutico , Leucemia Linfoide/epidemiologia , Leucemia Linfoide/tratamento farmacológico , Prednisona/uso terapêutico , Vincristina/uso terapêutico , Quimioterapia Combinada , Epidemiologia Descritiva , Estatísticas de Saúde , Estudos RetrospectivosRESUMO
Se hizo un estudio descriptivo y retrospectivo de 71 pacientes con leucemia linfoide crónica, atendidos en el Servicio de Hematología del Hospital General Docente Dr Juan Bruno Zayas Alfonso de Santiago de Cuba, desde enero del 2001 hasta noviembre del 2006, con vistas a identificar algunas variables clinicoepidemiológicas en ellos, mostrar las terapéuticas más empleadas, así como evaluar la supervivencia, las principales causas de la entidad clínica y la mortalidad. En la serie predominaron los ancianos, el sexo masculino y la categoría de alto riesgo correspondiente a los estadios avanzados. El esquema terapéutico de clorambucil y prednisona fue el más empleado, con buenos resultados en la mayoría de los integrantes de la casuística. La supervivencia de los pacientes, en general, osciló entre 1-5 años, en tanto las muertes ocurridas fueron causadas por progresión de la enfermedad, procesos infecciosos respiratorios, transformación prolinfocítica, segundas neoplasias y accidentes vasculares encefálicos(AU)
A descriptive and retrospective study of 71 patients with chronic lymphoid leukemia, attended at the Hematology Service from Dr Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba was carried out from January, 2001 to November, 2006, in order to identify some clinical epidemiological variables on them, to show the therapeutical variables more used, as well as to assess survival, mortality, and the main causes of the clinical entity. Elderly, male sex, and high risk category related to advanced stage were predominant in the series. The therapeutical schedule of chlorambucil and prednisone was the most used, achieving good results in the majority of the case material. The survival of patients, in general, ranged among 1-5 years, whereas deaths occurred due to disease progression, infectious respiratory processes, pro-lymphocytic transformation, second neoplasias, and strokes(AU)
