摘要
目的:了解某三甲综合医院X线放射检查中陪检者穿戴防护用品的情况,为降低陪检者的受照剂量提供技术依据和解决方案。方法:于2019年11月,选择2018年6月1日至2019年6月30日某三甲综合医院放射科放射检查(X线和CT检查)过程中在检查机房内陪护的陪检者6535人作为研究对象,按照是否被提醒及指导分为未被提醒组(A组)2126人次,被提醒穿戴组(B组)2181人次,被提醒并指导穿戴组(C组)2228人次,对防护用品穿戴情况(是否穿戴、穿戴是否完整)和不穿戴原因进行研究分析。结果:A、B、C组陪检者防护用品的穿戴率分别为35.00%(744/2126)、85.19%(1858/2181)、91.02%(2028/2228);完整穿戴率分别为15.00%(319/2126)、54.79%(1195/2181)、88.00%(1960/2228),差异有统计学意义(χ2=2969.06,P<0.01)。急诊、门诊、住院患者陪检者放射防护用品不规范穿戴的分别占47.39%(1450/3060)、28.63%(876/3060)、23.99%(734/3060)。拒绝穿戴防护用品的陪检者523人次,原因主要为担心患者病情情绪激动(33.8%,177/523)、病人病情紧急来不及穿戴(32.5%,170/523)。结论:放射工作人员的干预可以有效提高陪检者放射防护用品正确穿戴率,可减少陪检人群放射照射量。
Objective To investigate the situation of wearing protective equipment in the process of X-ray radiation examination(including DR and CT)in a 3A general hospital,so as to provide technical basis and solutions for better reducing the radiation dose of accompanying patients.Methods From November 1,2018 to June 30,2019,the accompanying examinee 6 who had to stay in the examination room during the radiology examination(X-ray and CT examination)of a 3A general hospital from June 1,2018 to June 30,2019 was selected 535 people were divided into three groups according to whether they were reminded and instructed to wear protective equipment:group A was not reminded(group A),group B was reminded to wear protective equipment,and group C was reminded and instructed to wear protective equipment(Group C).Results The wearing rates of protective equipment of the three groups were 35.0%(744/2126),85.2%(1858/2181)and 91.0%(2028/228),and the complete wearing rates were 15.0%(319/2126),54.8%(1195/2181)and 88.0%(1960/228),respectively.4%(1450/3060),28.6%(876/3060),24.0%(734/3060),respectively.523 patients refused to wear protective equipment.The main reasons were emotion(33.8%,177/523)and time(32.5%,170/523).Conclusion The intervention of radiation workers can effectively improve the correct wearing rate of protective equipment and reduce the radiation exposure of accompanying people.
作者
周娟
吕蓉
郭宝峰
陈晨
曾强
Zhou Juan;Lv Rong;Guo Baofeng;Chen Chen;Zeng Qiang(Medical Department of Tianjin Third Central Hospital,Tianjin 300170,China;Department of Radiology,Tianjin Third Central Hospital,Tianjin 300170,China;Tianjin Center for Disease Control and Prevention,Tianjin 300011,China)
出处
《中华劳动卫生职业病杂志》
CAS
CSCD
北大核心
2020年第8期580-582,共3页
Chinese Journal of Industrial Hygiene and Occupational Diseases
基金
天津市卫生行业高层次人才津门医学英才项目(2018.19)。
关键词
放射诊疗
医疗照射
放射防护
Diagnostic radiology and radiotherapy
Medical exposure
Radiation protection
