KIẾN THỨC, SỰ TỰ TIN VÀ CÁC RÀO CẢN KHI THỰC HIỆN CHẾ ĐỘ ĂN HẠN CHẾ IOD TRÊN NGƯỜI BỆNH UNG THƯ TUYẾN GIÁP TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108

Abstract

Objective: Describe the knowledge, confidence, and barriers to implementing a low iodine diet of thyroid cancer patients at the 108 Military Central Hospital.

Subjects and methods: Cross-sectional study of 250 thyroid cancer patients who were prescribed or had received I¹³¹ treatment.

Results: Females accounted for 88%; those over 45 years old accounted for 48.8% with a mean age of 45.29 ± 10.96 years. Papillary thyroid cancer accounted for 96%, 98.8% of patients had undergone total thyroidectomy, the metastatic rate accounted for 52.4%. The rate of hormone use accounted for 68.8%; the lowest number of I¹³¹ doses was 1 dose, accounting for 51.2%, and ≥ 3 doses accounted for 5.2%. The correct knowledge of thyroid cancer patients about low iodine diet in the question “preparation for radiotherapy is a completely iodine-free diet” accounted for the highest rate of 100%; the lowest correct knowledge rate was in the question “iodine-restricted diet is a low-salt diet” with only 53.2% of patients answering correctly. Thyroid cancer patients were most confident with “can eat iodine-restricted diet if provided with a menu” with 5.84 ± 1.24 points. The lowest barrier was “inconvenient to prepare separate meals from family members” with a score of 2.66 ± 1.49 points.

Conclusion: The correct knowledge of thyroid cancer patients about performing low iodine diet accounted for 77.2%; confidence in performing low iodine diet accounted for 52.24 ± 7.98 points and barriers in performing low iodine diet 38.26 ± 10.72 points.