Alavi Seyedeh Shohreh, Dabbagh Sima Taghizadeh, Abbasi Mahya, Mehrdad Ramin
Center for Research on Occupational Diseases, Tehran University of Medical Sciences, Tehran, Iran.
Research Center for Science and Technology in Medicine, Tehran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2017 Jun 5;6:58. doi: 10.4103/jehp.jehp_126_15. eCollection 2017.
Medical radiation workers are potentially at a risk of unwanted ionizing radiation exposures. This study assessed the radiation protection knowledge, attitude, and practice (RP-KAP) of health-care workers who are occupationally exposed to radiation regarding protecting themselves from radiation.
This study was cross-sectional in design and was carried out in 16 hospitals affiliated to the Tehran University of Medical Sciences between May and September 2014. Total health-care workers who were occupationally exposed to radiation comprising 670 individuals were included in the study based on census sampling method. In total, 413 individuals consented to complete an anonymous 32-item questionnaire comprising single best choice questions with a numerical value assigned to each correct answer. Each set of RP-KAP questions was scored and categorized as poor, medium, and good. The effect of independent variables for prediction of RP-KAP was explored using linear regression analyses.
A significant number of participants had poor RP-knowledge (78.9%), RP-attitude (70.7%), and RP-practice (32.4%). Based on linear regression analyses, it was found that field of study (β = 0.1, = 0.001), marital status (β = -0.14, = 0.01), and level of education (β = 0.2, < 0.001) were the predictors of higher RP-knowledge. In-service RP-training (β = 0.1, = 0.04) was associated with an increased RP-attitude. Being a woman (β = 0.2, < 0.001) and longer years of experience with radiation (β = 0.2, < 0.001) were significantly related to better practice.
In-service training with appropriate qualified and up-to-date materials based on radiation workers' educational needs and approved protocols and guidelines is recommended.
医学辐射工作者存在遭受意外电离辐射照射的潜在风险。本研究评估了职业性接触辐射的医护人员在自我辐射防护方面的辐射防护知识、态度和实践(RP-KAP)。
本研究采用横断面设计,于2014年5月至9月在德黑兰医科大学附属的16家医院开展。基于普查抽样方法,纳入了670名职业性接触辐射的医护人员。共有413人同意填写一份包含32个项目的匿名问卷,问卷由单项最佳选择题组成,每个正确答案都有一个数值。每组RP-KAP问题进行评分,并分为差、中、好三类。使用线性回归分析探讨自变量对RP-KAP预测的影响。
相当数量的参与者在RP知识(78.9%)、RP态度(70.7%)和RP实践(32.4%)方面较差。基于线性回归分析,发现研究领域(β = 0.1,P = 0.001)、婚姻状况(β = -0.14,P = 0.01)和教育水平(β = 0.2,P < 0.001)是较高RP知识的预测因素。在职RP培训(β = 0.1,P = 0.04)与RP态度的提高相关。女性(β = 0.2,P < 0.001)和较长的辐射工作年限(β = 0.2,P < 0.001)与更好的实践显著相关。
建议根据辐射工作者的教育需求以及经批准的规程和指南,提供具备适当资质且与时俱进的在职培训材料。