DOI QR코드

DOI QR Code

The Associated Factors of Protective Behaviors for Radiation Exposure based on Health Belief Model Honam Province Radiologic Technologists

건강신념모델을 적용한 호남지역 방사선사의 방사선 방어행위 수행도 관련 요인

  • Yoon, Yo-Sang (Radiological Science of Hanlyo University) ;
  • Ryu, So-Yeon (Department of Preventive Medicine, Chosun University) ;
  • Park, Jong (Department of Preventive Medicine, Chosun University) ;
  • Choi, Seong-Woo (Department of Preventive Medicine, Chosun University) ;
  • Oh, Hye-Jong (Biomedical laboratory Science of Hanlyo University)
  • 윤요상 (한려대학교 방사선학과) ;
  • 류소연 (조선대학교 예방의학교실) ;
  • 박종 (조선대학교 예방의학교실) ;
  • 최성우 (조선대학교 예방의학교실) ;
  • 오혜종 (한려대학교 임상병리학과)
  • Received : 2019.12.09
  • Accepted : 2020.03.06
  • Published : 2020.03.31

Abstract

This study aimed to identify the associated factors of protective behaviors for radiation exposure among some radiology technologists using the Health Belief Model. The subjects of the study were 541 radiology technologists working at hospitals or clinics in Honam Province. Using the SPSS version 18.0 program, data were analyzed using a t-test, ANOVA, Pearson's correlation analysis, and hierarchical multiple logistic regression analysis. To modify the factors, the performance of subjects who had a higher level of education and nuclear medicine rooms were higher than those who worked in simple radiography rooms. The radiation protective behaviors performance of the subjects who had more exercise, medium-level stress, and worked in higher-quality protection facilities was higher. Regarding the personal perceptions, the cues to action (β=.292, p=.0001), and perceived seriousness (β =.075, p=.010) were factors that had effects on the performance of radiation protection behaviors. Regarding the likelihood of action, the benefits (β=.168, p<.0001), self-efficacy (β=.148, p=.007), and the performance of protective behaviors were higher. In conclusion, protection education as a cue to action should be provided to stimulate protective behaviors, and the benefits of protective behaviors should be emphasized. To increase the performance of protection behaviors, self-efficacy should be enhanced, and the subjects are offered appropriate information that helps perceive seriousness.

본 연구는 방사선사를 대상으로 건강신념모델을 적용하여 방사선사 방사선 방어행위 수행도와의 관련 요인을 규명하고자 하였다. 연구대상은 호남지역 내에 근무하는 방사선사 541명을 대상으로 시행되었다. 자료 분석은 SPSS version 18.0 프로그램을 이용하여 t-test, ANOVA, Pearson's correlation, 위계적 다중회귀분석을 하였다. 자료 분석을 실시한 결과는 수정변수에서 교육수준이 높을수록, 일반촬영실 보다는 핵의학검사실 업무 담당자, 신체활동이 많은 경우, 스트레스는 나쁜 경우 보다는 보통인 경우, 방어시설이 좋을수록 방사선 방어행위 수행도가 높았다. 개인의 인지에서 행동계기(β=.292, p<.001), 인지된 심각성(β=.075, p=.010)이 방사선 방어행위 수행도에 영향을 미치는 요인이었다. 행위가능성은 유익성(β=.168, p<.001), 자기효능감(β=.148, p=.007)이 높을수록 방사선 방어행위 수행도가 높았다. 결론적으로 적절한 행동계기가 방어행위에 수행하도록 자극을 줄 수 있는 방어교육을 제공하고, 방사선 방어행위에 있어서 이익을 부각시키는 한편, 높은 수준의 자기효능감을 강화시켜 방어행위 수행도를 높일 필요가 있다. 또한, 방사선에 대한 심각성을 제대로 인지할 수 있도록 관련 정보를 제공하면, 궁극적으로 방사선사의 방사선 방어행위 수행도가 증가할 것이다.

