三级医院介入放射防护能力及个人防护现状调查

发布时间：2018-07-14 09:52

【摘要】：目的调查三级医院介入放射防护能力及个人防护现状。方法 2014年6月至2015年11月于广东省某三级医院对108名在介入室、CT/MR室、介入导管室、放疗科、放射科的在岗的医师、技术人员及护理人员进行问卷调查。采用自行设计的问卷,调查医务人员的一般人口学资料、个人辐射接触及防护资料,自制医院介入放射防护能力问卷(I-CVI、S-CVI均为0.9)调查医院的介入放射防护能力。结果广东省某三级医院在屏蔽设施、操作时间及距离防护方面的防护能力较强,但仍缺乏完善保健休假制度,职业危害检测不足,存在对防护及培训制度执行力不足等现象。个人防护方面,介入手术过程中铅围裙的使用率仅为72.2%,不佩戴放射检测仪高达4.6%,表示不确定放射检测仪佩戴位置的医务人员高达9.3%。结论医疗机构对放射介入医务人员个人防护、职业健康重视不足;部分医务人员防护意识淡薄,防护知识缺乏,对职业防护缺乏足够重视,有待进一步加强。
[Abstract]:Objective to investigate the ability of interventional radiation protection and the present situation of personal protection in tertiary hospitals. Methods from June 2014 to November 2015, a questionnaire survey was conducted among 108 doctors, technicians and nursing staff in CTP / Mr, interventional catheterization, radiotherapy and radiology departments in a level III hospital in Guangdong Province. The self-designed questionnaire was used to investigate the general demographic data, personal radiation exposure and protection data of medical staff. The self-made questionnaire on the ability of interventional radiation protection (I-CVIN S-CVI was 0.9) was used to investigate the ability of interventional radiation protection. Results the protective ability of shielding facilities, operating time and distance protection in a tertiary hospital in Guangdong Province was strong, but it was still lack of perfect health care leave system, inadequate occupational hazard detection, insufficient execution of protection and training system and so on. In terms of personal protection, the utilization rate of lead apron during interventional surgery was only 72.2, and the number of medical personnel who did not wear a radiometer was up to 4.6. the medical staff who indicated that they were not sure where the radiodetector was wearing were as high as 9.3 percent. Conclusion the medical institutions pay less attention to the personal protection of the medical personnel involved in radiation and pay less attention to the occupational health, and some medical staff have a weak sense of protection, lack of knowledge of protection, lack of enough attention to the occupational protection, and need to be further strengthened.
【作者单位】：广东省医学科学院、广东省人民医院介入治疗科;广东省医学科学院、广东省人民医院护理部;广东省医学科学院、广东省人民医院手术室;广东省医学科学院、广东省人民医院肿瘤中心;
【基金】：广东省医学科学技术研究基金(WSTJJ20140609510102197301126142)
【分类号】：R142

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