Chronic blood transfusion therapy practices to treat strokes in children with sickle cell disease
| Autor: | Diane Calamaras, Michael R. DeBaun, Terianne Lindsey, Gwendolyn Lea, Melissa Phillips, Janice Beatty, Julie Routhieaux, Nutrena Watts‐Tate, Elaine Southwood, Evelyn Brown |
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| Rok vydání: | 2005 |
| Předmět: |
Erythrocytapheresis
Washington medicine.medical_specialty Pediatrics Silent stroke Blood transfusion Time Factors Anemia Attitude of Health Personnel medicine.medical_treatment Exchange Transfusion Whole Blood Exchange transfusion Anemia Sickle Cell Nursing Methodology Research Nursing Staff Hospital Nursing care Surveys and Questionnaires medicine Humans Blood Transfusion Nurse Practitioners Intensive care medicine Child Stroke General Nursing Health Services Needs and Demand Evidence-Based Medicine business.industry Transfusion Reaction medicine.disease Long-Term Care Pediatric Nursing Cytapheresis Long-term care Nursing Evaluation Research Chronic Disease Practice Guidelines as Topic business Total Quality Management |
| Zdroj: | Journal of the American Academy of Nurse Practitioners. 17(7) |
| ISSN: | 1041-2972 |
| Popis: | Purpose To identify variations in practices used by nurses for pediatric patients with sickle cell disease (SCD) receiving chronic blood transfusion therapy for strokes. Data sources Descriptive study of a convenience sample of 11 nurses who care for children with SCD from nine institutions completed a closed-ended questionnaire consisting of 37 items. Responses reflected practice experience with a total of 189 transfused patients with SCD. Conclusions A wide range of nursing practices exists for blood transfusion therapy for children with SCD and strokes. Manual partial exchange transfusion (66%) was the most commonly used method for blood transfusion in children with strokes reported among the nurses surveyed. Simple transfusions and erythrocytapheresis account for 21% and 13% of the practices reported. Opportunities exist to establish evidence-based nursing care guidelines to improve the care of children with strokes receiving blood transfusion therapy. Implications for practice A wide range of local standard care guidelines for blood transfusion therapy exists. The results of this survey indicate that partial manual exchange transfusion is the most commonly used method of chronic blood transfusion therapy in children with SCD and stroke despite the fact that the magnitude of benefit in comparison with simple transfusion has not been established. Factors such as peripheral venous access, compliance with current chelation regimen, and the presence of antibodies are important considerations in the choice of method. |
| Databáze: | OpenAIRE |
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