Psychological nursing intervention reduces psychological distress in patients with thyroid cancer: A randomized clinical trial protocol.

BACKGROUND: Thyroidectomy has been considered an effective method to treat thyroid cancer. However, about 20% of patients have psychological distress before surgery. Psychological distress is considered common mental illnesses and it has been reported that the patients who suffer psychological distress have poor clinical outcomes than the patients without psychosocial disorder. Therefore, we design this randomized controlled study to explore the effect of psychological nursing intervention against quality of life and psychological distress of the patients with thyroid cancer. METHOD: The trial will be conducted from September 2020 to December 2020 at Wuhan Fourth Hospital on the basis of the International Council for Harmonisation's Good Clinical Practice Guidelines and the principles of the Helsinki Declaration. The study was authorized via the Research Ethics Committee of the Wuhan Fourth Hospital (Approval number: 20200721-046). This study is a single-center, randomized, 2-arm, evaluator-blinded clinical trial. In all, 90 patients with thyroid cancer undergoing thyroidectomy will be enrolled in this study. The inclusion criteria includes: patients aged between 20 and 60 years old; ASA I-II classification; normal platelet coagulation and count function. The exclusion criteria contains: people with the intellectual and cognitive impairment (behavioral-cognitive intervention); BMI above 35 kg/m; the history of renal and hepatic dysfunction; and patients refuse to participate in this study. Both the patients in psychological intervention group and control group should receive the routine care, while the psychological intervention group also needs to receive the additional proper psychological nursing interventions. The emotional disorders are detected with the Chinese version of Profile of Mood States-Brief. And the patients' life quality is evaluated with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questionnaire (QLQ-C30, version 3.0). All the data are collated into Microsoft Excel 2010 and analyzed with SPSS 12.0 (IBM). RESULTS: It is assumed that psychological nursing intervention could alleviate the psychological distress of patients with thyroid cancer and improve their quality of life. CONCLUSION: This study can provide the reliable evidence regarding the influence of psychological nursing intervention against the life quality and psychological distress of the patients with thyroid cancer. TRIAL REGISTRATION: This study protocol is registered in Research Registry (researchregistry5937).

A Psychological Nursing Intervention for Patients With Thyroid Cancer on Psychological Distress and Quality of Life: A Randomized Clinical Trial.

The present research aimed to investigate the impact of a psychological nursing intervention on psychological distress and quality of life of thyroid cancer patients. A total of 286 participants were randomly divided into two groups: a control group (n = 143) and an intervention group (n = 143). In addition to routine nursing care, patients in the intervention group were given additional psychological nursing interventions. A reduced edition of the Profile of Mood States was used to evaluate mood disturbance, and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questionnaire (version 3.0) was applied to determine the quality of life of patients. The intervention group showed remarkably alleviated depression, anxiety, and mood disturbance when compared to the control group. In addition, global health status, functional status, and symptoms status were significantly improved in the intervention group. In conclusion, our findings suggest that a psychological nursing intervention could reduce psychological distress and enhance the life quality of thyroid cancer patients, which could have clinical value to the treatment of thyroid cancer.

When patients call their surgeon's office: an opportunity to improve the quality of surgical care and prevent readmissions.

BACKGROUND: Little is known about care coordination and communication with outpatient endocrine surgery patients. This study evaluated phone calls between office nurses and surgical patients to identify common issues addressed and their effect on patient care. METHODS: Qualitative analysis of preoperative and postoperative phone conversations between office nurses and endocrine surgery patients. RESULTS: We identified 183 thyroidectomy patients with 38% contacting our office before surgery and 54% within 30 days after surgery. Common reasons for preoperative calls included questions about preoperative evaluation (21%), medications (18%), and insurance and/or work paperwork (12%). Postoperatively, common topics included medications (23%), laboratory results (23%), and concerns about wounds (12%). Nursing staff prevented unnecessary readmission in 7 patients (4%) whereas appropriately referring 16 (9%) for early evaluation. CONCLUSIONS: Patients frequently contact their surgeons before and after endocrine surgery cases. Our findings suggest several areas for improving communication with patients.

Desarrollo y análisis de un protocolo de enfermería en la cirugía tiroidea ambulatoria / No disponible

Introducción: En el año 2004 se inició en nuestro centro latiroidectomía ambulatoria de manera ocasional, siendo actualmente una técnica habitual. Dada la importancia de las posibles complicaciones postoperatorias, hemos realizado una normalización de los cuidados para evitar la variabilidad asistencial propiciada por el grado de formación y/o experiencia de cada profesional de enfermería. Objetivo: El objetivo general fue la protocolización de los cuidados de enfermería en la tiroidectomía ambulatoria para mejorar la calidad en la atención del paciente y la seguridad en la práctica enfermera. Como objetivos específicos: a) facilitar al personal de enfermería una herramienta de trabajo útil; b) proporcionar al paciente unos cuidados estandarizados para evitar errores y minimizar complicaciones, y c) centrar la encuesta telefónica realizada a las 24 horas en la detección de las posibles complicaciones postoperatorias. Material y método: Se realizó: a) revisión bibliográfica; b)creación de un equipo de trabajo interdisciplinar; c) realización de un protocolo enfermero quirúrgico, preoperatorio y postoperatorio;d) elaboración de la hoja de recomendaciones al alta; e) modificación de la hoja de control telefónico introduciendo recomendaciones específicas; f) estudio piloto con el personal nuevo a través de encuestas; y g) divulgación del protocolo en una sesión de enfermería. Resultados: Para el personal ajeno a la unidad ha constatado que el protocolo establecido es una herramienta útil que proporciona seguridad en la práctica enfermera. Todo el procedimiento postoperatorio está cuidadosamente temporalizado, por lo que se ha disminuido el tiempo de estancia media de los pacientes. Los registros telefónicos muestran que los pacientes perciben su estado general como bueno, sin embargo un 23% presentan un EVA superior a 5. (..) (AU)

