CAJ | 학술논문

目的：探讨医疗机构辐射安全现状及影响因素。方法：对浙江省台州市部分医疗单位共200人进行辐射安全现状及其影响因素的问卷调查。统计分析调查对象的一般资料、辐射安全的相关因素、辐射安全知晓、辐射安全工作经验交流、对安全防护的重视、参加辐射安全培训班和佩戴个人剂量计的情况。结果：经济文化与生产力发展、员工授权与辐射安全低度相关（均R＜0．5）；组织承诺、激励约束、沟通报告等与辐射安全中度相关（均0．5＜R＜0．7）；管理者安全意识、员工安全意识、安全需要等与辐射安全高度相关（均R＞0．7）。辐射安全及工作经验交流在三级医院均优于二级和其他等级医院，在二级医院均优于其他等级医院（均P＜0．05）。安全防护、辐射安全工作经验方面高级、中级职称均优于初级职称（均P＜0．05），但在高级和中级职称之间差异无统计学意义（P＞0．05）。参加安全培训班在本科、研究生学历均优于专科及以下学历（均P＜0．05）；佩戴个人剂量计在不同学历人员之间无明显差异（P＞0．05）。结论：医院管理、员工个人安全意识等因素与辐射安全高度相关，应给予重视；应加强医院之间以及辐射工作人员之间关于辐射安全的交流学习。
목적：탐토의료궤구복사안전현상급영향인소。방법：대절강성태주시부분의료단위공200인진행복사안전현상급기영향인소적문권조사。통계분석조사대상적일반자료、복사안전적상관인소、복사안전지효、복사안전공작경험교류、대안전방호적중시、삼가복사안전배훈반화패대개인제량계적정황。결과：경제문화여생산력발전、원공수권여복사안전저도상관（균R＜0．5）；조직승낙、격려약속、구통보고등여복사안전중도상관（균0．5＜R＜0．7）；관리자안전의식、원공안전의식、안전수요등여복사안전고도상관（균R＞0．7）。복사안전급공작경험교류재삼급의원균우우이급화기타등급의원，재이급의원균우우기타등급의원（균P＜0．05）。안전방호、복사안전공작경험방면고급、중급직칭균우우초급직칭（균P＜0．05），단재고급화중급직칭지간차이무통계학의의（P＞0．05）。삼가안전배훈반재본과、연구생학력균우우전과급이하학력（균P＜0．05）；패대개인제량계재불동학력인원지간무명현차이（P＞0．05）。결론：의원관리、원공개인안전의식등인소여복사안전고도상관，응급여중시；응가강의원지간이급복사공작인원지간관우복사안전적교류학습。
Objective: To investigate the situation and influential factors of medical institutions’ radiation safety.Methods: Questionnaires were used to survey the situation and influential factors of radiation safety of 200 people in some medical units of Taizhou city .The situation of re-spondents’ general data, related factors of radiation safety, the knowledge of radiation safety, radiation safety work experience exchange, the at-tention to security, participating in radiation safety training, and wearing personal dosimeter were statistically analyzed.Results: Economy and culture, productivity development and employee empowerment had low correlation with radiation safety (all R <0.5); Organizational commit-ment, incentive and restraint, communication report and others and moderate correlation with radiation safety (all 0.5<R<0.7); Managers’ safety awareness, employees’ security awareness, security needs and so on had high correlation with radiation safety (all R>0.7); Radiation safety and the exchange of experience working in the tertiary hospitals was better than that in the secondary hospital or other hospitals , and the secondary hospitals’ was better than that in other hospitals (all P<0.05);Security protection and radiation safety exchange of experience in sen-ior and intermediate titles were better than that in junior titles (all P<0.05), but there was no significant differences (all P>0.05) among sen-ior and intermediate titles.Participating in safety training courses at the undergraduate and graduate degrees were better than that in college educa-tion and below (all P<0.05); Wearing personal dosimeter had no significant difference among the different educated personnel (P >0.05). Conclusion:Factors concerning hospital management and personal security awareness are highly correlated with radiation safety , which should be given attention.It should be strengthened between hospitals and radiation workers to communicate and learn about radiation safety.