CAUSES OF REPEATS IN PAEDIATRIC RADIOGRAPHY IN THREE TERTIARY HOSPITALS IN ENUGU METROPOLIS


For more Info, call us on
+234 8130 686 500
or
+234 8093 423 853
Paediatric radiography comes with many challenges, unlike in adult’s radiography; children cannot always understand and comprehend a change of environment and cannot obey radiographer’s instruction which may result in repeat cases. Children are more radiosensitive than adults and have a longer life expectancy over which they may develop cancer from exposures to ionizing radiation due to high level of repeats. This is a cross sectional study aimed at determining: the factors that lead to repeat cases in paediatric radiography, the rates of repeats during paediatric radiography and to compare the causes of repeats in paediatric radiography in the hospitals studied. The target population for this study comprises paediatric radiography patients that came for radiography examination during the period of research in the study centres. The three tertiary hospital studied are University of Nigeria Teaching Hospital (UNTH), National Orthopaedic Hospital Enugu (NOHE), and Enugu State Teaching University hospital (ESUTH). Also practicing radiographers working in the three tertiary hospitals in Enugu metropolis where the research was carried out formed part of the study population and were used to elicit information about the factors that lead to paediatric repeat cases. A convenience sampling technique was used in this study. Questionnaire, observation and spy sheet were used as source of data collection. Result of this study showed that repeats in paediatric radiography occur due to patient’s movement, lack of specialised paediatric accessories, lack of dedicated unit, radiographer’s error, equipment error and processing error. The respondents in UNTH (18.5%) associated paediatric repeats mainly to patient’s movement and lack of dedicated paediatric immobilization devices. Most respondents in NOHE (66.7%) blamed paediatric repeats to lack of paediatric immobilization devices leading to patient movement and lack of dedicated unit, while most respondents (50%) in ESUTH blamed paediatric repeats on patient’s movement and lack of dedicated paediatric immobilization accessories. The study showed that majority of the respondents (70%) said that repeat rates occur intermittently. The overall repeat rates recorded is 43.8% (n=64).  The repeat rates in each hospital studied are, UNTH 45.3% (n=29), NOHE 29.7% (n=19), and ESUTH 25% (n=16). Examinations where the repeat rates occurred are; chest [39% n=25], extremities [26.6% n=17], skull is [20.3% n=13] and abdomen [14.1% n=9].Results suggest that hospitals should provide specialised paediatric accessories, and establish a paediatric dedicated unit to reduce paediatric repeats minimally because paediatric repeats can lead to increase in radiation dose, predisposing the paediatric to cancer and other effects of ionizing radiation in future.



TABLE OF CONTENTS
Title page……..…………………………………………………………….i
Dedication …………..……………………………………………………..ii
Approval page……………..………………………………………………iii
Certification ……………………..……………………………………….. iv
Acknowledgement ……………………..…………………………………..v
Table of contents……….………………………………………………….vi
List of tables…………...…………………………………………………..vii
List of figures...................................................................................………..viii
Abstract ……………………………………………………………  ……. ix
CHAPTER ONE: INTRODUCTION
1.1 Background of study.………………………….…………………….1
1.2 Statement of problem..………………………………………………5
1.3 Purpose of study……………….……………………………….……5
1.3.1 Specific objective of study…..………………………….……............6
1.4 Significance of study…………………………………………………..6
1.5 Scope of study………….…….…………………………...……………6
1.6 Operational definition of terms…………………...……….……...........6
CHAPTERTWO: LITERATURE REVIEW
2.1 Evaluation of repeat rates in radiography…………………………….8
2.2 Causes of repeats in radiography…………………………………….18
2.3 Theoretical Background of Study……….………………...………….22
2.3.1 Paediatric radiography……………..…………..……..……………22
2.3.2 Environment………………………………………...…...………….23
2.3.3 Equipment…………………………………………….……..............25
CHAPTER THREE: RESEARCH METHODOLOGY
3.1 Research Design………………………………………….….…….…27
3.2 Target Population…………………………………………...………..27
3.3 Sample size and sampling technique………………………..………28
3.4 Sources for data collection……………………………………..........28
3.5 Instrument for data collection………………………….………........28
3.6 Methods of data analysis……………………………………….…...29

CHAPTER FOUR: RESULTS
4.1 Data presentation…………………………………………….……...30

CHAPTER FIVE: DISCUSSION AND IMPLICATIONS OF RESULTS, CONCLUSION AND RECOMMENDATIONS
5.1 Discussion and Implications of Results…………….………….…...46
5. 1.1 Background characteristics of the respondents……….…….…...46
5.1.2 Objective 1 (Factors that lead to repeat cases in paediatric radiography)…………………………………………....47
5.1.3 Objective 2 (Evaluation of the rates of repeats during Paediatric radiography)………………………………………………...48
5.1.4 Objective 3 (Comparison of the causes of repeats in paediatric radiography in the hospital studied)………………………..49
5.2 Conclusion……………………………………………………..…..49
5.3 Recommendations………………………………………………....49
5.4 Limitations of the Study…………………………………………..50
5.5 Areas of further research………………………………………….50
References
Appendix 1
Appendix 11

