Abstract

Objective to investigate the effect of comprehensive nursing intervention on thyroid stimulating hormone (TSH) suppression for patients with differentiated thyroid cancer (DTC) in the Department of Nuclear Medicine. Methods From January 2016 to December 2016, a total of 90 patients with DTC, receiving <sup>131</sup>I treatment in the Department of Nuclear Medicine of the First Affiliated Hospital of Jinan University are enrolled in this study. All patients have received TSH suppression treatment for at least 3 months prior to admission, and are given individual-based comprehensive nursing intervention on TSH suppression after admission. Through questionnaire and telephone follow-up, patients’ awareness of TSH suppression and their medication compliance before and after nursing intervention are analyzed and compared. Results The awareness of the knowledge of TSH suppression and medication compliance are significantly improved in 90 patients after comprehensive nursing intervention (P<0.05). Conclusions Individual-based comprehensive nursing intervention can effectively improve awareness of the knowledge of TSH suppression, medication compliance and confidence in cure in patients with DTC, which helps promote the harmonious relationship between nurses and patients and improve the prognosis of patients. The comprehensive nursing intervention is worthy of clinical application.

Highlights

  • At present, a combination of operation, 131I treatment and thyroid stimulating hormone (TSH) suppression is the recognized treatment for differentiated thyroid cancer [1]

  • TSH suppression refers to the condition of giving exogenous thyroid hormone to patients with thyroid cancer after operation and 131I treatment to suppress their thyroid stimulating hormone (TSH) below the normal TSH range so as to supplement thyroid hormone and to inhibit the growth of differentiated thyroid cancer (DTC) cells

  • TSH suppression and individual-based comprehensive nursing intervention have been given to the post-DTC operation patients in the Department of Nuclear Medicine from January to December 2016, and satisfying results have been achieved, which are reported as follows

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Summary

Introduction

A combination of operation, 131I treatment and TSH suppression is the recognized treatment for differentiated thyroid cancer [1]. TSH suppression refers to the condition of giving exogenous thyroid hormone to patients with thyroid cancer after operation and 131I treatment to suppress their thyroid stimulating hormone (TSH) below the normal TSH range so as to supplement thyroid hormone and to inhibit the growth of DTC cells. TSH suppression can significantly reduce the risk of metastasis and recurrence of thyroid cancer to improve patients’ survival rate and quality of life [2]. Some patients pay insufficient attention to TSH suppression and lack scientific knowledge of taking exogenous thyroid hormone. TSH suppression and individual-based comprehensive nursing intervention have been given to the post-DTC operation patients in the Department of Nuclear Medicine from January to December 2016, and satisfying results have been achieved, which are reported as follows

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