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医学影像检查的电离辐射暴露——对患者(认知)意识的综述。

Ionising radiation exposure from medical imaging - A review of Patient's (un) awareness.

机构信息

The Royal Marsden Hospital NHS Foundation Trust, Sutton, United Kingdom.

Institute of Cancer Research, Sutton, United Kingdom.

出版信息

Radiography (Lond). 2020 May;26(2):e25-e30. doi: 10.1016/j.radi.2019.10.002. Epub 2019 Oct 31.

Abstract

INTRODUCTION

Medical imaging is the main source of artificial radiation exposure. Evidence, however, suggests that patients are poorly informed about radiation exposure when attending diagnostic scans. This review provides an overview of published literature with a focus on nuclear medicine patients on the level of awareness of radiation exposure from diagnostic imaging.

METHODS

A review of available literature on awareness, knowledge and perception of ionising radiation in medical imaging was conducted. Articles that met the inclusion criteria were subjected to critical appraisal using the Mixed Methods Appraisal Tool.

RESULTS

140 articles identified and screened for eligibility, 24 critically assessed and 4 studies included in synthesis. All studies demonstrated that patients were generally lacking awareness about radiation exposure and highlighted a lack of communication between healthcare professionals and patients with respect to radiation exposure.

CONCLUSION

Studies demonstrate a need to better inform patients about their radiation exposure, and further studies focusing on nuclear medicine patients are particularly warranted.

IMPLICATIONS FOR PRACTICE

Adequate and accurate information is crucial to ensure the principle of informed consent is present.

摘要

简介

医学影像学是人工辐射暴露的主要来源。然而,有证据表明,患者在接受诊断扫描时对辐射暴露的了解程度较低。本综述提供了已发表文献的概述,重点关注核医学患者对诊断成像辐射暴露的认识水平。

方法

对有关医学影像学中电离辐射意识、知识和认知的现有文献进行了综述。符合纳入标准的文章采用混合方法评估工具进行批判性评估。

结果

确定并筛选了 140 篇文章,对 24 篇文章进行了批判性评估,并对 4 项研究进行了综合分析。所有研究都表明,患者普遍对辐射暴露缺乏认识,并强调了医疗保健专业人员与患者之间在辐射暴露方面缺乏沟通。

结论

研究表明,有必要更好地告知患者有关其辐射暴露的情况,特别是需要进一步研究核医学患者。

启示

提供充分、准确的信息对于确保知情同意原则的存在至关重要。

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