Assessment of Radiation Protection Knowledge, Attitudes, and Practices (KAP) Among Interventional Radiology Professionals
Main Article Content
Keywords
Knowledge, Attitude, Radiation Protection, Interventional Radiology
Abstract
The prevalence of cardiac disease and associated mortality rates have led to increased cardiac imaging, potentially exposing interventional cardiologists to high radiation doses. This study aims to evaluate the knowledge, attitudes, and practices (KAP) of radiation protection (RP) among interventional radiology professionals in healthcare centers.
Methods: A cross-sectional study was conducted using a validated questionnaire with 30 multiple-choice questions. Participants included healthcare personnel working with radiation, such as secretaries, radiology technologists, nurses, and physicians. The questionnaire assessed KAP regarding RP and was divided into three sections.
Results: Significant differences were observed in RP KAP mean scores based on educational age (p < 0.050). However, there were no significant differences in RP KAP mean scores based on sex, practice age, or hospital type (p > 0.050). Furthermore, a significant difference was found in RP KAP mean scores across different geographical regions (p < 0.050).
Conclusions: Educational and practice age, sex, hospital type, and geographic region influence the KAP of interventional radiology staff regarding RP. Given the potential radiation hazards for both medical personnel and patients, proactive measures are crucial. Regular check-ups, diverse educational samples from various regions, continuous training, and practical courses can improve RP awareness. The findings can inform health physics officers to develop strategic plans for enhancing radiation protection services in interventional radiology departments.
References
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25. Zorzetto M, Bernardi G, Morocutti G, Fontanelli A. Radiation exposure to patients and operators during diagnostic catheterization and coronary angioplasty. Cathet Cardiovasc Diagn 1997. Apr;40(4):348-351. 10.1002/(SICI)1097-0304(199704)40:4<348::AID-CCD4>3.0.CO;2-9
26. Renaud L. A 5-y follow-up of the radiation exposure to in-room personnel during cardiac catheterization. Health Phys 1992. Jan;62(1):10-15. 10.1097/00004032-199201000-00002
27. Bakalyar DM, Castellani MD, Safian RD. Radiation exposure to patients undergoing diagnostic and interventional cardiac catheterization procedures. Cathet Cardiovasc Diagn 1997. Oct;42(2):121-125. 10.1002/(SICI)1097-0304(199710)42:2<121::AID-CCD4>3.0.CO;2-F
28. Limacher MC, Douglas PS, Germano G, Laskey WK, Lindsay BD, McKetty MH, et al.American College of Cardiology ACC expert consensus document. Radiation safety in the practice of cardiology. J Am Coll Cardiol 1998. Mar;31(4):892-913.
29. Ramanathan S, Ryan J. Radiation awareness among radiology residents, technologists, fellows and staff: where do we stand? Insights Imaging 2015. Feb;6(1):133-139. 10.1007/s13244-014-0365-x
30. Fatahi-Asl J, Tahmasebi M, Karami V. The protection knowledge and performance of Radiographers in some hospitals of Ahvaz County. Jentashapir Journal of Health Research 2013;4(5):405-412.
31. Shah AS, Begum N, Nasreen S, Khan A. Assessment of radiation protection awareness levels in medical radiation science technologists-a pilot survey. Journal of Postgraduate Medical Institute (peshawar-Pakistan) 2007;21(3):169-172.
32. Prabhat MP, Sudhakar S, Kumar BP. Ramaraju. Knowledge, attitude and perception (KAP) of dental undergraduates and interns on radiographic protection-A questionnaire based cross-sectional study. Journal of Advanced Oral Research. 2011;2(3):45-50.
33. Mojiri M, Moghimbeigi A. Awareness and attitude of radiographers towards radiation protection. J Paramed Sci 2011;2(4).
34. Svenson B, Söderfeldt B, Gröndahl H. Knowledge of oral radiology among Swedish dentists. Dentomaxillofac Radiol 1997. Jul;26(4):219-224. 10.1038/sj.dmfr.4600253
35. Su WC, Huang YF, Chen CC, Chang PS. Radiation safety knowledge of medical center radiological technologists in Taiwan. Radiat Oncol (NYNY) 2000;50(2):1-3.
36. Rahman N, Dhakam S, Shafqut A, Qadir S, Tipoo FA. Knowledge and practice of radiation safety among invasive cardiologists. J Pak Med Assoc 2008. Mar;58(3):119-122.
