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电离辐射在大学医院急诊科住院医生、实习医生和放射技师中的认知情况。

Ionising radiation awareness among resident doctors, interns, and radiographers in a university hospital emergency department.

机构信息

Department of Emergency Medicine, Ankara University School of Medicine, Ankara, Turkey,

出版信息

Radiol Med. 2014 Jun;119(6):440-7. doi: 10.1007/s11547-013-0374-8. Epub 2013 Dec 20.

Abstract

PURPOSE

In emergency medicine practice, radiological investigations relying on ionising radiation are increasingly used to diagnose a wide range of diseases and injuries. The aim of this study was to investigate the knowledge of radiation exposure doses and risks among interns, resident doctors, and radiographers.

MATERIALS AND METHODS

A questionnaire, consisting of 14 questions in multiple choice format, was distributed to 300 participants (100 interns, 100 radiographers, 100 resident doctors) working in the emergency department. The participants were asked to estimate the radiation dose that patients received during the different radiological procedures. The questionnaire was designed to determine the participants' knowledge about radiation-related hazards.

RESULTS

None of the radiation doses delivered by the imaging modalities was 100% correctly estimated. A total of 41.4% of all participants and 46.3% of resident doctors underestimated the radiation doses. The frequency of answers underestimating doses was found to be significantly higher (p < 0.001). Resident doctors, with a 39.4% correct answer rate, were found to be significantly less knowledgeable when compared with the interns and radiographers (p = 0.003). Emergency resident doctors had a statistically significantly higher rate of correct answers for the lowest and highest radiation sources for a foetus when compared with other groups (p = 0.001, p = 0.008).

CONCLUSION

Our study showed that the resident doctors', interns', and radiographers' knowledge of radiation exposure from radiological investigations and the associated risks was poor. This result could imply that we are not aware of the radiation risks, and we are inattentive in informing our patients about the radiation exposure related to the different imaging modalities.

摘要

目的

在急诊医学实践中,越来越多地依赖电离辐射的放射学检查用于诊断广泛的疾病和损伤。本研究旨在调查实习生、住院医生和放射技师对辐射暴露剂量和风险的了解。

材料和方法

向在急诊科工作的 300 名参与者(100 名实习生、100 名放射技师和 100 名住院医生)分发了一份包含 14 个多项选择题的问卷。要求参与者估计患者在不同放射学程序中接受的辐射剂量。该问卷旨在确定参与者对与辐射相关危害的了解程度。

结果

没有一种成像方式的辐射剂量 100%被正确估计。总共 41.4%的参与者和 46.3%的住院医生低估了辐射剂量。发现低估剂量的答案频率明显更高(p < 0.001)。与实习生和放射技师相比,住院医生的正确答案率为 39.4%,知识水平明显较低(p = 0.003)。与其他组相比,急诊住院医生对胎儿的最低和最高辐射源的正确答案率具有统计学意义(p = 0.001,p = 0.008)。

结论

我们的研究表明,住院医生、实习生和放射技师对放射学检查的辐射暴露及其相关风险的了解很差。这一结果可能意味着我们没有意识到辐射风险,并且我们没有注意向患者告知与不同成像方式相关的辐射暴露。

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