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Effect of Comprehensive Nursing Intervention on Thyroid Stimulating Hormone Suppression for Patients with Differentiated Thyroid Cancer

Received: 2 December 2018     Accepted: 31 January 2019     Published: 27 February 2019
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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 131I 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.

Published in American Journal of Nursing Science (Volume 8, Issue 1)
DOI 10.11648/j.ajns.20190801.15
Page(s) 32-35
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Differentiated Thyroid Cancer, TSH Suppression, Nursing Intervention

References
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[2] Alexander, E. K., Pearce, E. N., Brent, G. A., Brown, R. S., Chen, H., & Dosiou, C., et al. (2017). 2017 guidelines of the american thyroid association for the diagnosis and management of thyroid disease during pregnancy and the postpartum. Thyroid, 27 (3), 315-389.
[3] Mcleod, D. S. A., Cooper, D. S., Ladenson, P. W., Ain, K. B., Brierley, J. D., & Fein, H. G., et al. (2014). Prognosis of differentiated thyroid cancer in relation to serum thyrotropin and thyroglobulin antibody status at time of diagnosis. Thyroid Official Journal of the American Thyroid Association, 24 (1), 35-42.
[4] Guan, H., Shan, Z., Teng, X., Li, Y., Teng, D., & Jin, Y., et al. (2010). Influence of iodine on the reference interval of tsh and the optimal interval of tsh: results of a follow-up study in areas with different iodine intakes. Clinical Endocrinology, 69 (1), 136-141.
[5] Ovadia, Y. S., Gefel, D., Turkot, S., Aharoni, D., Fytlovich, S., & Troen, A. M. (2014). Elevated serum thyroglobulin and low iodine intake are associated with nontoxic nodular goiter among adults living near the eastern mediterranean coast. J Thyroid Res, 2014, 913672.
[6] Moon, J. H., Kim, K. M., Oh, T. J., Choi, S. H., Lim, S., & Park, Y. J., et al. (2017). The effect of tsh-suppression on vertebral trabecular bone scores in patients with differentiated thyroid carcinoma. Journal of Clinical Endocrinology & Metabolism, 102 (1), jc.2016-2740.
[7] Bilezikian, J. P., Brandi, M. L., Cusano, N. E., Mannstadt, M., Rejnmark, L., & Rizzoli, R., et al. (2016). Management of hypoparathyroidism: present and future. Journal of Clinical Endocrinology & Metabolism, 101 (6), jc20153910.
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[9] Giacobbe, A. M., Grasso, R., Triolo, O., Tonni, G., & Granese, R. (2015). Thyroid diseases in pregnancy: a current and controversial topic on diagnosis and treatment over the past 20 years. Archives of Gynecology & Obstetrics, 292 (5), 995-1002.
[10] Dosiou, C., Barnes, J., Schwartz, A., Negro, R., Crapo, L., & Stagnarogreen, A. (2012). Cost-effectiveness of universal and risk-based screening for autoimmune thyroid disease in pregnant women. J Clin Endocrinol Metab, 97 (97), 1536-1546.
[11] Mannisto T, Vanmma ki M, Pouta A, et al. Thyrdd dysfunction and autoantibodies during pregnancy as predictive factors of pregnancy complication and maternal morbilith in later life. J Clin Endocfinol Metab, 2010, 95 (3): 1084-1094.
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  • APA Style

    Zhou Miaoli, Lin Qingran, Shang Jingjie, Gong Jian, Xu Hao. (2019). Effect of Comprehensive Nursing Intervention on Thyroid Stimulating Hormone Suppression for Patients with Differentiated Thyroid Cancer. American Journal of Nursing Science, 8(1), 32-35. https://doi.org/10.11648/j.ajns.20190801.15

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    ACS Style

    Zhou Miaoli; Lin Qingran; Shang Jingjie; Gong Jian; Xu Hao. Effect of Comprehensive Nursing Intervention on Thyroid Stimulating Hormone Suppression for Patients with Differentiated Thyroid Cancer. Am. J. Nurs. Sci. 2019, 8(1), 32-35. doi: 10.11648/j.ajns.20190801.15

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    AMA Style

    Zhou Miaoli, Lin Qingran, Shang Jingjie, Gong Jian, Xu Hao. Effect of Comprehensive Nursing Intervention on Thyroid Stimulating Hormone Suppression for Patients with Differentiated Thyroid Cancer. Am J Nurs Sci. 2019;8(1):32-35. doi: 10.11648/j.ajns.20190801.15

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  • @article{10.11648/j.ajns.20190801.15,
      author = {Zhou Miaoli and Lin Qingran and Shang Jingjie and Gong Jian and Xu Hao},
      title = {Effect of Comprehensive Nursing Intervention on Thyroid Stimulating Hormone Suppression for Patients with Differentiated Thyroid Cancer},
      journal = {American Journal of Nursing Science},
      volume = {8},
      number = {1},
      pages = {32-35},
      doi = {10.11648/j.ajns.20190801.15},
      url = {https://doi.org/10.11648/j.ajns.20190801.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20190801.15},
      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 131I 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.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Effect of Comprehensive Nursing Intervention on Thyroid Stimulating Hormone Suppression for Patients with Differentiated Thyroid Cancer
    AU  - Zhou Miaoli
    AU  - Lin Qingran
    AU  - Shang Jingjie
    AU  - Gong Jian
    AU  - Xu Hao
    Y1  - 2019/02/27
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ajns.20190801.15
    DO  - 10.11648/j.ajns.20190801.15
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 32
    EP  - 35
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20190801.15
    AB  - 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 131I 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.
    VL  - 8
    IS  - 1
    ER  - 

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Author Information
  • Department of Nuclear Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Nuclear Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Nuclear Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Nuclear Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Nuclear Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, China

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