2. Leung RS. Radiation Protection of the Child from Diagnostic Imaging. Curr Pediatr Rev 2015;11(4):235-242. 10.2174/1573396311666150729121930
3. Kraska A, Bilski B. Exposure of healthcare personnel to ionizing radiation in the light of radiation hormesis hypothesis. Med Pr 2012;63(3):371-376.
4. Geijer H. Radiation dose and image quality in diagnostic radiology. Optimization of the dose-image quality relationship with clinical experience from scoliosis radiography, coronary intervention and a flat-panel digital detector. Acta Radiol Suppl 2002. Mar;43(427):1-43.
5. Crane GD, Abbott PV. Radiation shielding in dentistry: an update. Aust Dent J 2016. Sep;61(3):277-281. 10.1111/adj.12389
6. Berkhout WE. [The ALARA-principle. Backgrounds and enforcement in dental practices]. Ned Tijdschr Tandheelkd 2015. May;122(5):263-270. 10.5177/ntvt.2015.5.14227
7. Morris ND, Thomas PD, Rafferty KP. Personal radiation monitoring service and assessment of doses received by radiation workers (2004): Australian radiation protection and nuclear safety agency. 2004 [cited 2013 October]. Available from: http://www.arpansa.gov.au.
8. Leyton F, Canevaro L, Dourado A, Castello H, Bacelar A, Navarro MT, et al. Radiation risks and the importance of radiological protection in interventional cardiology: A systematic review. Rev Bras Cardiol Invasiva 2014;22(1):87-98.
9. Matsuda M, Suzuki T. Evaluation of lead aprons and their maintenance and management at our hospital. J Anesth 2016. Jun;30(3):518-521. 10.1007/s00540-016-2140-2
10. Morgan KZ, Turner JE. Principles of radiation protection. A textbook of health physics. In: Robertson JS, editors. The Quarterly Review of Biology;1968;58(6):1128-1129.
11. Holmberg O, Czarwinski R, Mettler F. The importance and unique aspects of radiation protection in medicine. Eur J Radiol 2010. Oct;76(1):6-10. 10.1016/j.ejrad.2010.06.031
12. Arslanoğlu A, Bilgin S, Kubal Z, Ceyhan MN, İlhan MN, Maral I. Doctors’ and intern doctors’ knowledge about patients’ ionizing radiation exposure doses during common radiological examinations. Diagn Interv Radiol 2007. Jun;13(2):53-55.
13. Paolicchi F, Miniati F, Bastiani L, Faggioni L, Ciaramella A, Creonti I, et al. Assessment of radiation protection awareness and knowledge about radiological examination doses among Italian radiographers. Insights Imaging 2016. Apr;7(2):233-242. 10.1007/s13244-015-0445-6
14. Alavi SS, Dabbagh ST, Abbasi M, Mehrdad R. Medical radiation workers’ knowledge, attitude, and practice to protect themselves against ionizing radiation in Tehran Province, Iran. J Educ Health Promot 2017. Jun;6:58.
15. Alavi SS, Taghizadeh Dabbagh S, Abbasi M, Mehrdad R. Radiation protection knowledge, attitude and practice (RP-KAP) as predictors of job stress among radiation workers in Tehran Province, Iran. Iran Red Crescent Med J 2016. Jun;18(10):e29394. 10.5812/ircmj.29394
16. Rehani MM. Training of interventional cardiologists in radiation protection–the IAEA’s initiatives. Int J Cardiol 2007. Jan;114(2):256-260. 10.1016/j.ijcard.2005.11.061
17. World Health Organization. Efficacy and radiation safety in interventional radiology. Geneva: World Health Organization; 2000.
18. Valentin J. Avoidance of radiation injuries from medical interventional procedures. Ann ICRP 2000;30(2):7-67. 10.1016/S0146-6453(01)00004-5
19. Moshfegh S, Hasanzadeh H, Jadidi M, Mirmohammadkhani M, Bitarafan-Rajabi A, Abedelahi A, et al. Evaluation of knowledge, attitude and practice of personnel in operating room, ERCP, and ESWL towards radiation hazards and protection. Middle East J Rehabil Health Stud 2017;4(3):e12354.
