Investigation on low-iodine diet implementation by medical staff before radioactive iodine treatment for differentiated thyroid carcinoma

作者全名："Yi, Yupin; Zhu, Yuquan; Wu, Youfeng; Hu, Fengqiong"

作者地址："[Yi, Yupin; Zhu, Yuquan] Chongqing Med Univ, Affiliated Hosp 1, Dept Nucl Med, 1st Youyi Rd, Chongqing 400016, Peoples R China; [Hu, Fengqiong] Chongqing Med Univ, Affiliated Hosp 1, Dept Nursing, 1st Youyi Rd, Chongqing 400016, Peoples R China; [Wu, Youfeng] Chongqing Med Univ, Affiliated Hosp 1, Dept Thyroid Surg, 1st Youyi Rd, Chongqing 400016, Peoples R China"

通信作者："Hu, FQ (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Nursing, 1st Youyi Rd, Chongqing 400016, Peoples R China.; Wu, YF (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Thyroid Surg, 1st Youyi Rd, Chongqing 400016, Peoples R China."

来源：ANNALS OF NUCLEAR MEDICINE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001247856200003

JCR分区：Q2

影响因子：2.6

年份：2024

卷号：38

期号：8

开始页：639

结束页：646

文献类型：Article

关键词：Low-iodine diet; Thyroid carcinoma; Radioactive iodine treatment; Investigation

摘要："ObjectiveTo 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.MethodsConvenience 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.ResultsConcerning 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.ConclusionThis 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."

基金机构：Nursing research Foundation - First Affiliated Hospital of Chongqing Medical University [HLJJ2021-05]

基金资助正文：This study was supported by the Nursing research Foundation funded by the First Affiliated Hospital of Chongqing Medical University (grant numbers HLJJ2021-05).