閉塞性動脈硬化症患者の自家末梢血幹細胞移植による血管再生医療の実際とそのケア

Regenerative Medicine

看護総合科学研究会誌

Objective: The purpose of this research is to understand the current state of angiogenetic blood stem cell transplantation and to consider the issues of caring patients who will have a treatrnent of regenerative medicine. Methods: Details of the autologous peripheral blood stem cell transplantation (PBSCT) therapy to the two patients who were sufferingfrom arteriosclerosis obliterans (ASO), were observed precisely. Direct interviews to the physician in charge, the nurces in charge and the patients who received the treatrnent, were carried out to clarify the issues to be considered in caring the patients who undergo regenerative medical treatments in the future. Results and Discussion: Management in nursing care of PBSCT included side effectsin use of the granulocyte colony-stimulating factor (G-CSF), complications at the peripheral blood stem cell collection and at the intramuscular multiple injections of stem cells. The patients comprehended well the informed consent (IC) which was provided by the physician in charge, however, they felt the anxiety day by day for no therapeutic gain. Therefore, it is important that health care professionals have to provide accurate medical information, IC to a patient and have to support a patient consistently from a mental aspect.