The investigation and analysis of radiation protection of ionization contact personnel in the medical institutions of Hefei City
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摘要: 目的 通过对合肥市医疗机构接触电离辐射人员辐射防护的调查分析,探讨辐射防护中存在的问题及其影响因素,针对问题提出干预措施,为持续改进辐射安全、人员健康提供科学依据。 方法 2015年9-11月期间分层整群抽取10家医疗机构共347名接触电离辐射人员进行辐射防护问卷调查,对有效数据进行描述性统计、t检验、方差分析、秩和检验等多种统计学分析。 结果 347名接触电离辐射人员辐射防护知识知晓得分在5~19分之间,平均得分为(14.38±2.12)分。知晓情况在医疗机构等级(t=-4.854,P<0.001)、工种(Hc=8.039,P=0.018)、职业照射种类(F=4.631,P=0.003)上差异有统计学意义。347名接触电离辐射人员中,有175(50.4%)人近2年的在岗期间参加过2次及以上辐射防护培训;有255(73.5%)人认为单位有比较完善的安全组织管理制度;有44(12.7%)人没有常规佩戴个人剂量计,有11(3.2%)人没有剂量计;有162(48.2%)位工作人员不知道自己的剂量监测结果;有72(20.8%)人有时使用或者基本没有使用防护用品,有15(4.3%)人无安全防护器材;有335(96.5%)人认为职业健康体检有必要并参加,有12(3.5%)人否认或持无所谓的态度。 结论 347名接触电离辐射人员辐射防护存在一定的防护问题,应加强医疗机构接触电离辐射人员的培训,强化剂量计、体检以及防护用品的监管等干预措施,以利于提高接触电离辐射人员的辐射安全,并降低不良健康发生风险。Abstract: Objective Via the investigation and analysis of the status of radiation protection of ionization contact personnel in Hefei city, this study aims to find out problems and affecting factors of radiation protection, to intervene and to provide a basis for improving the radiation safety and personnel health. Methods By stratified cluster sampling of radiation protection, we collected 347 ionization contact personnel from September, 2015 to November, 2015 using the descriptive statistics, t test, variance analysis,rank sum test and other statistical analysis methods on the valid data. Results The scores of radiation protection cognition from 347 ionization contact personnel range from 5-19 points, and the average score is (14.38±2.12) points. The cognition statuses differ from levels of hospital (t=-4.854,P<0.001), types of job (Hc=8.039, P=0.018), different types of occupational exposure (F=4.631, P=0.003), which have statistical significance. Among the 347 ionization contact personnels, 175 (50.4%) attended over twice radiological training, 255(73.5%) radiologists regarded their institutions have safety organization management system, 44(12.7%) reported that they did not wear dosimeters, 11(3.2%) were even not equipped with dosimeter, 162(48.2%) did not know the result of the dosimeter, 72(20.8%) sometimes or never used the protection equipment, 15(4.3%) were not equipped with any protection methods, 335(96.5%) regard occupational health examination necessary, and 12(3.5%) regard the occupational health examination meaningless. Conclusion The 347 ionization contact personnel have insufficient radiological protection to some degree. The relevant management should strengthen the training of ionization contact personnel, together with strict supervision, health examination and protective articles, to improve the radiation safety and lower the health hazard risk of the ionization contact personnel.
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Key words:
- Ionizing Radiation /
- Personnel /
- Radiation protection /
- Management
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