Qualidade de vida de pacientes submetidos ao transplante de células tronco hematopoéticas: possibilidades de abordagem multiprofissional

Abstract

Hematopoietic Stem Cell Transplantation (HSCT) consists of a complex procedure used only when the conventional forms of treatment do not present satisfactory results. Objective: to evaluate the quality of life, sociodemographic and clinical profile of patients submitted to Hematopoietic Stem Cell Transplantation. Method: the eighty-five patients submitted to HSCT were evaluated during the period from 02/2014 to 02/2016, at three different times, pretransplantation, immediate post-transplantation - referring to the seventh day after transplantation - and post-transplant delay - referring to the 100th day after transplantation. Whoqol-Bref was used to evaluate patients' quality of life, together with a semi-structured interview with socio-demographic and clinical data. Results: Forty complete evaluations (three periods) were performed, due to sixteen deaths and twenty-nine discharges to the city of origin, which caused some patients to leave the service and not possible contact with them. The mean age was 48.5 years, with a predominance of male sex (60%), married (72.5%) and with incomplete fundamental schooling (35%) and 27.5% of the sample were more than a year away from service. Clinical data indicate that the diagnosis of multiple myeloma was prevalent in 55% of the cases, with 45% of the patients diagnosed more than five years old, the autologous transplantation in 70% of the sample and 62.5% of the sample reported having no caregiver. Conclusion: The performance of HSCT directly influences the patients' quality of life, which at the time studied was impaired in the psychological and environmental aspects.