Background: In 2004 we started ambulatory thyroid surgery as an occasional practice, but now it has become a usual technique. Due to the importance of possible post operative complications, we establish a management protocol of postoperative surveillan ceprepared to avoid errors due to the variability of the professional experience and/or the formation degree of the nursing staff that assist the patient Objective: The general objective was to standardize the caregiven in ambulatory thiroidectomy by the nurse staff, improving the quality of patient care and the security of nurse practice. The specifics objectives were: a) to facilitate the nursing practitioners with a working tool; b) to give patients standardized care to diminish errors and complications; and c) to ensure that the telephonic survey allows identification of possible complications after the patients´ hospital discharge. Material and methods: a) revision of bibliography; b) creation of an interdisciplinary working team; c) development a nursing protocol for surgery, including both pre and post- surgical actions;d) elaboration of a recommendations sheet for after the operation hospital discharge; e) to modify the telephonic survey control sheet including the specific recommendations; f) new study with new personnel using surveys; and g) divulgation of the new protocol within a nurse session. Results: Staff from outside to the unit perceives that there is a nursing tool that gives security to nurse practitioners. All post-surgical procedures are carefully planned (removal of drainage tubes,sedestation, sampling of blood analyses etc) and therefore we have been able to diminish the time spent by patients at the hospital. The telephone surveys show that the (..) (AU)

Long-term lithium therapy leading to hyperparathyroidism: a case report.

PURPOSE: This paper reviews the effect of chronic lithium therapy on serum calcium level and parathyroid glands, its pathogenesis, and treatment options. We examined the case of a lithium-treated patient who had recurrent hypercalcemia to better understand the disease process. CONCLUSION: Primary hyperparathyroidism is a rare but potentially life-threatening side effect of long-term lithium therapy. Careful patient selection and long-term follow-up can reduce morbidity. PRACTICAL IMPLICATIONS: As much as 15% of lithium-treated patients become hypercalcemic. By routinely monitoring serum calcium levels, healthcare providers can improve the quality of life of this patient group.

Thyroidectomy: understanding the potential for complications.

Thyroidectomy is a relatively common procedure. Complications may result from the surgery itself or from secondary metabolic disturbances. Medical-surgical nurses must act quickly and efficiently to detect and treat postoperative complications.

Thyrotoxicosis.

This article deals with the pathogenesis of thyrotoxicosis, the pathophysiological reasons for the manifestations, treatment modalities, and nursing implications. Problems associated with surgery and potential complications are addressed.

Surgical treatment for thyroid cancer.

Thyroidectomy procedures are the mainstay treatment for thyroid cancer and are safe and effective when they are performed by experienced surgeons. Preoperative evaluation of patients with suspected thyroid cancer consists of ultrasonography, radioisotope scanning, and computed tomography scans. Postoperative complications of thyroidectomy procedures include hemorrhage, edema of the glottis, muscle rigidity and spasm (ie, tetany), acute thyrotoxicosis, and damage to the laryngeal nerve. Most surgical patients are discharged home within three days after surgery, and many patients require lifelong thyroid hormone replacement to prevent hypothyroidism.

Evaluaciòn de la recurrencia de bocio post tiroidectomia utilizando la clinica, medicina nuclear y ecografìa: caracteristicas y factores de riesgo / Annual reports 1993 / Evaluation of the recurency of goiter post- thyordectomy using the clinic, nuclear medicine and ultrasound: characteristics and risks factors

Siendo el Paraguay un paìs con elevada prevalencia de bocio y la cirugìa de tiroides uno de los tratamientos realizados comùnmente en esta enfermedad, se estudiaron 24 pacientes operados de la glàndulas tiroides por la clìnica, centellografìa y ecografìa de tiroides. Se observò recurrencia de bocio en el 100 por ciento de los pacientes siendo 67 por ciento nodular y 33 por ciento difuso. El 79 por ciento de los operados no fueron medicados con hormonoterapia de reemplazo, razòn por la cual esta ausencia de homonoterapia se puede considerar como causa principal de la elevada recurrencia post- tiroidectomìa

Thyroid cancer: a review.

Thyroid cancer is a rare and complex disease. The thyroid contains various cell types from which distinct diseases arise. These malignancies range from indolent to extremely aggressive. Diagnosis includes attention to risk factors, family history, and subjective reports. The most valuable tool for diagnosis is the fine-needle aspiration. Primary treatment is surgery with postoperative hormone therapy. Radiation and chemotherapy serve palliative and adjuvant roles in advanced, recurrent, or metastatic disease. Nurses make a significant contribution to patient understanding and successful treatment outcome.

Practical points in the care of the patient post-thyroid surgery.

It is the purpose of this article to discuss the care of the patient after thyroid surgery. Preoperative preparation will be presented, thyroid anatomy reviewed, and surgical interventions identified. PACU care of the patient identifies specific patient priorities and potential postoperative complications.