Transplante de células-tronco hematopoéticas em pacientes ambulatoriais: análise de contexto

Abstract

Introduction: Outpatient hematopoietic stem cell transplantation consists of models in which the patient undergoes part of the treatment in a day hospital without the need for long hospital stays. Objective: To analyze the contextual aspects of hematopoietic stem cell transplantation in outpatients. Method: Context analysis anchored in the Hinds, Chaves, and Cypress framework. Data collection was carried out from October 2023 to June 2024, guided by a scoping review and the search took place in data sources and thesis and dissertation portals. The extracted information was analyzed and organized into the following contexts: metacontext, general, specific, and immediate. Results: The sample consisted of 30 studies published mainly in the United States of America; the type of transplant cited was autologous, and the most explored model was total outpatient. Regarding the contextual layers, the metacontext addressed outpatient HSCT worldwide; in general, the advantages and weaknesses of HSCT in outpatients; specifically, the effects of outpatient HSCT models and, more immediately, the characterization of HSCT in outpatients. Conclusion: It was observed that outpatient transplantation is a trend in the care model that brings numerous benefits for improving the health of patients, but that faces challenges for its implementation.