Sebastião Luciana Machado, Flôr Rita de Cássia, Anderson Tiago Jorge
Radiology and Imaging Sector, Hospital Governador Celso Ramos, Florianópolis, SC, Brazil.
Professional Master's Program in Radiological Protection, Instituto Federal de Santa Catarina, Florianópolis, SC, Brazil.
Rev Bras Med Trab. 2023 Feb 3;20(3):430-437. doi: 10.47626/1679-4435-2022-748. eCollection 2022 Jul-Sep.
Interventional neuroradiology procedures subject professionals who work in this area to high doses of ionizing radiation, and such exposure leads to a higher chance of occupational diseases related to this physical risk. Radiation protection practices aim to reduce the occurrence of such damage to the health of these workers.
To identify how the practice of radiation protection occurs in a multidisciplinary team of an interventional neuroradiology service in the state of Santa Catarina, Brazil.
A qualitative, exploratory, and descriptive research conducted with nine health professionals from the multidisciplinary team. Non-participant observation and a survey form were used as data collection techniques. For data analysis, descriptive analysis based on absolute and relative frequency and content analysis were used.
Although some practices showed the use of radiation protection measures in practice, such as workers taking turns to perform procedures and continuous use of the lead apron as well as the mobile suspended protection, we found that most of the practices violate the principles of radiation protection. Among these inadequate radiological protection practices, the following aspects were observed: not wearing lead goggles, not using collimation to obtain the image, poor knowledge of the principles of radiation protection and biological effects of ionizing radiation, and non-use of an individual dosimeter.
There was a lack of know-how of the multidisciplinary team working in interventional neuroradiology regarding the practice of radiation protection.
介入神经放射学程序使从事该领域工作的专业人员暴露于高剂量的电离辐射中，这种暴露会增加与这种物理风险相关的职业病发生几率。辐射防护措施旨在减少此类对这些工作人员健康的损害。
确定巴西圣卡塔琳娜州一家介入神经放射学服务多学科团队中辐射防护措施的实施情况。
对多学科团队的九名卫生专业人员进行了定性、探索性和描述性研究。采用非参与观察和调查问卷作为数据收集技术。数据分析采用基于绝对和相对频率的描述性分析以及内容分析。
尽管一些做法在实际中显示出使用了辐射防护措施，如工作人员轮流进行操作、持续使用铅围裙以及移动悬吊式防护，但我们发现大多数做法违反了辐射防护原则。在这些不充分的放射防护做法中，观察到以下方面：不戴铅眼镜、不使用准直器获取图像、对辐射防护原则和电离辐射生物效应的了解不足以及不使用个人剂量计。
介入神经放射学领域的多学科团队在辐射防护实践方面缺乏专业知识。
