西安市医疗机构放射科医护人员辐射防护调查

摘要/Abstract

摘要： 在2019年9—12月份随机选取西安市30家医疗机构的放射科进行辐射防护问卷调查。根据调查对象的人口社会学特征和职业特征、工作环境状况、辐射防护知识、个人建议等调查项目,探讨西安市各级医疗机构及放射科医护人员目前辐射防护现状,并针对其中的问题提出相应的解决措施。结果显示西安市各级医疗机构放射科医护人员的辐射防护仍存在缺陷,应强化对医护人员辐射防护意识的培养以及提高针对医护人员的辐射保护,普及放射科辐射防护管理制度并监督辐射防护制度的执行。在2019年9—12月份随机选取西安市30家医疗机构的放射科进行辐射防护问卷调查。根据调查对象的人口社会学特征和职业特征、工作环境状况、辐射防护知识、个人建议等调查项目,探讨西安市各级医疗机构及放射科医护人员目前辐射防护现状,并针对其中的问题提出相应的解决措施。结果显示西安市各级医疗机构放射科医护人员的辐射防护仍存在缺陷,应强化对医护人员辐射防护意识的培养以及提高针对医护人员的辐射保护,普及放射科辐射防护管理制度并监督辐射防护制度的执行。

关键词: 医疗机构, 放射科, 辐射防护, 调查

Abstract: From September to December 2019, radiology departments of 30 medical institutions in Xi'an were randomly selected for a questionnaire survey on radiation protection, and required 214 valid data. According to the survey objects' demographic and sociological characteristics and occupational characteristics, working environment, radiation protection knowledge, personal suggestions and other survey items, this paper aims to discusses the current situation of radiation protection in medical institutions and radiology medical staff at all levels in Xi'an city, and provides corresponding solutions to the problems. The results showed that there are still defects in radiation protection of medical staff in the radiology department of xi'an medical institutions at all levels. It is necessary to strengthen the training of radiation protection awareness of medical staff, improve the radiation protection for medical staff, popularize the radiation protection management system in the radiology department and supervise the implementation of the radiation protection system.From September to December 2019, radiology departments of 30 medical institutions in Xi'an were randomly selected for a questionnaire survey on radiation protection. Based on the demographic sociological and occupational characteristics, working conditions, radiation protection knowledge, personal advices and other items, we discuss the current situation of radiation protection in medical institutions and radiology staff at all levels in Xi'an city, and provide corresponding solutions to the problems. The results showed that there are still some shortcomings in the respect. It is necessary to strengthen the cultivation of radiation protection awareness of medical staff and improve radiation protection for medical staff, popularise the radiation protection management system of radiology departments and supervise the implementation of radiation protection system.

Key words: Medical institution, Radiology department, Radiation protection, Investigation

中图分类号:

胡逢源, 路笑笑, 穆雪晨, 李鹏, 辛雪丫, 李婉清, 段云燕. 西安市医疗机构放射科医护人员辐射防护调查[J]. 辐射防护通讯, 2021, 41(1): 22-29.

HU Fengyuan, LU Xiaoxiao, MU Xuechen, LI Peng, XIN Xueya, LI Wanqing, DUAN Yunyan. Investigation on Radiation Protection of Medical Staff in Radiology Department of Medical Institution in Xi'an[J]. RADIATION PROTECTION BULLETIN, 2021, 41(1): 22-29.

参考文献

[1] 郑钧正,贺青华,李述唐,等.我国电离辐射医学应用的基本现状[J].中华放射医学与防护杂志,2001,21(S1):13-20.
[2] 孙德刚.国内外数字化医疗设备发展现状与趋势[J].机器人技术与应用,2003,(1):10-13.
[3] 郑钧正,高林峰,卓维海,等.上海市放射诊疗发展趋势与医疗照射防护研究[J].辐射防护,2014,34(5):265-273,280.
[4] UNSCEAR. Sources and effects of ionizing radiation, Vol. I: UNSEAE 2008 Report to the General Assembly with Scientific Annexes[M]. New York, 2010.
[5] 李春莉,赵国莹.医学设备电离辐射的危害与防护[J].长春中医药大学学报,2009,25(6):923.
[6] 赵辰星,林丹君,胡珈铭.台州市医疗机构辐射安全现状及影响因素分析[J].医学与社会,2015,28(11):34-36.
[7] 张立康,饶滢,林清机.漳州市放射科医生放射防护意识调查[J].中国辐射卫生,2001,10(1):61-62.
[8] 潘珍祯,杨秀珍.放射科辐射防护与安全管理[J].中医药管理杂志,2020,28(1):154-155.
[9] 张露,张云,胡成洋,等.合肥市医疗机构接触电离辐射人员辐射防护调查[J].中华全科医学,2018,16(11):1916-1919.
[10] 郑钧正.《电离辐射防护与辐射源安全基本标准》关于职业照射的控制[J].中国职业医学,2006,(4):299-303.
[11] 王修德,孙华斌,王骞.我国医学放射工作者的职业危害与职业病研究现状[J].实用医药杂志,2008,(7):858-860.
[12] 葛建云,胡书芳,王风云,等.从事放射介入工作医护人员职业危害因素调查及防护[J].齐鲁护理杂志,2009,15(9):30-31.
[13] Domienik-Andrzejewska J, Kałużny P, Piernik G, et al. Occupational exposure to ionizing radiation and lens opacity in interventional cardiologists[J]. Int J Occup Med Environ Health,2019, 32(5):663-675.
[14] 王进,杨小勇,余宁乐,等.热释光个人剂量监测的质量保证及参加2008年比对结果[J].中国辐射卫生,2009,18(3):315-316.
[15] 田崇彬,杨均芳,程晓军.河南省放射工作人员外照射个人剂量水平分析[J].中国辐射卫生,2003,12(4):220-222.
[16] 赵国良,郑亦军,李勇,等.华东地区33家医疗单位放射诊疗设备机房防护水平调查[J]. 医学研究生学报, 2014,(8):847-850
[17] 李宏毅,刘宇静,黄志聪.X线影像诊断设备辐射剂量的危害与防护[J].中国医疗设备,2008,(9):58-61.
[18] 白光.医学工作者的职业照射:剂量水平、辐射危害和个人剂量监测[J].国外医学(放射医学核医学分册),2005,(4):171-176.
[19] Fucic A, Merlo D F, Ceppi M, et al. Spontaneous abortions in female populations occupationally exposed to ionizing radiation[J]. Int Arch Occup Environ Health, 2008,81(7):873-879.
[20] 李小娟,孙全富,傅颖华,等.我国7省158家医院放射工作人员职业健康管理现状分析[J].中国职业医学,2013,40(3):237-241.