Complications for Bone Marrow Transplant Patients

Abstract

Objective: Our objective to assess the prevalence complications & their association with health & functional status

Methodology: Analyses complications of thirteen patients underwent autologous bone marrow transplant in June 2008 to December 2010 at bone marrow transplant specialty center in Baghdad Medical City; data were derived of daily follow-up and record to all clinical and medical information's.

Results: No statistically significant association was found between ages with gender, also clinical diagnosis with gender, & number courses of chemotherapy with clinical diagnosis (P-0.05). Especially (53.84%) were males which more than females (46.15%), the patient's age in the study was between with mean of 22-27 yrs. (53.84%) married, (30.76%) student, positive family history toward malignant disease in (61.52%), Non-Hodgkin Lymphoma diagnosed in (53.84%), 3 courses chemotherapy receiving in (38.46%), harvested stem cell was peripheral stem cells in (61.52%), week engraftment present was in 4 weeks in (53.84%). Statistically significant association was found between clinical diagnoses with source of stem cells (P-0.05). mucositis was in grade 4 in (60%). The cumulative prevalence of any complications underwent transplant was above cut-off point, mean of score was (2) headache, depression, change in test, dry mouth, oral bleeding, hair loss, fever, and (1.92) nausea, vomiting, (1.76) anorexia, flushing skin, while (1.61) constipation.

Recommendations: the study recommended preparation health education program for patients and nursing staff to give best nursing care for bone marrow transplant patients and how communication with them, & booklet provided for all patient show how to oral hygiene and personal hygiene to reduce risk reduction.