分化型甲状腺癌患者行 131 I治疗辐射防护的知信行现状调查

The status of knowledge-attitude-practice of radiation protection among differentiated thyroid cancer patients treated with 131 I

为了解分化型甲状腺癌患者131 I治疗辐射防护知信行现状及其相关影响因素,我们采用自行设计的辐射防护知信行问卷对某三甲医院核医学科2018年3—6月期间行131 I治疗的330名甲状腺癌患者进行现场调查。结果提示,分化型甲状腺癌患者131 I治疗辐射防护知识、态度、行为百分制平均得分分别为(58±17.88)分、(90.28±7.48)分、(72.13±7.83)分,三者两两正相关,学历是影响患者辐射防护知识水平的主要因素。甲状腺癌患者131 I治疗辐射防护态度积极,但防护知识水平和行为不足,应注重出院后的防护措施指导,并重点关注低学历患者。

To understand the knowledge-attitude-practice (KAP) status and influencing factors of radiation protection among differentiated thyroid cancer patients treated with 131 I, a self-designed questionnaire on KAP of radiation protection was used to investigate 330 thyroid cancer patients treated with 131 I in the Nuclear medicine department of a third-grade class-A hospital from March 2018 to June 2018. The mean percentage scores of knowledge, attitude and practice were 58±17.88, 90.28±7.48 and 72.13±7.83 respectively. And knowledge, attitude and behavior were positively correlated. The educational background was the independent factor affecting the level of knowledge about radiation protection. The radiation protection attitude of thyroid cancer patients treated with 131 I was positive, but the knowledge and practice was inadequate. We should pay attention to the guidance of radiation protection measures to the patients after discharged and to the patients with less education.