Hayashi Shiro, Takenaka Mamoru, Kogure Hirofumi, Yakushijin Takayuki, Maruyama Hirotsugu, Hori Yasuki, Yoshio Toshiyuki, Ikezawa Kenji, Takagi Tadayuki, Asai Satoshi, Matsunaga Kazuhiro, Matsumoto Kengo, Tsumura Hidetaka, Yamaguchi Shinjiro, Sumiyoshi Tetsuya, Nagaike Koji, Tamaru Yuzuru, Hara Kazuo, Fujisawa Toshio, Oda Ichiro, Ohnita Ken, Kato Motohiko, Nebiki Hiroko, Mikami Tatsuya, Nishihara Akihiro, Egawa Satoshi, Minami Ryuki, Hosono Makoto, Nishida Tsutomu
Department of Gastroenterology and Internal Medicine Hayashi Clinic Osaka Japan.
Department of Gastroenterology Toyonaka Municipal Hospital Osaka Japan.
DEN Open. 2021 Apr 21;1(1):e5. doi: 10.1002/deo2.5. eCollection 2021 Apr.
It is essential for endoscopists, technologists, and nurses to understand radiation protection. However, protective equipment usage is still low, and there is little awareness of radiation protection in practice.
We conducted a questionnaire survey on radiation protection from January to February 2020. The participants were medical staff, including medical doctors, nurses, and radiological and endoscopy technician in endoscopy-fluoroscopy departments. The questionnaire included 14 multiple-choice questions divided among three parts: background, equipment, and knowledge.
We surveyed a total of 282 subjects from 26 institutions. There were 168 medical doctors (60%), 90 nurses (32%), and 24 technologists (9%). Although almost all staff members (99%) always wore a lead apron, only a few wore a thyroid collar (32%) and lead glasses (21%). The rate of wearing a radiation dosimeter was insufficient (69%), especially among doctors (52%). A few subjects knew the radiation exposure dose of each procedure (15%), and slightly over half had attended lectures on radiation protection (64%) and knew about the three principles of radiation protection (59%). Protection adherence did not differ by years of experience, knowledge of fluoroscopy, awareness of radiation exposure doses, or attendance at basic lectures on radiation protection. However, medical doctors who were aware of the radiation exposure dose of each procedure were significantly more likely to wear dosimeters than those who were not (p = 0.0008).
Medical staff in endoscopy departments in Japan do not have enough radiation protection equipment or education.
对于内镜医师、技术人员和护士而言，了解辐射防护至关重要。然而，防护设备的使用率仍然很低，并且在实际操作中对辐射防护的认识也很少。
我们在2020年1月至2月进行了一项关于辐射防护的问卷调查。参与者为医务人员，包括内镜-透视科室的医生、护士以及放射和内镜技术人员。问卷包括14个多项选择题，分为三个部分：背景、设备和知识。
我们共调查了来自26个机构的282名受试者。其中有168名医生（60%）、90名护士（32%）和24名技术人员（9%）。尽管几乎所有工作人员（99%）总是穿着铅围裙，但只有少数人佩戴甲状腺防护颈圈（32%）和铅眼镜（21%）。佩戴辐射剂量计的比例不足（69%），尤其是在医生中（52%）。少数受试者知道每个操作的辐射暴露剂量（15%），略超过一半的人参加过辐射防护讲座（64%）并了解辐射防护的三项原则（59%）。防护依从性在工作年限、透视知识、辐射暴露剂量意识或参加辐射防护基础讲座方面没有差异。然而，了解每个操作辐射暴露剂量的医生比不了解的医生佩戴剂量计的可能性显著更高（p = 0.0008）。
日本内镜科室的医务人员没有足够的辐射防护设备或教育。
