背景:在儿科放射摄影中使用固定或限制是一个多因素问题,涉及相关的法律和伦理考虑。目前的做法经常给放射技师带来挑战,明显缺乏任何专业的最佳实践指导。这项研究调查了爱尔兰的放射技师对使用固定或约束方法的看法以及影响这些选择的因素,旨在填补欧洲放射技师20年的差距,以获得最新的理解并有助于这方面的全球对话。
方法:使用GoogleForms平台构建了匿名在线调查设计,并分发给爱尔兰南部地区的医院放射科。此外,我们向9个放射科的主管发送了一项简短的调查,以审核现有的儿科放射摄影固定和/或约束装置的可用性.进行描述性统计(频率和百分比)。在适当的情况下使用条形图来显示趋势。
结果:1人被猎杀,收到3个回复。大多数放射技师报告在儿科放射摄影期间使用固定(95%)或约束(89%)技术,尽管70%的人承认缺乏有关约束技术的培训。然而,93%的人报告尝试了其他技术,例如分心和谈判,以避免固定或克制。据报告,希望得到进一步的指导和培训,80%的受访者认为培训是必不可少的或潜在的有益的。
结论:儿科X线摄影术中术语“约束”和“固定”之间的区别仍然存在歧义。放射技师在儿科放射摄影期间使用约束和固定受儿童年龄的影响,遇险等级,辐射防护和安全,以及孩子理解指令的能力。建议使用适当的最新指南和培训,以澄清术语并促进儿科放射摄影期间约束和固定的安全实践。
BACKGROUND: The utilisation of
immobilisation or restraint during paediatric radiography is a multifactorial issue with associated legal and ethical considerations. Current practice regularly presents challenges for radiographers, with a notable absence of any professional best-practice guidance. This study investigated radiographers\' perspectives in Ireland on the use of
immobilisation or restraint methods and the factors influencing these choices and aimed to fill the 20-year gap in European radiographers\' perspectives gaining an up-to-date understanding and contribute to the global conversation in this regard.
METHODS: An anonymous online survey design was constructed using the Google Forms platform and distributed to hospital radiology departments across the Southern region of Ireland. Additionally, a short survey was send to the head of the nine radiology departments to audit the existing availability of
immobilisation and/or restraint devices for paediatric radiography. Descriptive statistics (frequencies and percentages) were undertaken. Bar charts were utilised where appropriate to display trends.
RESULTS: One hundered and three responses were received. The majority of radiographers reported using
immobilisation (95 %) or restraint (89 %) techniques during paediatric radiography, although 70 % acknowledged the lack of training regarding restraint techniques. However, 93 % reported trying alternative techniques such as distraction and negotiation to avoid immobilisation or restraint. A desire for further guidance and training was reported, with 80 % of respondents noting training as essential or potentially beneficial.
CONCLUSIONS: Ambiguity remains surrounding the distinction between the terms \"restraint\" and \"immobilisation\" in paediatric radiography. Radiographers\' use of restraint and
immobilisation during paediatric radiography is influenced by the child\'s age, distress level, radiation protection and safety, and the ability of the child to understand instructions. Appropriate up-to-date guidelines and training would be recommended to clarify terminology and promote the safe practice of restraint and immobilisation during paediatric radiography.