Keywords

References

  1. W Lee. Current status of medical radiation exposure and regulation efforts. Journal of the Korean Medical Association 2011;52(12):1248-1252 DOI: https://doi.org/10.5124/jkma.2011.54.12.1248
  2. G Bartal, E Vano, G Paulo, D Miller. Mnagement of patient and staff radiation dose in interventional radiology: Current concepts. Cardiovascular and Interventional Radiology 2013;37(2):289-298. DOI: https://doi.org/10.1007/s00270-013-0685-0
  3. P Auguste, P Baton, C Hyde, TE Robert. An economic evaluation of positron emission tomography (PET) and positron emission tomography/ computed tomography (PET/CT) for the diagnosis of breast cancer recurrence. Health Technology Assessment 2011;15(18):1-54. DOI: https://doi.org/10.3310/hta15180
  4. KW Kim. A study on anxiety of dental hygienists about being exposed to radiation. Journal of Korean Society of Dental Hygiene 2012;14(1):1-9. https://doi.org/10.13065/jksdh.2014.14.01.1
  5. D Bor, T Sancak, T Olgar, Y Elcim, A Adanali, U Adanali, S Akyar. Comparison of effective doses obtained from dose-area product and air kerma measurements in interventional radiology. British Journal of Radiology 2004;77(916):315-322. DOI: https://doi.org/10.1259/bjr/29942833
  6. SK Ko, BS Kang, CH Lim. Shielding effect of radiation protector for interventional procedure. Journal of Radiological Science and Technology 2007;30(3):213-219.
  7. HS Kim. Study on the knowledge, perception, and behavior about the protection of workers who have risk of radiation exposure in hospital [master's thesis]. Seoul: Yonsei University, 2000.
  8. EO Han. A protective behavior model against the harmful effects of radiation for radiological technologists in medical centers[doctor's thesis]. Seoul: Ewha Womans University, 2009.
  9. YJ Lee. Knowledge, attitude and behavior for radiation protection of nurses in university hospital [master's thesis]. Seoul: Catholic University, 2014.
  10. Cho HC. Study on perception and behavior about radiation safety management and measurement of radiation dose for workers who work in the angiography room[master's thesis]. Seoul: Korea University, 2004.
  11. SG Kang, EN Lee. Knowledge of radiation protection and the recognition and performance of radiation protection behavior among perioperative nurses. Journal of Muscle and Joint Health 2013;20(3):247-257. DOI: http://dx.doi.org/10.5953/JMJH.2013.20.3.247
  12. DH Hong, HR Jung, CH Lim, JG Choi. Exposure dose to major organs during mammography. International Journal of Applied Engineering Research 2014;9(22):15127-15135.
  13. K Glanz, BK Rimer, K Viswanath. Health behavior and health education: Theory, research and practice. 3rd ed. San Francisco: Jossey-Bass 2002;45-66.
  14. A Bandura. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review 1977;84:191-215. DOI: https://doi.org/10.1037/0033-295x.84.2.191
  15. YH Shin, EJ Kim, HE Shin, JH Lee, SR Jeong. A Program to Build Early School-Aged Child' Personal Hygiene Habits Based on Health Belief Model. Korean J Health Promot 2018;18(1):51-59 DOI: http://dx.doi.org/10.15384/kjhp.2018.18.1.51
  16. SY Kim, CY Cha. Factors related to the management of multidrug-resistant organisms among intensive care unit nurses: an application of the health belief model. Journal Korean Acad Fundam Nurs 2015;22(3):268-276 DOI: https://doi.org/10.7739/jkafn.2015.22.3.268
  17. R Yoo, GS Kim. Factors Affecting the Performance of the Dementia Screening Test Using the Health Belief Mode. Journal of Korean Public Health Nursing 2017;31(3):464-477. DOI: http://dx.doi.org/10.5932/JKPHN.2017.31.3.464
