提昇手術室護理人員對X光輻射防護執行正確性之專案

A Proposal to Improve Operating Room Nursing Personnel Adherence to Mandated X-Ray Protection Measures

10.6224/JN.57.2.79

黃瑞珍(Jui-Chen Huang)；吳讚美(Tsan-Mei Wu)；陳姬杏(Chi-Hsing Chen)；陳淑華(Shu-Hwa Chen)

手術室 ； 輻射防護措施 ； 工作環境 ； operating room ； radiation protection measures ； working environment

護理雜誌

57卷2期（2010 / 04 / 01）

79 - 86

繁體中文

背景　手術室護理人員普遍對輻射自我防護認知及態度不足，經查核執行X光輻射防護的正確性僅達64%，維護員工福祉及提供安全工作環境，為促成本專案之主要動機。 目的　提升手術室護理人員對X光輻射防護執行正確性，提供安全優質工作場所，並建構安全工作環境。 解決方案　舉辦教育訓練、確保有足夠鉛衣專用架、警示燈號與輻射劑量佩章使用、定期修訂輻射防護參閱手冊、制定輻射防護設施維護及清潔保養之標準作業程序。 結果　輻射防護執行正確率由64%提升至100%；認知程度由68.4分提升至100分（0-100分）；輻射防護設施維護及清潔保養執行正確率由43%提升至100%。 結論　從在職教育中強化同仁正確的輻射防護認知及提供適當的防護設備，可有效提升手術室護理人員對輻射防護觀念的正確性及自身的防護能力，建議將相關輻射防護安全訓練列入手術室定期教育課程，及增加人員對工作環境安全認知是有其必要性。

Background: Cognition of and attitudes toward personal radiation protection amongst operating room nurses have been shown to be inappropriate and insufficient. Research has shown that adherence to full radiation protection measures in the operating room is at only 64 percent. Improvements targeting radiation protection measure compliance were thus developed in order to enhance employee welfare and working environment safety. Purpose: Raise the rate at which radiation protection measures are properly executed in order to provide a safe, high quality working environment for nursing staff and to establish a safe working environment. Resolution: The following were identified as able to influence positively the proper implementation of radiation protection measures: (1) hold programs and training courses on radiation protection; (2) ensure adequate rack space in the operating room for lead-lined vests, install warning signals to indicate when a radiation source is active, and mandate that all personnel wear radiation monitoring badges; (3) edit and update radiation protection manuals; and (4) set up standard operation procedures for maintenance and radiation facility cleaning. Results: Correct execution of radiation protection measures rose from 64% to 100%; cognition of radiation hazards and protection increased from 68.4 to 100 (on a scale of 0 to 100); and correct radiation facility maintenance and cleaning rose from 43% to 100%. Conclusions: Enhancement of radiation protection cognition through in-service-training courses and the provision of appropriate protection facilities can raise radiation protection and self-protection abilities amongst medical staff. We strongly recommend that a course on radiation protection be included in the continuing nursing education curriculum for operating room staff. Enhancing radiation protection cognition further is necessary.