“期待再生”－兒童臍帶血移植照護

"Anticipation of Reborn" Nursing Care of Children with Cord Blood Transplantation

林素雯(Su-Wen Lin) ； 倪同芳(Torng-Fang Ni) ； 溫玉娟(Yu-Chuan Wen)

《腫瘤護理雜誌》 7卷1期 (2007/06) Pp. 11-20

https://doi.org/10.6880/TJON.200706_7(1).02

摘要

2003年是開啓台灣造血幹細胞移植的新紀元，首例以非親屬臍帶血移植治療重度海洋性貧血個案成功，此技術發展迄今成功率已達九成，讓罹患重症如惡性血液腫瘤、先天免疫缺陷等兒童帶來新曙光，以往骨髓移植常受限於配型不易、捐贈者意願等因素，錯失移植良機，而臍帶血增加其選擇機會，但移植歷程佈滿荊棘，加上受限於兒童的認知發展、對於移植結果充滿著不確定感等因素，常令家屬心力交瘁，醫療團隊成員如何在關鍵時期介入提供協助，對團隊、家屬、病患而言相當重要，也期盼透過團隊的合作下，讓「生命的再生」有所延續。

關鍵字

兒童 ； 臍帶血 ； 造血幹細胞移植

並列摘要

Taiwan has started a new era in hematopoietic stem cell transplantation (HSCT) in 2003. Since the first successful case of an unrelated cord blood transplantation (CBT) for major thalassemia was reported, our overall rate of succeed with CBT is 90%. It is the gleams of new hope to treat children for hematological malignancies or severe combined immunodeficiency. Bone marrow transplantation was limited by unmatched donors, either without the same tissue type or the unwillingness of the donor; as a result, the best opportunity for transplantation was mistimed. The CBT has provided the alternative of allogeneic HSCT to patients. However, the CBT is full of difficulties during the process, is limited by the cognitive development of the patient and is full of uncertainty of the result that brings exhaustion to the family of the patient. The teamwork of medical staffs intervening in the key moment is important for the team, for the family and for the patient. The corporation between the medical staffs could continue its service of the ”re-growth of new life”.

並列關鍵字

children ； cord blood ； hematopoietic stem cell transplantation