Promotion of Health Management for Individuals and Families among Patients with Thyroid Cancer Receiving Radioactive Iodine-131: Nurses’ Roles

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Panisara Songwatthanayut
Komson Kaewraya
Wilaiwan KomKhum


Patients with thyroid cancer undergoing radioactive iodine (I-131) often obtain unwanted side effects of I-131, including physical and psychological impacts.The family is concerned with patients’ illness and does not understand how to care for patients exposed to radioactive I-131. This article presents knowledge about thyroid cancer, types, signs and symptoms, objectives of I-131 treatment, and nurses’ roles in
promoting health management of patients with thyroid cancer receiving radioactive I-131 and their families. The individual and family self-management theory is used as a guide to assist patients for preparation, healthcare practice, and self-monitoring. To develop self-management skills and abilities of patients, nurses have set mutual goals with patients to practice healthy behavior during the process of receiving I-131. Nurses’ roles include giving support and encouragement, promoting planning and practicing
appropriate health behaviors, and strengthening cooperation among patients, families,and healthcare providers for self-management of patients and encouraging families to help patients achieve a good quality of life.
Keywords: Thyroid cancer, Radioactive Iodine-131, Individual and family selfmanagement,
Nursing roles


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Songwatthanayut P, Kaewraya K, KomKhum W. Promotion of Health Management for Individuals and Families among Patients with Thyroid Cancer Receiving Radioactive Iodine-131: Nurses’ Roles. Rama Nurs J [Internet]. 2021 Dec. 24 [cited 2022 May 28];27(3):313-21. Available from:


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