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Lien social : maintien du lien social et familial pendant l’allogreffe de CSH
Authors:P.S. Rohrlich  K. Kerautret  N. Bancillon  K. Vauzelle  M. Bertrand-Letort  M. Ruiz  S. Schmitt  J.-P. Samy  M. Guiraud  I. Yakoub-Agha
Affiliation:1. Service d’hématologie hôpital Archet 1, CHU de Nice, 151, route de Saint-Antoine de Ginestière, BP 3079, 06200 Nice cedex 03, France;2. Service d’hématologie clinique, hôpital Pontchaillou, CHU de Rennes, 2, rue Henri Le Guilloux, 35033 Rennes cedex 9, France;3. Service d’hématologie, CHU d’Angers, 4, rue Larrey, 49933 Angers cedex 9, France;4. Service d’hématologie clinique et thérapie cellulaire, hôpital Dupuytren, CHU de Limoges, 2, avenue Martin Luther King, 87042 Limoges, France;5. Service d’hématologie, hôpital Purpan, CHU de Toulouse, place du Docteur Baylac, TSA 40031, 31059 Toulouse cedex 9, France;6. Service d’hématologie, CHRU de Strasbourg, 1, place de l’hôpital, BP 426, 67091 Strasbourg cedex, France;g Service d’hématologie greffe de moelle, hôpital Saint Louis, 1 avenue Claude-Vellefaux, 75010 Paris, France;h Service d’hématologie pédiatrique, CHU de Montpellier, avenue du Doyen Gaston Giraud, 34085 Montpellier, France;i Service des maladies du sang, EA 2686, CHRU de Lille, 2, avenue Oscar Lambret, 59037 Lille cedex, France
Abstract:

Objective

To set up the minimal conditions necessary to ensure that the social and familial network of the patient is preserved during the hospital stay for allogeneic hematopoïetic stem cell transplantation.

Material and methods

A national survey was conducted to increase knowledge about the conditions of hospital stay of adult and pediatric stem cell recipients. Then a multidisciplinary panel of health workers including doctors and nurses met to establish recommendations for maintaining the social and familial relationships optimally during the HSCT procedure.

Results

Practices and policies are very heterogeneous among the transplant centers. No consensus has been established and the literature data are scarce. The panel has thus established a list of recommendations to maintain optimal relationships between the patient and his relatives and friends during the hospital stay. The objective is to ensure a better acceptation of the isolation conditions and to facilitate the return home after D30.

Conclusion

Since there is no established scientific background for drastic isolation conditions, a multi-disciplinary approach in relationship with patients associations should allow softening of the procedures without impairing the quality of care.
Keywords:Allogreffé  s de cellules souches hé  matopoï  é  tiques   Liens sociaux   Patient   Entourage
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