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The experiences of protective isolation in patients undergoing bone marrow or haematopoietic stem cell transplantation: systematic review and metasynthesis

机译:骨髓患者保护分离的经验,血糖患者或呕血干细胞移植:系统审查与元化

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Protective isolation is aimed at preventing infection in neutropenic patients, but it is implemented inconsistently across centres and is supported by recommendations with poor evidence. This review and metasynthesis explored the experiences and the psychological implications of protective isolation in patients with haematological malignancies undergoing bone marrow (BMT) or haematopoietic stem cell transplantation (HSCT). A systematic search of multiple databases for qualitative studies exploring BMT or HSCT patients' experiences of protective isolation was completed. The metasynthesis followed the meta-aggregative method from the Joanna Briggs Institute, with four procedural steps: (1) comprehensive search, (2) quality appraisal, (3) extraction of relevant findings and (4) synthesis of the identified findings. Twenty-six findings were extracted from 11 articles included in the review. The synthesising process yielded seven categories, aggregated into three synthesised findings: (1) isolation is a source of suffering, (2) isolation can lead to relating with oneself and (3) the person does not close the door to the outside world. This metasynthesis sheds light on patients' suffering from being isolated, and the possibility of overcoming this suffering thanks to relationships that patients have with themselves and with the external world. Healthcare providers should reconsider this practise in order to avoid unnecessary patient suffering.
机译:保护性分离旨在预防中性患者的感染,但它在中心跨越中心实施,并得到了证据不好的建议支持。该审查和元化探讨了患有骨髓(BMT)或血液肿瘤干细胞移植(HSCT)的血液恶性肿瘤患者患者保护性孤立的经验和心理影响。完成了对探索BMT或HSCT患者保护隔离患者的定性研究的多个数据库的系统搜索。元合成遵循Joanna Briggs研究所的元聚集方法,四个程序步骤:(1)综合搜索,(2)质量评估,(3)提取相关调查结果和(4)综合所识别的调查结果。从审查中包含的11篇文章中提取了二十六种结果。合成过程产生了七个类别,汇总成三个合成结果:(1)隔离是痛苦的源泉,(2)隔离可以导致与自己和(3)联系,这个人并不关在外面的门口。这种元交替揭示了患者遭受孤立的患者,并且由于患者与外部世界的关系克服这种痛苦的可能性。医疗保健提供者应重新考虑这种做法,以避免不必要的患者遭受痛苦。

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