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首页> 外文期刊>Health Physics: Official Journal of the Health Physics Society >An Investigation of Procedural Radiation Dose Level Awareness and Personal Training Experience in Communicating Ionizing Radiation Examinations Benefits and Risks to Patients in Two European Cardiac Centers
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An Investigation of Procedural Radiation Dose Level Awareness and Personal Training Experience in Communicating Ionizing Radiation Examinations Benefits and Risks to Patients in Two European Cardiac Centers

机译：调查手术辐射剂量级别意识和沟通电离辐射检查的个人培训经验对两个欧洲心脏中心患者的益处和风险

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Purpose: Cardiac interventional practitioners need to be appropriately informed regarding radiation dose quantities and risks. Communicating benefit-risk information to patients requires attention as specified in Basic Safety Standards Directive 2013/59/Eurotom. This study investigated the awareness of procedural radiation dose levels and the impact of personal training experience in communicating ionizing radiation benefit-risks to patients. Methodology: A questionnaire, consisting of 28 questions, was distributed directly to adult and pediatric interventional cardiology specialists at specialized cardiovascular imaging centers in Dublin, Ireland and Milan, Italy. Results: A total of 18 interventional cardiologists (senior registrar to consultant grades with between 2 y to over 21 y experience in cardiac imaging) participated. The majority of participants (n = 17) stated that parents of pediatric and adult patients should be informed of the potential benefits and risk. All participants indicated they had radiation safety training; however, 50% had not received training in radiation examination benefit-risk communication. Despite this, 77.8% (n = 14) participants indicated a high confidence level in successfully explaining risks and/or benefits of cardiac imaging procedures. When asked to estimate effective dose (ED) values for common cardiac imaging procedures less than 50% identified appropriate dose ranges. All participants underestimated procedural dose values based on recent European data. 50% (n = 9) participants answered all questions correctly for a number of true or false radiation risk statements. Conclusion: Benefit-risk communication training deficits and inaccurate understanding of radiation dose levels was identified. Further research and training to support clinicians using radiation on a daily basis is required.
机译：目的：需要适当地了解辐射剂量和风险的心脏介入从业者。向患者传达福利风险信息需要按照基本安全标准指令指定的指定的注意力2013/59 / EUROTOM。本研究调查了程序辐射剂量水平的认识以及个人培训经验对患者的电离辐射效益风险的影响。方法论：由28个问题组成的问卷，直接分发到意大利都柏林，爱尔兰和米兰的专业心血管成像中心的成人和小儿介入心脏病学专家。结果：共18名介入心脏病学家（高级注册商给顾问成绩，31岁以上的心脏成像经验）参加。大多数参与者（n = 17）表示，应告知儿科和成年患者的父母潜在的利益和风险。所有参与者都表明他们有辐射安全培训;但是，50％没有收到辐射检查福利风险沟通的培训。尽管如此，77.8％（n = 14）参与者在成功解释了心脏成像程序的风险和/或益处时表明了高置信水平。当被要求估计常见的心脏成像程序的有效剂量（ED）值小于50％鉴定的适当剂量范围。所有参与者都基于最近的欧洲数据低估了程序剂量值。 50％（n = 9）参与者对许多真实或假辐射风险陈述正确地回答了所有问题。结论：鉴定了效益 - 风险沟通培训赤字和不准确对辐射剂量水平的理解。需要通过每日使用辐射使用辐射的临床医生进行进一步的研究和培训。

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