放射性介入治疗中知情现状调查及其影响因素  

Investigation on the Informed Consent Status Quo of Radiological Interventions and its Influence Factors

作　　者：毕正宏[1] 李克[2] 林森浩[3] 陶虹月[2] 刘彬[3] 任新平[4] 刘蕊[5] 

机构地区：[1]复旦大学附属华东医院放射科上海市延安东路221号,上海200041 [2]复旦大学附属华山医院放射科 [3]复旦大学附属中山医院超声诊断科 [4]复旦大学附属华山医院超声诊断科 [5]复旦大学附属肿瘤医院放射科

出　　处：《中国医学计算机成像杂志》2012年第1期51-53,共3页Chinese Computed Medical Imaging

摘　　要：目的:了解放射性介入治疗中患者对X射线危害性的知情现状及医生对患者的告知情况,并分析其影响因素。方法:随机抽取上海4家医院共60位接受放射性介入治疗的患者或家属,发放调查问卷,回收并分析结果。结果:55位(96%)患者表示其接受介入治疗前主治医生明确向其告知了X射线损伤的相关信息。接受问卷调查的所有患者均认为医生告知其X射线的危害性是非常有必要的。学历水平较高者及有从事医务工作亲友者在受诊前对X射线损伤知晓率明显高于学历水平低者或没有从事医务工作亲友者,(P=0.001)。结论:各知识阶层及家庭状况不同的患者对X线放射性损伤的了解情况存在差异。放射性介入治疗中X射线危害性的知情同意实施力度尚可,但仍需加强,特别是对文化水平不高以及没有从事医疗工作亲友的患者。Purpose： To investigate the sufferers＇ knowledge about the harm of X - ray and status of physicians＇ informing, and try to find out its influence factors. Methods： A questionnaire was given to 60 sufferers, who had undergone radiologicai interventions in hospitals of Shanghai, or their relatives. Analysis was carried out after the questionnaires were retrieved. Results： Fifty- five cases （96%） pre- sented that they knew about the harm of X - ray after physicians informed them before cure, and all cases considered it necessary that physicians should inform them of the harm about X - ray. Those cases with high education background or with relatives and friends worked in medical institutions realized the harm about X - ray better, and significant statistical difference was shown between them and the others （P = 0. 001）. Conclusion： Knowledge about the harm of X- ray is different between sufferers with different education and home background. Performance of informed consent about the harm of X - ray during ra- diological interventions should be strengthened, especially in those who with low education background and without relatives and friends worked in medical institutions.

关 键 词：放射性介入治疗 X射线危害 知情同意 

分 类 号：R815[医药卫生—放射医学]