American Journal of Nursing Science

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Continuous Quality Improvement of Radiation Safety Management for Treatment of Differentiated Thyroid Carcinoma with Iodine-131

Received: 31 March 2020    Accepted: 13 April 2020    Published: 28 April 2020
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Abstract

Purpose: To explore the effect of continuous quality improvement (CQI) of radiation safety management for patients administerediodine-131 after thyroid cancer surgery. Methods: A total of 103 patients with differentiated thyroid carcinoma were randomly divided into control and experimental groups containing 51 and 52 patients, respectively. In the control group, the drug was administered according to the operating procedure for iodine-131 treatment of thyroid carcinoma. In the experimental group, CQI was adopted to manage the radiation safety of care in addition to the conventional iodine-131 thyroid cancer treatment procedures. We also improved radiation safety protection measures prior to drug administration, developed a flow chart of drug administration for patients, established a patient preview of the drug administration process, and enhanced health education and psychological intervention for the patient. Results: The environmental radiation around the drug delivery window was reduced (P< 0.05), total duration of exposure to the radiation was shortened (P< 0.05), drug drop rate was decreased to 0%, and patient satisfaction was improved in the experimental group compared to the control group. Conclusions: Application of CQI for management of radiation safety when treating thyroid cancer withiodine-131 can improve patient treatment, quality of care, and satisfaction and reduce radiation pollution in the surrounding environment and radiation injury to staff.

DOI 10.11648/j.ajns.20200903.17
Published in American Journal of Nursing Science (Volume 9, Issue 3, June 2020)
Page(s) 120-123
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), 2024. Published by Science Publishing Group

Keywords

Differentiated Thyroid Carcinoma, Iodine-131-Administered Care, Radiation Safety Management, Continuous Quality Improvement

References
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[2] Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE, et al. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: the American Thyroid Association Guidelines Task Force oBilek R, Cerovska J, Zamrazil V. The relationship between iodine intake andserum thyroglobulin in the general population. Physiol. Res. 2016; 64 (3): 345–353.
[3] Lauri C, Di Traglia S, Galli F, et al. Current status of PET imaging of differentiated thyroid cancer with second generation radiopharmaceuticals. Q J NuclMed Mol Imaging 2015, 59, 105-115.
[4] Ma ZF, Venn BJ, Manning PJ, Cameron CM, Skeaff SA. Iodine supplementation of mildly iodine-deficient adults lowers thyroglobulin: a randomized controlled trial. J. Clin. Endocrinol. Metab. 2016; 101 (4): 1737–1744.
[5] Madureira D, Prazeres S, Pedro MS, Pereira T, Font AP, Bugalho MJ. Invitro assays to test the interference of anti-thyroglobulin antibodies on thyroglobulin measurement. Endocrine. 2018; 33 (1): 40–44.
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[7] Molinaro E, Giani C, Agate L, Biagini A, Pieruzzi L, Bianchi, F, et al. Patients with differentiated thyroid cancer who underwent radioiodine thyroid remnant ablation with low-activity 131I after either recombinant human TSH or thyroid hormone therapy withdrawal showed the same outcome after a 10-year follow-up. J. Clin. Endocrinol. Metab. 2017; 98 (7): 2693–2700.
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[14] Likhtarov I, Kovgan L, Masiuk S, Talerko M, Chepurny M, Ivanova O, et al. Thyroid cancer study among Ukrainian children exposed to radiation after theChornobyl accident: improved estimates of the thyroid doses to the cohort members. Health Phys. 2019; 106 (3): 370–396.
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Author Information
  • Department of Nuclear Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Nursing Department, 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

  • The Image Center, 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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  • APA Style

    Miaoli Zhou, Qingran Lin, Jinmei Xiong, Lijiao Liao, Chunliu Luo, et al. (2020). Continuous Quality Improvement of Radiation Safety Management for Treatment of Differentiated Thyroid Carcinoma with Iodine-131. American Journal of Nursing Science, 9(3), 120-123. https://doi.org/10.11648/j.ajns.20200903.17