20. Brenner DJ, Doll R, Goodhead DT, Hall EJ, Land CE, Little JB, et al. Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. Proc Natl Acad Sci U S A 2003. Nov;100(24):13761-13766. 10.1073/pnas.2235592100
21. Lee CI, Haims AH, Monico EP, Brink JA, Forman HP. Diagnostic CT scans: assessment of patient, physician, and radiologist awareness of radiation dose and possible risks. Radiology 2004. May;231(2):393-398. 10.1148/radiol.2312030767
22. Hauptmann M, Mohan AK, Doody MM, Linet MS, Mabuchi K. Mortality from diseases of the circulatory system in radiologic technologists in the United States. Am J Epidemiol 2003. Feb;157(3):239-248. 10.1093/aje/kwf189
23. Karjodkar F. Textbook of Dental and Maxillofacial Radiology. 2nd ed. New Delhi: Jaypee Brothers; 2011.
24. Statkiewicz-Sherer MA, Visconti PJ, Ritenour ER, Haynes K. Radiation protection in medical radiography. 6th ed. St. Louis: Mosby; 2018.
25. Zorzetto M, Bernardi G, Morocutti G, Fontanelli A. Radiation exposure to patients and operators during diagnostic catheterization and coronary angioplasty. Cathet Cardiovasc Diagn 1997. Apr;40(4):348-351. 10.1002/(SICI)1097-0304(199704)40:4<348::AID-CCD4>3.0.CO;2-9
26. Renaud L. A 5-y follow-up of the radiation exposure to in-room personnel during cardiac catheterization. Health Phys 1992. Jan;62(1):10-15. 10.1097/00004032-199201000-00002
27. Bakalyar DM, Castellani MD, Safian RD. Radiation exposure to patients undergoing diagnostic and interventional cardiac catheterization procedures. Cathet Cardiovasc Diagn 1997. Oct;42(2):121-125. 10.1002/(SICI)1097-0304(199710)42:2<121::AID-CCD4>3.0.CO;2-F
28. Limacher MC, Douglas PS, Germano G, Laskey WK, Lindsay BD, McKetty MH, et al.American College of Cardiology ACC expert consensus document. Radiation safety in the practice of cardiology. J Am Coll Cardiol 1998. Mar;31(4):892-913.
29. Ramanathan S, Ryan J. Radiation awareness among radiology residents, technologists, fellows and staff: where do we stand? Insights Imaging 2015. Feb;6(1):133-139. 10.1007/s13244-014-0365-x
30. Fatahi-Asl J, Tahmasebi M, Karami V. The protection knowledge and performance of Radiographers in some hospitals of Ahvaz County. Jentashapir Journal of Health Research 2013;4(5):405-412.
31. Shah AS, Begum N, Nasreen S, Khan A. Assessment of radiation protection awareness levels in medical radiation science technologists-a pilot survey. Journal of Postgraduate Medical Institute (peshawar-Pakistan) 2007;21(3):169-172.
32. Prabhat MP, Sudhakar S, Kumar BP. Ramaraju. Knowledge, attitude and perception (KAP) of dental undergraduates and interns on radiographic protection-A questionnaire based cross-sectional study. Journal of Advanced Oral Research. 2011;2(3):45-50.
33. Mojiri M, Moghimbeigi A. Awareness and attitude of radiographers towards radiation protection. J Paramed Sci 2011;2(4).
34. Svenson B, Söderfeldt B, Gröndahl H. Knowledge of oral radiology among Swedish dentists. Dentomaxillofac Radiol 1997. Jul;26(4):219-224. 10.1038/sj.dmfr.4600253
35. Su WC, Huang YF, Chen CC, Chang PS. Radiation safety knowledge of medical center radiological technologists in Taiwan. Radiat Oncol (NYNY) 2000;50(2):1-3.
36. Rahman N, Dhakam S, Shafqut A, Qadir S, Tipoo FA. Knowledge and practice of radiation safety among invasive cardiologists. J Pak Med Assoc 2008. Mar;58(3):119-122.
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Published
Dec 23, 2022
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How to Cite
Abeer Abdulrahman Albori, Abdullah Deer Albugami, Ahmed Mohammed Alasmari, Mohammed Ramadan Aldhafeeri, E. M. A. H. R. A. B. S. A. A. H. A. A. A. A. (2022). Assessment of Radiation Protection Knowledge, Attitudes, and Practices (KAP) Among Interventional Radiology Professionals. Journal of Population Therapeutics and Clinical Pharmacology, 29(03), 508-512. https://doi.org/10.53555/jptcp.v29i03.5417
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All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Abeer Abdulrahman Albori, Abdullah Deer Albugami, Ahmed Mohammed Alasmari, Mohammed Ramadan Aldhafeeri, E. M. A. H. R. A. B. S. A. A. H. A. A. A. A. (2022). Assessment of Radiation Protection Knowledge, Attitudes, and Practices (KAP) Among Interventional Radiology Professionals. Journal of Population Therapeutics and Clinical Pharmacology, 29(03), 508-512. https://doi.org/10.53555/jptcp.v29i03.5417