Effect of Predictive Nursing Intervention on the Gastrointestinal Side Effects of I-131 Re-treatment in Patients with Differentiated Thyroid Cancer (DTC)

Miaoli Zhou, Yanlan Liu, Qingran Lin, Jinmei Xiong, Bin Guo, Hao Xu
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Abstract

: Objective: The aim of this study was to explore the effect of predictive nursing intervention on the gastrointestinal side effects of I-131 re-treatment in patients with differentiated thyroid cancer (DTC). Methods: From January 2017 to August 2018, we invited patient with DTC who received I-131 re-treatment to enroll in this study. The participants were randomly assigned to control or predictive nursing intervention groups using a random number table. The primary outcomes were the incidence of gastrointestinal side effects and degree of patient satisfaction with respect to nursing. Patients in the intervention group received predictive nursing intervention, and patients in the control group received common nursing intervention. Result: A total of 69 patients were enrolled in the study. In patient characteristic, the gender, age and disease status were no significantly different for the participants in two groups. In addition, intervention group participants had less gastrointestinal side effect events, including nausea, vomiting and anorexia (10 vs 3, 8 vs 1, 12 vs 2). In nursing satisfaction assessment, intervention group participants provided better outcome in nursing satisfaction assessment compared with control group, that they provided most very satisfied assessment to predictive nursing intervention. Conclusion: Predictive nursing helped decrease the incidence of gastrointestinal side effects and improved patient satisfaction with nursing. Predictive nursing may be effective in DTC patients receiving I-131 re-treatment.
预测性护理干预对分化型甲状腺癌(DTC)患者I-131再治疗胃肠道不良反应的影响
目的:探讨预测性护理干预对分化型甲状腺癌(DTC)患者I-131再治疗胃肠道不良反应的影响。方法:2017年1月至2018年8月,我们邀请接受I-131再治疗的DTC患者加入本研究。采用随机数字表法将参与者随机分为对照组和预见性护理干预组。主要结果是胃肠道副作用的发生率和患者对护理的满意度。干预组患者接受预测性护理干预,对照组患者接受常规护理干预。结果:共有69例患者入组研究。在患者特征上,两组患者的性别、年龄、疾病状况无显著差异。此外,干预组患者恶心、呕吐、厌食等胃肠道不良反应发生率较低(10 vs 3, 8 vs 1, 12 vs 2)。在护理满意度评估中,干预组患者的护理满意度评估结果优于对照组,对预测性护理干预的满意度评价最高。结论:预测性护理有助于减少胃肠道不良反应的发生,提高患者对护理的满意度。预测性护理对接受I-131再治疗的DTC患者可能有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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