LIST OF TABLES
Table 1:Physical characteristic of Radiographers studied……………..…30
Table 2: Comparison between Hospitals of employment and factors 
that Causes Repeats in Paediatric Radiography…..…………………..……38
Table 3: Comparison between Hospital of Employment and Occurrence of Repeats in Paediatric Radiography.………………………39
Table 4: Comparison between Hospital of Employment and Service of Equipment in the Departments…………..….……40
Table 5: Comparison between Hospital of Employment and Efforts 
made in the Department to Establish Dedicated Paediatric Unit……….......41
Table 6: Number of paediatric patients studied……………………………..42
Table 7: Different paediatric examinations carried out in hospital studied….43
Table 8:  Repeats rates in each hospital studied………………………..……44
Table 9: Distribution of repeat rates according to procedures………………..44


LIST OF FIGURES
Figure 1: Shows the cases of repeats in paediatric radiography………………31
Figure 2: Shows the occurrence of repeats in paediatric radiography………..32
Figure 3: Shows factors causing repeats in paediatric radiography………….33
Figure 4: Shows the rate at which equipment is serviced…………………..34
Figure 5: Shows availability of specialized accessories for paediatric Radiography………………………………………………………35
Figure 6: Shows efforts made in the department to establish a dedicated paediatric unit………………………………………..36
Figure 7: Long term effects of repeats in paediatric radiography…………..37

CAUSES OF REPEATS IN PAEDIATRIC RADIOGRAPHY IN THREE TERTIARY HOSPITALS IN ENUGU METROPOLIS
For more Info, call us on
+234 8130 686 500
or
+234 8093 423 853

Share This
Payment Instruction
Bank payment for Nigerians, Make a payment of ₦ 5,000 to

Bank GTBANK
gtbank
Account Name Obiaks Business Venture
Account Number 0211074565

Bitcoin: Make a payment of 0.0005 to

Bitcoin(Btc)

btc wallet
Copy to clipboard Copy text

500
Leave a comment...

    Details

    Type Project
    Department Medical Radiography And Radiological Sciences
    Project ID MRR0092
    Fee ₦5,000 ($14)
    No of Pages 69 Pages
    Format Microsoft Word

    Related Works

    ABSTRACT The main purpose of any patient that comes to the hospital is to get healed or health condition improved. On the other hand, it is the obligation of the Radiographer to ensure that image of diagnostic value is obtained. Radiographic examination of the padediatric comes with its peculiar challenges, which the radiographer must overcome in... Continue Reading
    ABSTRACT The main purpose of any patient that comes to the hospital is to get healed or health condition improved. On the other hand, it is the obligation of the Radiographer to ensure that image of diagnostic value is obtained. Radiographic examination of the padediatric comes with its peculiar challenges, which the radiographer must overcome in... Continue Reading
    This is a prospective non experimental survey study design aimed at describing accident and emergency radiography practices in public hospitals in Enugu Urban. The questionnaires for the study were distributed among radiographers in some public hospitals in Enugu Urban. The objectives and purpose of the research were explained by the researcher.... Continue Reading
    ABSTRACT Gonad shield is one of the most important protective measures used during pelvic radiography to protect the gonad which is very sensitive to radiation. This study on assessment of utilization of gonad shield during pelvic radiography in government-owned hospitals in Enugu urban. The study is aimed at investigating if there is... Continue Reading
    The study aims at evaluating the attitude of radiographers towards the geriatric patients using three tertiary hospitals in Enugu urban which includes University of Nigeria Teaching Hospital (UNTH), National Orthopaedic Hospital Enugu (NOHE) and Enugu State University Teaching Hospital (ESUTH). The objectives of this study are: a) to determine the... Continue Reading
    ABSTRACT                                                                            During pelvic radiography, gonad shield is one of the most important protective measures in use to protect the gonad which is very sensitive to radiation. This is a study on assessment of the use of gonad shield among... Continue Reading
    ABSTRACT The study explores the knowledge, attitude and practices of radiographers towards tuberculosis cases in three tertiary hospitals in Enugu State, Nigeria. It is a descriptive cross-sectional study with the use of questionnaire to obtain information from the radiographers. The survey was carried out between March and July, 2012. This... Continue Reading
    ABSTRACT The study was undertaken to assess the knowledge, attitude and practices of resuscitation of patients among radiographers’ during emergency cases in three tertiary hospitals in Enugu State, Nigeria. It is a descriptive cross-sectional study with the use of questionnaire to obtain information from the radiographers. The survey was... Continue Reading
    Call Us
    Get this work
    whatsappWhatsApp Us