Amare Dagnachew Eyachew, Dagne Henok
Department of Environmental and Occupational Health & Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P.O. Box, 196, Gondar, Ethiopia.
Ethiop J Health Sci. 2020 Jul 1;30(4):589-598. doi: 10.4314/ejhs.v30i4.14.
Physicians' knowledge about radiation exposure and risks was previously reported as inadequate. Therefore, the aim of this study was to assess knowledge and associated factors regarding radiation exposure among medical students from common diagnostic imaging procedures at the University of Gondar.
A cross-sectional study was conducted to assess knowledge and associated factors regarding radiation exposure among medical students. A total of 473 medical students (first through sixth years of study) completed a structured questionnaire. Univariate and multi-variable binary logistic regression was used to see the factors associated with knowledge of medical students on radiation sources, exposure and risks. Variables with p-value <0.2 during the bivariable binary logistic regression were tested in the multivariable binary logistic regression. P-value<0.05 was used to declare significant association at the final model.
Response rate was 100%. Two hundred fifteen (45.5% 95% confidence interval (CI )(41.0%-50.3%)) participants had good knowledge regarding radiation exposure from diagnostic imaging procedures. Only 177(37.4%) participants correctly knew that Computer Tomography (CT) use X-ray. However, subjects incorrectly named magnetic resonance imaging (MRI) as if it used x-ray (12.1%) and source of ionizing radiation (19.5%). Being female [Adjusted-odds-ratio (AOR)=1.57,95% CI(1.05,2.36)], 18-20 years of age [AOR=2.18, 95% CI(1.26, 3.76)], and 1 to 3 year of study [AOR=3.64, 95% CI(2.23,5.95)] were predictors of knowledge identified.
The results highlight that medical students need to be trained well with sufficient radiological education that enable them later to adhere to safe practices.
此前有报道称医生对辐射暴露及风险的了解不足。因此,本研究的目的是评估贡德尔大学医学生对常见诊断成像程序中辐射暴露的知识及相关因素。
开展一项横断面研究,以评估医学生对辐射暴露的知识及相关因素。共有473名医学生(一年级至六年级)完成了一份结构化问卷。采用单变量和多变量二元逻辑回归来观察与医学生对辐射源、暴露及风险知识相关的因素。在双变量二元逻辑回归中p值<0.2的变量在多变量二元逻辑回归中进行检验。最终模型中使用p值<0.05来表明存在显著关联。
应答率为100%。215名(45.5%,95%置信区间(CI)(41.0%-50.3%))参与者对诊断成像程序中的辐射暴露有良好的了解。只有177名(37.4%)参与者正确知道计算机断层扫描(CT)使用X射线。然而,有受试者错误地将磁共振成像(MRI)说成使用X射线(12.1%)以及电离辐射源(则为19.5%)。女性(调整优势比(AOR)=1.57,95%CI(1.05,2.36))、年龄在18至20岁之间(AOR=2.18,95%CI(1.能确定的知识预测因素。
结果表明,医学生需要接受充分的放射学教育培训,以便他们日后能够坚持安全操作。