探索患者对CT辐射暴露信息的偏好:弥合患者偏好和医生实践之间的差距
Abdullah A Alrasheed1,2, Abdulrahman M Alammar3
1Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
大多数接受CT扫描的患者没有被告知辐射风险,尽管他们更喜欢这些信息. 患者对CT辐射风险的认识与教育和先前扫描有关.
科学领域:
- 放射学 放射学是一门学科.
- 患者安全 患者安全
- 医学沟通 医学沟通
背景情况:
- 计算机断层扫描 (CT) 扫描涉及电离辐射,对患者造成潜在的健康风险.
- 患者知情同意和共享决策对于患者安全和有效的患者医生沟通至关重要.
- 关于患者对CT辐射风险的了解程度的研究有限.
研究的目的:
- 为了确定医生在下令CT扫描之前,与患者讨论辐射风险的频率.
- 调查患者人口统计和他们对CT扫描辐射危害的认识之间的关系.
主要方法:
- 一项涉及387名在沙特阿拉伯三级医院接受CT扫描的患者的横截面研究.
- 通过电话采访收集数据,使用结构化问卷.
- 奇二测试用于分析人口因素与辐射风险意识之间的关联.
主要成果:
- 58%的患者知道CT扫描涉及有害辐射,意识与高等教育和以前的CT经验有关.
- 只有7.2%的患者报告说他们的医生提到了辐射剂量,而19.1%的患者讨论了辐射风险.
- 几乎所有患者 (96.9%) 希望获得有关CT扫描必要性的信息.
结论:
- 关于CT扫描辐射有害影响的患者教育存在重大差距.
- 绝大多数患者更愿意被告知CT扫描带来的风险.
- 改善关于辐射风险的沟通对于提高患者理解和共享决策至关重要.
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