Fan Guoxin, Wang Yueye, Guo Changfeng, Lei Xuefeng, He Shisheng
Orthopedic Department Department of Emergency Medicine, Shanghai Tenth People's Hostipal, Tongji University School of Medicine, Shanghai, China.
Medicine (Baltimore). 2017 May;96(21):e6682. doi: 10.1097/MD.0000000000006682.
Knowledge and concern degree about work-related radiation hazards remained unknown among orthopedic surgeons. The aim of the cross-sectional study is to investigate whether the knowledge degree of work-related radiation is associated with psychological distress among orthopedic surgeons. This cross-sectional study sent electronic questionnaire via WeChat to orthopedic surgeons nationwide. Concern and knowing degree over radiation exposure was evaluated by a single self-reported question. Professional evaluation of concern degree was reflected by general psychological distress, which was assessed with the Kessler 10 scale (K10) and depressive symptoms with the Center for Epidemiologic Studies Depression Scale (CES-D). Only 43.23% (115/266) respondents knew well about radiation and a total of 78.20% (208/266) respondents considered radiation exposure as a great concern. Among those who reported concerns about radiation exposure, a total of 57.69% (120/208) respondents reported knowing little about radiation. Respondents who reported concerns over radiation exposure were significantly associated with higher scores on CES-D and K10 (P < .05). Among respondents who reported concerns over radiation exposure, those who have fewer knowledge about radiation, had higher CES-D and K10 scores than those who knew well about radiation (P < .05). Among respondents who reported no concerns over radiation exposure, those who knew little about radiation still had higher CES-D and K10 scores (P < .05). Fewer radiation knowledge tends to induce more radiation concerns associated with higher psychological distress in orthopedic surgeons. Radiation knowledge should be enhanced for surgeons who daily work with radiation-related fluoroscopy.
骨科医生对与工作相关的辐射危害的了解程度和关注程度仍然未知。这项横断面研究的目的是调查骨科医生对与工作相关辐射的了解程度是否与心理困扰有关。这项横断面研究通过微信向全国骨科医生发送电子问卷。通过一个自我报告的问题评估对辐射暴露的关注和了解程度。关注程度的专业评估通过一般心理困扰来反映，使用凯斯勒10量表（K10）进行评估，抑郁症状则使用流行病学研究中心抑郁量表（CES-D）进行评估。只有43.23%（115/266）的受访者对辐射有充分了解，共有78.20%（208/266）的受访者认为辐射暴露是一个重大问题。在那些报告担心辐射暴露的人中，共有57.69%（120/208）的受访者表示对辐射了解很少。报告担心辐射暴露的受访者在CES-D和K10上的得分显著更高（P<0.05）。在报告担心辐射暴露的受访者中，那些对辐射了解较少的人在CES-D和K10上的得分高于那些对辐射有充分了解的人（P<0.05）。在报告不担心辐射暴露的受访者中，那些对辐射了解很少的人在CES-D和K10上的得分仍然较高（P<0.05）。在骨科医生中，较少的辐射知识往往会引发更多与更高心理困扰相关的辐射担忧。对于日常从事与辐射相关的透视检查工作的外科医生，应加强辐射知识。