  18. MN Kim, DS Lim, MH Kim, AR Kim, SI Kim, YS Ahn. Effect of health belief factor on oral health related behavior in pregnant woman. Journal of dental hygiene science 2015;15(2):129-137. DOI: https://doi.org/10.17135/jdhs.2015.15.2.129
  19. YH Kim, EJ Heo, HS Lim, EJ Park. A study on the impact of health belief model on the prevalence of influenza vaccination Intention. The Journal of humanities and Social Sciences 2017;218(5):149-166. DOI: http://dx.doi.org/10.22143/HSS21.8.5.9
  20. HS Woo. Factors related to behavior for radiation protection of operating room nurses applying a health belief model [master's thesis]. Gyeonggi-do: Gachon University, 2016. DOI: https://doi.org/10.7475/kjan.2016.28.6.680
  21. IM Rosenstock, VJ Strecher, MH Becker. Social learning theory and the health belief model. Health Education Quarterly 1988;15(2):175-183. DOI: https://doi.org/10.1177/109019818801500203
  22. M Sherer, JE Maddux, B Mercandante, S Prentice-Dunn, B Jacobs, RW Rogers. The self-efficacy scale consruction and validation. Psychologial Reports 1982;51:663-671. DOI: https://doi.org/10.2466/pr0.1982.51.2.663
  23. EO Han, SH Jun. Relationship between knowledge, attitude, behavior, and self-efficacy on the radiation safety of dental hygienist. Journal of Radiation Industry 2008;2(4):185-192.
  24. CN Yu. A longitudinal analysis on subjective health status and life satisfaction in the middle-old aged. Korean Journal of Gerontological Social Welfare 2015;68(68):331-356. DOI: https://doi.org/10.21194/kjgsw..68.201506.331
  25. GE Jeon. Survey of radiation workers' knowledge, perception, and behavior for radiation [master's thesis]. Gwangju: Chonnam National University, 2013.
  26. MG Kim. A Study on the Degree of Self-efficacy and Health Promotion Behaviors of Public Health Nurses[master's thesis]. Gwangju: Chonnam National University, 2008.
  27. T Seierstad, E Stranden, K Bjering, M Evensen, A Holt, HM Michalsen, O Wetteland. Doses to nuclear technicians in a dedicated PET/CT centre utilising 18F fluorodeoxyglucose (FDG). Radiat Prot Dosimetry 2007;123(2):246-225. DOI: https://doi.org/10.1093/rpd/ncl141
  28. CL Craig, AL Marshall, M Sjostrom, AE Bauman, ML Booth, BE Ainsworth, et al. International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise 2003;35(8):1381-395. DOI: https://doi.org/10.1249/01.mss.0000078924.61453.fb
  29. JA Yoon. Original: A comparative study on radiation safety management knowledge, attitudes and behavior of career dental hygienists and new dental hygienists. Journal of Korean Society of Dental Hygiene 2011;11(3):173-179.
  30. S Eom, KW Kim. Factors to affect dental radiation safety management behaviors. Journal of Dental Hygiene Science 2012;12(4):335-341. DOI: http://dx.doi.org/10.4174/jdhs.2012.12.4.335
  31. MK Park, HY Kim. Effects of health belief on fall prevention activities of emergency room nurses. Journal Korean Acad Nurs Adm 2014;20(2):176-186. DOI: https://doi.org/10.11111/jkana.2014.20.2.176
  32. C Choi, J Park, MG Kang, KS Kim. The association between performance of hepatitis B vaccination and health belief factors among some aged persons. Korean Journal of Health Education and Promotion 2006;23(4):89-104.
  33. YJ Choi, HS Jung. Analysis of related factor with practice of handwashing by clinical nurses based on health belief model. Journal of Korean Clinical Nursing Research 2004;9(2):32-41.
  34. HJ Jang, Sh Ahn. A predictive model of fall prevention behaviors in postmenopausal women. Journal of Korean Academy of Nursing 2014;44(5):525-533. DOI: http://dx.doi.org/10.4040/jkan.2014.44.5.525
  35. HS Jo, CB Kim, HW Lee, HJ Jeong. A meta-analysis of health related behavior study based on health belief model in Korean. The Korean Journal of Health Psychology 2004;9(1):69-84