关于医务人员在放射性碘治疗分化型甲状腺癌前实施低碘饮食的调查。

IF 2.5 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Yupin Yi, Yuquan Zhu, Youfeng Wu, Fengqiong Hu
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引用次数: 0

摘要

目的探讨58家医院中护理分化型甲状腺癌患者的医务人员在接受131I治疗前实施低碘饮食的情况,并为制定低碘饮食指南提供有价值的见解:方法:采用自行设计的调查问卷,对58家三级医院核医学科的163名医务人员进行了随机抽样调查:关于治疗前低碘饮食的持续时间,医务人员的建议如下:58.28%建议2-4周,31.29%建议4周以上,9.2%选择7-13天,1.23%赞成1周以内。关于恢复正常饮食的时间,受访者的建议从治疗后立即(1.84%)到治疗后 3 个月(8.58%)不等,中间建议为 2 小时(8.58%)、24-48 小时(14.11%)、出院后(12.26%)和 1 个月(42.94%)。此外,接受调查的医务人员一致建议不要吃海鲜,90.8%的医务人员还建议不要食用加碘盐,91.41%的医务人员建议不要服用含碘药物,71.17%的医务人员建议谨慎食用中度高碘食物。值得注意的是,75.46% 的医务人员对患者遵守低碘饮食的情况进行了评估。当患者未能坚持饮食准备时,33.74%的医护人员选择继续治疗。在指导来源方面,96.93%的受访者依靠相关指南,66.26%参考了文献,49.69%借鉴了临床经验。住院期间,58.28% 的医务人员会继续指导患者进行低碘饮食,而出院后仅有 8.59% 的医务人员会提供此类指导。值得注意的是,只有 20.25% 的医务人员考虑咨询营养科:本研究强调,低碘饮食的持续时间和选择标准存在很大差异,这与缺乏标准化评估有关。因此,迫切需要开展进一步研究,以制定详细、实用、易行、全面和可靠的低碘饮食实施方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigation on low-iodine diet implementation by medical staff before radioactive iodine treatment for differentiated thyroid carcinoma

Objective

To explore the implementation of low-iodine diets by medical staff caring for patients with differentiated thyroid carcinoma prior to 131I therapy across 58 hospitals, and offer valuable insights for the development of guidelines on low-iodine diets.

Methods

Convenience sampling was utilized to conduct a survey among 163 medical staff members working in nuclear medicine departments across 58 tertiary hospitals using a self-designed questionnaire.

Results

Concerning the duration of the low-iodine diet prior to treatment, the medical staff’s recommendations were as follows: 58.28% suggested 2–4 weeks, 31.29% recommended more than 4 weeks, 9.2% opted for 7–13 days, and 1.23% favored less than 1 week. Regarding the timing of resuming a normal diet, the respondents’ recommendations ranged from immediately after treatment (1.84%) to 3 months post-treatment (8.58%), with intermediate recommendations of 2 h (8.58%), 24–48 h (14.11%), post-discharge (12.26%), and 1 month (42.94%). Furthermore, the surveyed medical staff unanimously recommended abstaining from seafood, with 90.8% also advising against the consumption of iodized salt, 91.41% recommending avoidance of iodine-containing medications, and 71.17% advising caution with moderately high-iodine foods. Notably, 75.46% of the medical staff evaluated patient compliance with the low-iodine diet. When patients failed to adhere to the diet preparation, 33.74% of healthcare workers chose to proceed with treatment. In terms of guidance sources, 96.93% of respondents relied on relevant guidelines, 66.26% referred to the literature, and 49.69% drew upon their clinical experience. During hospitalization, 58.28% of the medical staff continued to guide patients on the low-iodine diet, while only 8.59% provided such guidance after discharge. Notably, only 20.25% of the staff considered consulting the nutrition department.

Conclusion

This study underscored substantial variations in the duration and selection criteria for low-iodine diets, which were linked to a scarcity of standardized evaluations. Consequently, there is an urgent need for further research to establish detailed, practical, accessible, comprehensive, and dependable implementation programs for low-iodine diets.

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来源期刊
Annals of Nuclear Medicine
Annals of Nuclear Medicine 医学-核医学
CiteScore
4.90
自引率
7.70%
发文量
111
审稿时长
4-8 weeks
期刊介绍: Annals of Nuclear Medicine is an official journal of the Japanese Society of Nuclear Medicine. It develops the appropriate application of radioactive substances and stable nuclides in the field of medicine. The journal promotes the exchange of ideas and information and research in nuclear medicine and includes the medical application of radionuclides and related subjects. It presents original articles, short communications, reviews and letters to the editor.
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