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    ACS Style

    Miaoli Zhou; Qingran Lin; Jinmei Xiong; Lijiao Liao; Chunliu Luo, et al. Continuous Quality Improvement of Radiation Safety Management for Treatment of Differentiated Thyroid Carcinoma with Iodine-131. Am. J. Nurs. Sci. 2020, 9(3), 120-123. doi: 10.11648/j.ajns.20200903.17

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    AMA Style

    Miaoli Zhou, Qingran Lin, Jinmei Xiong, Lijiao Liao, Chunliu Luo, et al. Continuous Quality Improvement of Radiation Safety Management for Treatment of Differentiated Thyroid Carcinoma with Iodine-131. Am J Nurs Sci. 2020;9(3):120-123. doi: 10.11648/j.ajns.20200903.17

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  • @article{10.11648/j.ajns.20200903.17,
      author = {Miaoli Zhou and Qingran Lin and Jinmei Xiong and Lijiao Liao and Chunliu Luo and Jian Gong and Hao Xu},
      title = {Continuous Quality Improvement of Radiation Safety Management for Treatment of Differentiated Thyroid Carcinoma with Iodine-131},
      journal = {American Journal of Nursing Science},
      volume = {9},
      number = {3},
      pages = {120-123},
      doi = {10.11648/j.ajns.20200903.17},
      url = {https://doi.org/10.11648/j.ajns.20200903.17},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajns.20200903.17},
      abstract = {Purpose: To explore the effect of continuous quality improvement (CQI) of radiation safety management for patients administerediodine-131 after thyroid cancer surgery. Methods: A total of 103 patients with differentiated thyroid carcinoma were randomly divided into control and experimental groups containing 51 and 52 patients, respectively. In the control group, the drug was administered according to the operating procedure for iodine-131 treatment of thyroid carcinoma. In the experimental group, CQI was adopted to manage the radiation safety of care in addition to the conventional iodine-131 thyroid cancer treatment procedures. We also improved radiation safety protection measures prior to drug administration, developed a flow chart of drug administration for patients, established a patient preview of the drug administration process, and enhanced health education and psychological intervention for the patient. Results: The environmental radiation around the drug delivery window was reduced (PP< 0.05), drug drop rate was decreased to 0%, and patient satisfaction was improved in the experimental group compared to the control group. Conclusions: Application of CQI for management of radiation safety when treating thyroid cancer withiodine-131 can improve patient treatment, quality of care, and satisfaction and reduce radiation pollution in the surrounding environment and radiation injury to staff.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Continuous Quality Improvement of Radiation Safety Management for Treatment of Differentiated Thyroid Carcinoma with Iodine-131
    AU  - Miaoli Zhou
    AU  - Qingran Lin
    AU  - Jinmei Xiong
    AU  - Lijiao Liao
    AU  - Chunliu Luo
    AU  - Jian Gong
    AU  - Hao Xu
    Y1  - 2020/04/28
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajns.20200903.17
    DO  - 10.11648/j.ajns.20200903.17
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 120
    EP  - 123
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20200903.17
    AB  - Purpose: To explore the effect of continuous quality improvement (CQI) of radiation safety management for patients administerediodine-131 after thyroid cancer surgery. Methods: A total of 103 patients with differentiated thyroid carcinoma were randomly divided into control and experimental groups containing 51 and 52 patients, respectively. In the control group, the drug was administered according to the operating procedure for iodine-131 treatment of thyroid carcinoma. In the experimental group, CQI was adopted to manage the radiation safety of care in addition to the conventional iodine-131 thyroid cancer treatment procedures. We also improved radiation safety protection measures prior to drug administration, developed a flow chart of drug administration for patients, established a patient preview of the drug administration process, and enhanced health education and psychological intervention for the patient. Results: The environmental radiation around the drug delivery window was reduced (PP< 0.05), drug drop rate was decreased to 0%, and patient satisfaction was improved in the experimental group compared to the control group. Conclusions: Application of CQI for management of radiation safety when treating thyroid cancer withiodine-131 can improve patient treatment, quality of care, and satisfaction and reduce radiation pollution in the surrounding environment and radiation injury to staff.
    VL  - 9
    IS  - 3
    ER  - 

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