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Evaluation of Usefulness according to Environmental Change of Auditory and Visual in Pediatric X-ray

소아 X선 촬영에서 청각과 시각의 환경변화에 따른 유용성 평가

  • Baek, Sung-Wook (Department of Radiology, Christian Hospital) ;
  • Song, Jong-Nam (Department of Radiological Science, Dongshin University) ;
  • Kim, Jeong Hun (Department of Cardiovascular Center, Chonnam National University Hospital) ;
  • Han, Jae-Bok (Department of Radiological Science, Dongshin University)
  • 백성욱 (광주기독병원 영상의학과) ;
  • 송종남 (동신대학교 방사선학과) ;
  • 김정훈 (전남대학교병원 심혈관센터) ;
  • 한재복 (동신대학교 방사선학과)
  • Received : 2017.11.27
  • Accepted : 2017.12.31
  • Published : 2017.12.31

Abstract

Unlike adults, cognitive ability and communication are not accurate in pediatric patients. Therefore movement due to psychological anxiety in X-ray photography is one of the factors that increase repeated irradiation. In order to minimize the rejection of X-ray and to improve the satisfaction of medical service, it is necessary to improve the environment of the radiological room to help psychological stability and to find a positive measure for reduction of radiation dose, including unnecessary. The subjects of this study were 186 pediatric patients from May to July, 2017, who were from 6 months to 36 months, The study group was set up a radiological room without auditory and visual environment changes is A group, except for changes in visual environment, the room where only auditory environmental changes were applied was group B, the auditory environment changes were excluded, and the room where only the visual environment change was applied was divided into group C, the auditory and visual environment changes were applied to the D. In group A, 10 retrospectives were obtained, 7 in group B, 5 in group C, and 2 in group D. Especially in group A and group D, statistically significant at p <0.053 In conclusion, hearing and visual environment changes affected the psychological stability of pediatric patient, and the repeated irradiation was reduced, thus improving the quality of medical services.

성인과 달리 소아의 경우 인지능력과 의사전달이 정확하지 않아 X선 검사에 있어 심리적 불안감으로 인한 움직임은 재검사를 증가시키는 요인 중 하나이다. X선 검사라는 거부감을 최소화하고 의료 서비스의 만족도를 향상하기 위한 방법으로 검사실의 환경을 개선하여 심리적 안정에 도움을 주어 검사과정에서 발생하는 불필요한 재검사를 비롯한 피폭선량 절감에 긍정적인 방안을 알아보고자 하였다. 실험대상으로는 2017년 5월부터 2017년 8월까지 본원 일반촬영실에서 만 6개월 이상~만 36개월 미만의 총 186명의 소아를 대상으로 청각과 시각적 환경변화를 모두 적용시키지 않는 평소 검사실을 A 군, 시각적 환경변화는 제외시키고 청각적 환경변화만 적용한 검사실을 B 군, 청각적 환경변화는 제외시키고 시각적 환경변화만 적용한 검사실을 C 군, 청각과 시각적 환경변화를 모두 적용한 검사실을 D 군으로 설정하여 연구를 진행하였다. A 군에서는 재검사 건수가 10건, B 군 7건, C 군 5건, D 군 2건의 결과를 도출할 수 있었다. 특히 A 군과 D 군에서 통계학적 유의수준 p<0.053으로 유의 하다는 결과를 얻을 수 있었다. 결론적으로 청각과 시각적 환경변화가 소아 심리적 안정에 많은 영향을 미쳤으며, 재검사 건수도 감소하여 의료서비스의 질적 향상 보였다.

Keywords

References

  1. Department of Radiation Safety, Korea Food and Drug Administration, "Technical Information for Pediatric Radiography Radiation Safety Management", series NO. 2, 2010.
  2. S. C. Kim, E. J. Seok, "Effect of Environmental Change in Radiography Room and Psychological Impact on Young Patients", Radiation Technology Science Vol. 30, No.1, 2007.
  3. K. R. Dong, C. B. Kim, "Radiation shoot young child :Environment and real fact Radiation shoot young child", Journal of Advanced Engineering and Technology, Vol. 7, No.4 , pp.185-190, 2014.
  4. H. J. Baek, "Pediatric visual acuity examinations and vision car", Korean Medical Association, Vol. 60, NO. 1, pp. 49-56. 2017. https://doi.org/10.5124/jkma.2017.60.1.49
  5. http://www.dasanarl.com
  6. http://www.naver.com
  7. Y. G. Kwon, J. E. Park, "A Study on the Effect of Green color of Residential Space based on Color Therapy", Journal Korean Society of color Studies, Vol. 18, No.2, pp. 1-11
  8. K. H. Do, "The health effects of low-dose radiation exposure", Korean Medical Association, Vol. 54, No. 12, pp. 1253-1261, 2011. https://doi.org/10.5124/jkma.2011.54.12.1253
  9. International Atomic Energy Agency, "International basic safety standards for protection against ionizing radiations and for safety of radiation sources", IAEA Safety Series No. 115, IAEA, Vienna, 1994.
  10. A. Y. Jeong, "Medical radiation exposure in children and dose reduction", Korean Medical Association, Vol. 54, No. 12, pp. 1277-1283, 2011. https://doi.org/10.5124/jkma.2011.54.12.1277
  11. D. C. Kwon, S. M. Man, D. S. Kim, B. Park,"A Study on the Influence of Environmental Improvement on the Patients in Diagnostic Radiology Room", Korean Society for Quality in Health care, VOl. 9, No. 1, pp. 30-100, 2002.
  12. K. S. Shin, K. Y. Min, D. H. Kim, K. J. Lee, J. H. Park, K. W. Lee, "Entrance Skin Dose According to and Body Size for Pediatric Chest Radiography", Radiation Technology Science, Vol. 33, No. 4, 2010.
  13. J. H. Kwak, J. B. Jeong, "A Study on the Guardian's Perception of Attending Patient in Pediatric Radiography", Journal of the Korean Society of Radiology, Vol. 8, No. 4, pp. 189-201, 2014 https://doi.org/10.7742/jksr.2014.8.4.189

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