護理人員對於甲腺癌患者接受放射性碘-131治療應有之認識

Nursing Care for Patient with Cancer of Thyroid Undergoing with Radioiodine Therapy

張芳瑜(Fang-Yu Chang) ； 董曉萍(Hsiao-Ping Tung) ； 鄭澄意(Cheng-YI Cheng)

《核子醫學雜誌》 17卷4期 (2004/12) Pp. 211-216

https://doi.org/10.6332/ANMS.1704.005

摘要

臨床治療甲狀線癌多以外科手術切除為主，殘餘的甲狀腺則施以放射性碘-131((上標 131)I)作為輔助性治療以達全清除(total thyroid ablation)之目的。由於放射性碘-131的加馬能量較傳統核子醫學檢查或治療的藥物為高，且治療使用之劑量亦大，在當今『聞核色變』的時代，無論對接受治療的患者或是照護患者的護理人員而言，都是一項挑戰。因此，瞭解病患照護之重點並做好自我防護為臨床上不可忽視的課題。本文謹將接受放射性碘-131治療病患之照護重點加以敘述，期能使護理人員於照護此類病患時更得心應手。

關鍵字

甲狀腺 ； 放射性碘-131 ； 護理

並列摘要

Most thyroid cancer patients were treated with surgical excision in our clinical. In order to achieve total thyroid ablation, the remaining tissue of thyroid glands was irradiated with radioiodine. The γ-energy of radioiodine was higher than the traditional examination and the drugs used in nuclear medicine, and the dosage of radioiodine was still higher while treatment too. Both for the patient who was treated with radioiodine and the nurse who take care of the patient, it is a new challenge in the world that everyone fears of nuclear energy. It is an important topic to understand how to take care of the patients who was received iodine-131 therapy and how to protect ourselves properly. In this article, we describe the issues that how to take care of the radioiodine-treated patient and try to help our staff easier in their clinical works.

並列關鍵字

Thyroid ； radioactive iodine-131 ； nursing