الفهرس 
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Abstract
Summary
The current study aimed to:
Evaluate the effect of nursing instructions on life style of patients’ receiving radioactive iodine for treatment of thyroid disorders.
The following hypotheses were formulated to fulfill the aim of the study:
1. Patients who will receive the nursing instructions will be better regarding physical, social and emotional condition than those patients who will not receive the nursing instructions.
2. Patients who will receive the nursing instructions will have a better life style than those patients who will not receive the nursing instructions.
The study was conducted at the Nuclear Medicine department of Assiut University Hospital and South Egypt Cancer Institute. A sample of (60) adult thyroid disorder patients from both sex. Patients who were admitted in the Nuclear Medicine department for receiving radioactive iodine therapy were included in this study. Those patients were equally divided into 2 groups, study and control group (30) patients for each. The study group who received the nursing instructions and the control group who received the routine hospital care.
The following tools were utilized for data collection:
Tool I: Patient Interview Questionnaire Sheet: It will be designed by the researcher to assess patient physical, social and emotional status after reviewing of national and international literature under supervisors.
Covered the following parts:
Part (1): patients Socio-demographic and medical data about the patient such as (age, gender, marital status, level of education, occupation), Patients’ Medical data which includes: patient diagnosis, previous cancer, and chronic disease (diabetes mellitus, hypertension, and cardiovascular disease …etc.
Part (2): Assessment of patients’ knowledge regarding Radioactive Iodine therapy includes; Definition of Radioactive Iodine therapy, Preparation for Radioactive Iodine therapy…etc.
Part (3): Assessment of patient physical, social and emotional problems: it was used to assess patient’s physical, social and emotional problems.
Tool II: patients Life style questionnaire: it will be used to assess the patient’s life style: It comprises 52 items, which measure the following broad domains: Interpersonal Relations (9 items), health Responsibility (9 items), Nutrition (9 items), Stress Management (8 items), Physical Activity (8 items), Spiritual Growth (9 items), measurement of overall life style of patient.
Scoring system:
Never (N) = 1
Sometimes (S) = 2
Often (O) = 3
Routinely (R) = 4
To calculate the score for overall health-promoting lifestyle, calculate the mean of all 52 questions.
To calculate the score for each of the six subscales, calculate the mean of the responses to subscale items.
Tool III: Designed nursing instruction booklets: This tool will be developed by the researcher based on patients assessment needs after reviewing current national and international literature to improving life style for patients receiving radioactive iodine. It will be formulated and introduced to the study group patients in the form of sessions. …etc
Main findings of the present study were as the follows:
-As regard to demographic data in both study and control groups:
Most of patients were female in both group 90.0% in the control group and 80.0% in the study group, 63.3% in the study group and 80.0% in the control group were married and the majority of the sample in both groups were house wives (70%) in the study group and (60%) in the control group, regarding level of education, the majority of patients were illiterate in both groups, (study & control).
As regard to the mean knowledge scores:
Pre application of the nursing instructions, in the study group one third were at satisfied level of knowledge and the majority of them achieved a satisfactory level of knowledge after application of the nursing instructions 86.7% . No statistically significant difference between the study & control groups regarding their physical, emotional & social problems pre implementing the nursing instructions, while there was a highly statistically significant difference between the study group pre & post implementation of the nursing instructions.
Majority of patients can control their stress and keeping social relation and share concerns with others.
Highly statistically significant difference between the study group pre & post implementation of the nursing instructions, there is an improvement in life style domain in patients post study, two third of patients in the study groups have not physical disorder, majority of patients can control their stress and keeping social relation and share concerns with others. In the study group was observed after implementation of the nursing instructions only 4 patients from the study group had physical disorders. This improvement related to the patients in study groups knew and applied the nursing instructions
Statistically significant correlation between life style domains & physical, emotional & social problems of the study & control group patients.