Awareness of patients on ionizing radiation exposure and the risks associated with it in CT scan examination at Moi teaching and referral hospital, Kenya

Ogowe Odhiambo, Abuya Joseph, Mukabi Khakai, N. Caleb, Minayo Isiaho, Njeru Mwangi, Ong’era Omenta
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Abstract

Background: Computer Tomography (CT) scan utilizes ionizing radiation that has been established as risk factors for development of cancer. However, patients’ knowledge of these risks is not well documented and especially in Kenya. Objective: To establish patients’ awareness on ionizing radiation exposure and the risks associated with repeated CT scan examination. Methods: A prospective study carried out in Moi Teaching and Referral Hospital (MTRH). It was descriptive cross-sectional study. Convenient sampling method was used to get a sample size was 120 patients. The data was collected using structured questionnaires and analysed. The study was conducted between April and June 2019. Results: A total of 120 participants were recruited into the study of which 60% were male and 40% female. Majority (38%) had secondary level of education. Overall, 18% were familiar with the term ionizing radiation, 14% knew that CT scan uses ionizing radiation but only 2% were aware that CT scan emits higher ionizing radiation as compared to the general X-rays. At the same time, 65% knew that ionizing radiation posed greater risk to pregnant women. In addition, 10% were aware of the relationship between ionizing radiation exposure and development of cancer. Separately, 63% were aware and observed some of the safety practices in a CT scan unit. Conclusion: Majority of the patients seen at the MTRH CT scan unit did not demonstrate an understanding of the concept of ionizing radiation exposure and the risk associated with multiple CT scans examinations.
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肯尼亚Moi教学和转诊医院CT扫描检查中患者对电离辐射暴露及其相关风险的认识
背景:计算机断层扫描(CT)利用的电离辐射已被确定为癌症发展的危险因素。然而,患者对这些风险的了解并没有很好的记录,特别是在肯尼亚。目的:提高患者对电离辐射暴露及反复CT检查风险的认识。方法:在莫伊县教学转诊医院(MTRH)进行前瞻性研究。本研究为描述性横断面研究。采用方便抽样法,样本量为120例。数据是通过结构化问卷收集和分析的。该研究于2019年4月至6月进行。结果:共招募了120名参与者,其中60%为男性,40%为女性。大多数人(38%)受过中等教育。总体而言,18%的人熟悉电离辐射这个术语,14%的人知道CT扫描使用电离辐射,但只有2%的人知道CT扫描比普通x射线放射出更高的电离辐射。与此同时,65%的人知道电离辐射对孕妇的风险更大。此外,10%的人知道电离辐射暴露与癌症发展之间的关系。另外,63%的人了解并观察了CT扫描单元的一些安全措施。结论:在MTRH CT扫描单元看到的大多数患者不了解电离辐射暴露的概念以及多次CT扫描检查相关的风险。
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