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患者对医疗辐射暴露的认知:作为有效沟通电离辐射风险的第一步,对患者进行调查。

Awareness of medical radiation exposure among patients: A patient survey as a first step for effective communication of ionizing radiation risks.

机构信息

Centro Diagnostico Italiano, Milano, Italy; progettoDiventerò di Fondazione Bracco, Milano, Italy; Carl E. Ravin Advanced Imaging Labs, Duke University and Clinical Imaging Physics Group, Duke University Health System, Durham NC, USA.

Centro Diagnostico Italiano, Milano, Italy.

出版信息

Phys Med. 2017 Nov;43:57-62. doi: 10.1016/j.ejmp.2017.10.014. Epub 2017 Oct 31.

Abstract

INTRODUCTION

The European Directive 2013/59/EURATOM requires patient radiation dose information to be included in the medical report of radiological procedures. To provide effective communication to the patient, it is necessary to first assess the patient's level of knowledge regarding medical exposure. The goal of this work is to survey patients' current knowledge level of both medical exposure to ionizing radiation and professional disciplines and communication means used by patients to garner information.

MATERIAL AND METHODS

A questionnaire was designed comprised of thirteen questions: 737 patients participated in the survey. The data were analysed based on population age, education, and number of radiological procedures received in the three years prior to survey.

RESULTS

A majority of respondents (56.4%) did not know which modality uses ionizing radiation. 74.7% had never discussed with healthcare professionals the risk concerning their medical radiological procedures. 70.1% were not aware of the professionals that have expertise to discuss the use of ionizing radiation for medical purposes, and 84.7% believe it is important to have the radiation dose information stated in the medical report.

CONCLUSION

Patients agree with new regulations that it is important to know the radiation level related to the medical exposure, but there is little awareness in terms of which modalities use X-Rays and the professionals and channels that can help them to better understand the exposure information. To plan effective communication, it is essential to devise methods and adequate resources for key professionals (medical physicists, radiologists, referring physicians) to convey correct and effective information.

摘要

简介

欧洲指令 2013/59/EURATOM 要求在放射程序的医疗报告中包含患者的辐射剂量信息。为了向患者提供有效的沟通,首先需要评估患者对医疗照射的了解程度。这项工作的目的是调查患者对电离辐射和专业学科的当前知识水平,以及患者用来获取信息的沟通手段。

材料与方法

设计了一份包含 13 个问题的问卷,共有 737 名患者参与了调查。根据人口年龄、教育程度以及在调查前三年接受的放射程序数量对数据进行了分析。

结果

大多数受访者(56.4%)不知道哪种方式使用电离辐射。74.7%的人从未与医疗保健专业人员讨论过与他们的医疗放射程序相关的风险。70.1%的人不知道有哪些专业人员具备讨论医疗用途电离辐射的专业知识,84.7%的人认为在医疗报告中注明辐射剂量信息很重要。

结论

患者同意新规定,即了解与医疗照射相关的辐射水平很重要,但对于哪些方式使用 X 射线以及哪些专业人员和渠道可以帮助他们更好地理解照射信息,了解甚少。为了进行有效的沟通,必须为关键专业人员(医学物理学家、放射科医生、转诊医生)设计方法和充足的资源,以传达正确有效的信息。

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