Elaboração do protocolo nutricional para pacientes submetidos ao Transplante de Células Tronco Hematopoiéticas (TCTH) autólogo

Abstract

Introduction: hematopoietic stem cell transplantation is a therapeutic modality widely used in the treatment of various hematological diseases. This treatment impacts nutritional status and can interfere with the toxicity of the conditioning carried out, such as nausea, vomiting, diarrhea, changes in taste and mucositis. Thus, efficient nutritional assistance protocols can contribute to greater treatment success and a reduction in unfavorable clinical outcomes. Objective: to develop a nutritional assistance protocol for patients undergoing autologous hematopoietic stem cell transplantation. Method: a documentary-based study was developed initially through an extensive review of articles, discussion with the multidisciplinary team and subsequently the development of a protocol for nutritional assistance in a tertiary hospital. Results: an evidence-based nutritional protocol was developed for patients undergoing autologous HSCT, divided into ten main chapters/stages of nutritional assistance, covering all processes to be carried out from admission to hospital discharge, namely screening and nutritional assessment , anthropometry, physical examination, evaluation of biochemical tests, food intake, followed by determination of nutritional diagnosis, determination and programming of nutritional needs, choice of nutritional therapy to be adopted and finally nutritional guidelines. Conclusion: the development of the nutritional protocol for patients undergoing HSCT was completed, which could be useful for health services that rely on this treatment modality.