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Background: Predictive nursing is a new concept proposed in recent years. Studies have shown that predictive care is effective in critically ill and surgical patients. However, the application and research of predictive nursing in patients with allogeneic hematopoietic stem cell transplantation (allo-HSCT) during perioperative period is still lacking. Objective: The value and clinical effect of predictive nursing in allo-HSCT during the perioperative period. Methods: Retrospective analysis was performed on 36 patients with hematological disease who had received allo-HSCT. Observation group A was the patient who received oral care, perineal care and perianal care during the transplantation period; group B was the patient who received only one of the three care items; group C was the patient who received no nursing intervention. And then the time of stem cell transplantation, the incidence of infection, and the cost of treatment were analyzed among the three groups. Results: Predictive nursing intervention can significantly shorten the transplantation time of granulocytes and megakaryocytes (A vs. C, P=0.000, P=0.000; B vs. C, P=0.000, P=0.000). Patients receiving oral care, perineal care and perianal care at the same time had a tendency to shorten the transplant time of stem cells and effectively reduce the incidence of respiratory and urinary tract infections compared with patients receiving only one nursing intervention (X2=5.538, X2=5.924; P=0.019, P=0.05). And reduce the cost of treatment during transplantation (A vs. C, P=0.006). Conclusions: In the perioperative period of allogeneic hematopoietic stem cells, various predictive nursing interventions can shorten the transplantation time of stem cells, reduce the incidence of infection, and thus reduce the economic burden of patients. It is a cheap and effective method and worthy of clinical application.

The Value of Predictive Nursing in Perioperative Period of Allogeneic Hematopoietic Stem Cell Transplantation