知信行模式下医院非放射工作人员电离辐射安全认知效果评价

Evaluation of safety-cognition effect of ionizing radiation to non-radiation staff on conception of knowledge,attitude,belief and practices

目的分析研究"知信行"模式对医院非放射工作人员核及辐射防护知识培训宣教的影响,为医院不同科室与临床核医学科高效协作及管理提供参考。方法选取对临床核医学诊断受检者有密切接触的非放射工作人员,于培训及行政管理干预前后分别进行问卷调查,问卷是根据健康教育知识、信念、行为(KABP)模型自行设计,内容包括核与辐射的基本知识、放射性核素的特性及应用、电离辐射的医用防护和核与辐射的监管四大方面。对问卷的评分采用赋值法进行数据分析比较。结果知信行模式宣教及干预后各相关工作人员的核及辐射防护相关知识得分均高于培训前,差异具有明显的统计学意义(P<0.01)。结论开展放射防护知识培训宣教及科研活动,能有效改善和核素受检者有密切接触工作人员的知信行能力,同时,还应当重视加强管理部门的干预。

Objective To analyze the effect of training and education on radiation protection to non - radiation staffs in hos- pital based on conception of knowledge, attitude, belief and practices （KABP） , and to provide reference for effective coopera- tion between clinical departments and nuclear medicine department. Methods Questionnaire surveys were performed before and after training and management intervention to staff who were closely contacted with patients undergone radionuclide exami- nation. The questionnaire was designed on the basis of KABP, including four aspects ： nuclear and radiation knowledge, char- acteristics and applications of radionuclides, medical protection for ionizing radiation and supervision of nuclear and radiation. The score of the questionnaire was used with assignment method. Results The scores were significantly higher after training and education （ P 〈 0. 01 ）. Conclusion Training , education and scientific research on radiation protection can effectively improve the ability of KABP to non - radiation staffs in a hospital. Attention should be paid to strengthen the interventions of the management departments.