Research Article Open Access

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

Silvia Ciambella1, Vincenza Innocenti1, Elisa Emanueli Cippitelli1, Roberta Perazzino1, Roberta Talucci1, Valentina Panichi2, Alessia Fiorini1, Ambra Di Veroli1, Caterina Mercanti1, Fiammetta Natalino1, Gioia De Angelis1, Michela Tarnani1, Marco Morucci3, Cristina Mastini1, Giulio Trapè1, Assunta Silvestri2, Marco Montanaro1 and Roberto Latagliata1
  • 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.

International Journal of Research in Nursing
Volume 15 No. 1, 2024, 1-5

DOI: https://doi.org/10.3844/ijrnsp.2024.1.5

Submitted On: 30 October 2023 Published On: 26 February 2024

How to Cite: Ciambella, S., Innocenti, V., Cippitelli, E. E., Perazzino, R., Talucci, R., Panichi, V., Fiorini, A., Di Veroli, A., Mercanti, C., Natalino, F., De Angelis, G., Tarnani, M., Morucci, M., Mastini, C., Trapè, G., Silvestri, A., Montanaro, M. & Latagliata, R. (2024). 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. International Journal of Research in Nursing, 15(1), 1-5. https://doi.org/10.3844/ijrnsp.2024.1.5

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Keywords

  • Home-Care Assistance
  • Frailty
  • Hemopathies
  • Chemotherapy
  • COVID-19