围和甲状腺项圈:要,还是不要?
Andreas Engström1,2, Mats Isaksson1, Per-Anders Larsson3,4,5
1Department of Medical Radiation Sciences, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, SE-413 45, Sweden.
概括
医疗保健工作人员经常会因为佩戴围和甲状腺项圈而感到不舒服. 大多数工作人员不会接受增加的癌症风险,以避免这种防护装备.
科学领域:
- 医学物理 医学物理
- 职业健康 职业健康 职业健康
- 辐射保护 辐射保护
背景情况:
- 职业辐射暴露已经减少,但围的使用增加了.
- 将辐射剂量减少与防护服的物理负担相平衡是一项挑战.
研究的目的:
- 为了调查工作人员长时间使用围和甲状腺项圈所带来的不适.
- 评估工作人员愿意容忍增加的辐射剂量和癌症风险,以避免使用防护服.
主要方法:
- 在手术室或血管造影室向医疗保健工作人员发送了问卷.
- 瑞典斯卡拉堡医院的245名工作人员回应了.
主要成果:
- 51%的人报告有烦人的温暖,36%的人感到疲劳,26%的人从围中经历了疼痛.
- 三分之一的人会接受每年增加1mSv的剂量,以避免使用.
- 只有五分之一的人能忍受相关的癌症风险增加.
结论:
- 医疗保健工作人员对围和甲状腺项圈的不适是很常见的.
- 很少有工作人员会接受癌症风险的轻微增加,以避免佩戴防护装备.
- 利益相关者的参与突出了决定使用防护设备的挑战.
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