| 赵雪,赵宇,管营,等.护理指导对于提高CT检查中陪检者放射防护效果的研究[J].中华放射医学与防护杂志,2019,39(9):702-706.Zhao Xue,Zhao Yu,Guan Ying,et al.Study of nursing guidance on improving the radiation protection effect of accompanying examiners in CT examination[J].Chin J Radiol Med Prot,2019,39(9):702-706 |
| 护理指导对于提高CT检查中陪检者放射防护效果的研究 |
| Study of nursing guidance on improving the radiation protection effect of accompanying examiners in CT examination |
| 投稿时间：2019-05-28 |
| DOI：10.3760/cma.j.issn.0254-5098.2019.09.012 |
| 中文关键词: 放射诊疗 医疗照射 护理指导 放射防护 |
| 英文关键词:Diagnostic radiology and radiotherapy Medical exposure Nursing guidance Radiological protection |
| 基金项目: |
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| 中文摘要: |
| 目的 统计调查黑龙江省某三甲医院CT诊断过程中，陪检者在护理干预和非干预情况下放射防护用品的佩戴情况，为医疗机构更好地降低陪检人群的受照剂量提供技术依据和解决方案。方法 设对照组和干预组，对防护用品佩戴情况进行调查统计，并尝试采用移动式铅屏风代替个人防护用品并调查其效果。结果 共调查CT检查中陪检者防护用品佩戴情况4 890人次。护理人员干预后，佩戴率提高由73%提高至94%，佩戴完全率由19%提高至81%。拒绝佩戴情况多为时间原因，其中急诊陪检者拒绝佩戴概率与门诊、住院陪检者拒绝佩戴概率具有统计学意义（t=4.956，P<0.05）。在使用移动式铅屏风后，人员防护概率提高至99%。结论 护理干预能够有效提高陪检者防护用品佩戴率和佩戴完全率，移动玻璃铅屏风有利于陪检者防护水平的提高。 |
| 英文摘要: |
| Objective To survey the current situation of wearing protective articles by accompanying examiners in the nursing conditions of intervention and non-intervention during CT diagnosis in a tertiary A hospital. Methods A control group and an intervention group were set up to investigate the situation of wearing protective devices. Attempt was made to use mobile lead screens in place of personal protective devices and their effects were investigated. Results A total of 4 890 unavoidable accompanying examiners wearing protective equipment during CT examination were investigated. After nursing guidance, the wearing rate increased from 73% to 94%, and the complete wearing rate increased from 19% to 81%. Refusal to wear protective devices was mostly due to limited time. Refusal rate of emergency accompanying examiners was significantly higher than that of outpatient and inpatient accompanying examiners. After using mobile lead screen, the probability of personnel protection increased to 99%. Conclusions Nursing intervention can effectively improve the wearing rate and complete wearing rate of protective articles for accompanying examiners. Moving glass lead screen is conducive to the improvement of protection level for accompanying examiners.. |
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