Elements for assistance to patients with hematological malignancies to propose care lines: a scoping review

ABSTRACT Objectives: to identify the elements for assistance to patients with hematological malignancies to propose a care line. Methods: this is a scoping review, anchored in the JBI theoretical framework, with searches carried out in April 2021, in eight electronic databases and 10 repositories of theses and dissertations. Results: the final sample consisted of 93 studies, and the main forms of assistance provided that can support a care line for this public were imaging tests, immunophenotyping, chemotherapy regimens, radiotherapy, infection management, assessment of nutritional status, maintenance of oral function, symptom management and screening for second malignancies. Conclusions: the elaboration of a care line for onco-hematologic patients is necessary, considering the complexity surrounding the diagnosis and treatment of hematologic malignancies, in addition to the difficulties that are imposed in relation to access and continuity of care in the network.

摘要
研究目的：明确血液系统恶性肿瘤患者的照护支持要素，以制定临床照护路径。
研究方法：本研究为基于乔安娜·布里格斯研究所（Joanna Briggs Institute, JBI）理论框架的范围综述，检索工作于2021年4月开展，共覆盖8个电子数据库与10个学位论文库。
研究结果：最终纳入93项研究，可用于支撑该人群照护路径的主要照护支持形式包括：影像学检查、免疫表型分析、化疗方案、放射治疗、感染管理、营养状况评估、口腔功能维护、症状管理及第二原发恶性肿瘤筛查。
研究结论：鉴于血液系统恶性肿瘤的诊断与治疗具有较高复杂性，且医疗网络内的照护可及性与连续性存在诸多障碍，因此制定针对血液肿瘤患者的临床照护路径实属必要。