| 朱其秀,李建明,田金生,等.儿童CT陪检者辐射防护意识及不同情景模式的引导效果分析[J].中华放射医学与防护杂志,2025,45(5):454-459.Zhu Qixiu,Li Jianming,Tian Jinsheng,et al.Exploring the radiation protection awareness of pediatric CT chaperones and the guidance effects under different scenario modes[J].Chin J Radiol Med Prot,2025,45(5):454-459 |
| 儿童CT陪检者辐射防护意识及不同情景模式的引导效果分析 |
| Exploring the radiation protection awareness of pediatric CT chaperones and the guidance effects under different scenario modes |
| 投稿时间：2024-05-23 |
| DOI：10.3760/cma.j.cn112271-20240523-00197 |
| 中文关键词: 计算机体层成像 陪检者 辐射防护 |
| 英文关键词:Computed tomography (CT) Chaperone Radiation protection |
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| 中文摘要: |
| 目的 分析儿童CT陪检者的辐射防护意识及不同情景模式的引导效果。方法 选取2023年10月至2024年1月在广州市妇女儿童中心就诊的491例儿童CT陪检者为研究对象,年龄24~63岁。依次按自取模式、单次语音+手语提示模式和多次语音+手语提示模式引导陪检者穿戴铅围裙、铅围脖和铅帽,每次穿戴分别赋予0.5~3分,记录不同引导模式下陪检者穿戴防护用品的评分结果,并对陪检者的年龄、性别、学历、居住地及陪检次数等因素进行统计学分析。结果 在自取模式中,3种防护用品的正确穿戴率从高到低分别为铅围裙(31.57%,155/491)、铅帽(23.01%,113/491)和铅围脖(16.29%,80/491);3种防护用品穿戴均正确占15.48%(76/491),其中2人(2.63%,2/76)为首次陪检,74人(97.37%,74/76)为2次及以上陪检。在单次提示模式中,3种防护用品穿戴的正确率从最高到低依次为铅帽(71.89%,353/491)、铅围裙(65.99%,324/491)和铅围脖(60.08%,295/491);3种防护用品穿戴均正确占45.82%(225/491)。在多次提示模式中,3种防护用品穿戴正确率从最高到低分别为铅围脖(23.63%,116/491)、铅帽(5.09%,25/491)和铅围裙2.44%(12/491);其中38.70%(190/491)陪检者至此模式才最终完成3种防护用品的正确穿戴。结论 儿童CT陪检者对辐射的自我防护意识差,需规范化语音+手语加以引导。 |
| 英文摘要: |
| Objective To explore the radiation protection awareness of pediatric CT chaperones and the guidance effects under different scenario modes. Methods This study investigated 491 pediatric CT chaperones aged 24 to 63 who were treated in the Guangzhou Women and Children's Medical Center from October 2023 to January 2024. These pediatric CT chaperones were guided to wear lead protective equipment, including a lead apron, neck shield, and cap, in the order of the self-pickup mode, single voice-sign language prompt mode, and multiple voice-sign language prompt mode. They were assigned 0.5 to 3 points/piece for each wearing, and their scoring result under different guidance modes were recorded. Moreover, the relationship of the scoring result with the age, gender, education, residence, and accompanying frequency was statistically analyzed. Results In the self-pickup mode, the wearing accuracy rates of three kinds of protective equipment decreased in the order of the lead apron (31.57%, 155/491), lead cap (23.01%, 113/491), and lead neck shield (16.29%, 80/491). The number of pediatric CT chaperones wearing three kinds of protective equipment properly in the self-pickup mode represented 15.48% (76/491), including two first-time chaperones (2.63%, 2/76) and 74 chaperones experiencing two or more accompanying examinations (97.37%, 74/76). In the single prompt mode, the wearing accuracy rates of three kinds of protective equipment decreased in the order of the lead cap (71.89%, 353/491), lead apron (65.99%, 324/491), and lead neck shield (60.08%, 295/491). The proportion of accurate wearing of three kinds of protective equipment in the single prompt mode was 45.82% (225/491). In the multi-prompt mode, the wearing accuracy rates of three kinds of protective equipment decreased in the order of the lead neck shield (23.63%, 116/491), lead cap (5.09%, 25/491), and lead apron (2.44%, 12/491). Among all the pediatric CT chaperones, 38.70% (190/491) completed the accurate wearing of the three kinds of protective equipment until the multi-prompt mode. Conclusions Pediatric CT chaperones typically show poor radiation protection awareness, necessitating the guidance of standardized voice-sign language prompts. |
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