医护人员的辐射防护意识及常用辐射剂量水平

Khalid Alyousef, Amjad Assiri, Samiah Almutairi, Thekra Aldalham, Ghadah Felimban
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摘要

导言:电离辐射已广泛用于诊断和治疗。电离辐射使用的增加与病人和辐射工作人员的辐射暴露危害有关。提高辐射防护意识水平对于维护医疗机构的安全至关重要。方法:对沙特阿拉伯利雅得阿卜杜勒阿齐兹国王医疗城和阿卜杜勒阿齐兹国王健康科学大学的755名医护人员和学生进行在线问卷调查。问卷由14道选择题组成,分为两部分(与辐射防护和常见放射检查剂量有关的问题)。结果:共443人完成问卷调查,其中医学生142人(32%),放射技师107人(24%),放射学专业学生105人(24%),内科医生89人(20%)。在参与者中,245人(55%)是男性。共有74名(84%)内科医生和51名(47%)放射技师拥有5年以上的工作经验。11名医生(12%)和44名放射技师(41%)有1-4年的工作经验,而其余的则少于1年的工作经验。只有16%的参与者定期参加培训课程。然而,有15%的参加者认为他们对辐射防护的知识很好,而18%的参加者则承认他们的知识不足。与辐射防护意识相关的问题答对了62%。45%的参与者正确回答了普通放射检查中有关剂量的问题。只有23%和16%的参与者分别知道胸部CT和腰椎x射线的非对比剂量。此外,35%和24%的参与者不知道盆腔MRI和腹部超声分别不贡献任何辐射剂量。结论:对辐射防护和剂量水平的认识存在空白;因此,建议卫生保健工作者定期参加进修课程,以提高认识水平。
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Awareness of Radiation Protection and Common Radiation Dose Levels Among Healthcare Workers.

Introduction: Access to ionizing radiation has become widely available for diagnosis and treatment. The increased use of ionizing radiation has been associated with radiation exposure hazards for patients and radiation workers. Raising the level of radiation protection awareness is important to maintain the safety of healthcare settings.

Methods: Online questionnaires were distributed to 755 healthcare workers and students at King Abdulaziz Medical City and King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. The questionnaire consisted of 14 multiple-choice questions divided into two sections (questions related to radiation protection and common radiologic examination doses).

Results: In total, 443 participants completed the questionnaire, including 142 (32%) medical students, 107 (24%) radiology technologists, 105 (24%) radiography students, and 89 (20%) physicians. Of the participants, 245 (55%) were men. A total of 74 (84%) physicians and 51 (47%) radiology technologists had more than 5 years of experience. Eleven (12%) physicians and 44 (41%) radiology technologists had 1-4 years of experience, whereas the rest had less than 1 year of experience. Only 16% of participants attended training courses on a regular basis. However, 15% of the participants thought that they had excellent knowledge of radiation protection, whereas 18% admitted that they did not have sufficient knowledge. Sixty-two percent of the questions related to radiation protection awareness were answered correctly. Forty-five percent of the participants correctly answered questions related to doses from common radiologic examinations. Only 23% and 16% of participants were aware of the noncontrast chest CT and lumbar x-ray doses, respectively. Moreover, 35% and 24% of participants did not know that pelvic MRI and abdominal ultrasound do not contribute any radiation dose, respectively.

Conclusion: The results showed a knowledge gap regarding radiation protection and dose levels; therefore, periodic refresher courses are recommended for healthcare workers in order to increase the level of awareness.

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