Nursing Management of Frail Patients with Hematologic Malignancies During COVID-19 Pandemia in the Viterbo Domiciliary Care Unit: Data Analysis from March 2020 to March 2021
- 1 UOC Hematology, ASL Viterbo, Belcolle Hospital, Strada Sammartinese, Viterbo, Italy
- 2 UOC Diagnostica Clinica, Laboratorio Di Citofluorimetria, ASL Viterbo, Belcolle Hospital, Strada Sammartinese, Viterbo, Italy
- 3 UOSD Terapia Del Dolore e Cure Palliative, ASL Viterbo, Belcolle Hospital, Strada Sammartinese, Viterbo, Italy
Abstract
Background In the Viterbo province, a Domiciliary Hematologic Care Unit (DHCU) for assistance to frail patients (pts) with hemopathies Methods To evaluate the role of nursing management for frail pts followed by DHCU during the first year of the COVID-19 pandemia, all nursing activities from 3/2020 to 3/2021 were analyzed. Results Overall, 107 pts in 43 municipalities of Viterbo province were followed by DHCU nurses. The median distance from the DHCU central site to the house was 25 Km Interquartile Range (IQR) 16-34. A total number of 2609 nursing accesses was done in the whole period. According to different procedures, 1152 blood samples were performed, with a median number of 7 (IQR 3-15) for each pts: Moreover, there were 1040 accesses for Chemotherapy (CHT) administration and 417 accesses for other procedures (260 catheter medications, 125 therapy other than CHT, 32 nursing assistances of transfusions or marrow aspirates). Only 2 pts (1.8%) developed COVID-19 infection while in home care. Conclusions Domiciliary nurse assistance during the COVID-19 pandemic allowed to follow in a safer way >100 frail pts with hemopathies in a wide geographic area. This approach should represent the best type of assistance for frail pts even beyond the COVID-19 pandemic.
DOI: https://doi.org/10.3844/ijrnsp.2024.1.5
Copyright: © 2024 Silvia Ciambella, Vincenza Innocenti, Elisa Emanueli Cippitelli, Roberta Perazzino, Roberta Talucci, Valentina Panichi, Alessia Fiorini, Ambra Di Veroli, Caterina Mercanti, Fiammetta Natalino, Gioia De Angelis, Michela Tarnani, Marco Morucci, Cristina Mastini, Giulio Trapè, Assunta Silvestri, Marco Montanaro and Roberto Latagliata. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
- 1,243 Views
- 662 Downloads
- 0 Citations
Download
Keywords
- Home-Care Assistance
- Frailty
- Hemopathies
- Chemotherapy
- COVID-19