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骨科医生关于辐射安全和透视使用的行为及知识技能水平:一项调查分析。

Behaviour and knowledge skill levels of orthopedic surgeons about radiation safety and fluoroscopy use: A survey analysis.

作者信息

Fidan Fırat, Çetin Mehmet Ümit, Kazdal Cengiz, Kılıç Feyzi, Özkaya Ufuk

机构信息

Sancaktepe Şehit Prof.Dr.İlhan Varank Eğitim ve Araştırma Hastanesi, İstanbul, Turkey.

Tekirdağ Namık Kemal üniversitesi Ortopedi veTravmatoloji Anabilim Dalı, Tekirdağ, Turkey.

出版信息

Acta Orthop Traumatol Turc. 2019 Jul;53(4):301-305. doi: 10.1016/j.aott.2019.04.008. Epub 2019 May 9.

Abstract

OBJECTIVE

The aim of this study was to evaluate the behaviour and knowledge skill levels of Turkish orthopedic surgeons about fluoroscopy usage and radiation safety.

METHODS

The questionnaire, consisting of nineteen questions, was sent to orthopaedic surgeons and requested by a total of 323 surgeons online. The questions were about personal information, training and behaviours related to radiation and fluoroscopy usage, and the use of protective equipment.

RESULTS

A total of 277 individuals completed the questionnaire. The answers of 180 surgeons whose working duration was more than 1 year and also who participated in at least one fluoroscopy requiring operation per week, were analysed. 22 (12%) participants answered that they were trained on fluoroscopy usage. Sixty people (33.3%) reported that they did not use any protective equipment regularly. The most commonly used protection methods were lead aprons 123 (68.3%). Thyroid protectors were used by 92 participants (52.1%). There was no significant difference between the groups when comparing the use of protective equipment according to the academic title. Only 19 (10.6%) of the surgeons noted that they used dosimeter regularly, and 15 (83.3%) of them reported that they controlled their dosimeters.

CONCLUSION

In this study, Orthopedic surgeons were found not to be adequately trained about use and risks of fluoroscopy and also not to be equipped about methods for preventing radiation damage.

摘要

目的

本研究旨在评估土耳其骨科医生在荧光透视使用和辐射安全方面的行为以及知识技能水平。

方法

向骨科医生发放了一份包含19个问题的问卷,共有323名外科医生通过网络填写。问题涉及个人信息、与辐射及荧光透视使用相关的培训和行为,以及防护设备的使用情况。

结果

共有277人完成了问卷。对180名工作年限超过1年且每周至少参与一台需要荧光透视的手术的外科医生的答案进行了分析。22名(12%)参与者回答他们接受过荧光透视使用方面的培训。60人(33.3%)报告称他们没有定期使用任何防护设备。最常用的防护方法是铅围裙,有123人(68.3%)使用。92名参与者(52.1%)使用了甲状腺防护器。根据学术职称比较防护设备的使用情况时,各群体之间没有显著差异。只有19名(10.6%)外科医生指出他们定期使用剂量仪,其中15名(83.3%)报告称他们会查看自己的剂量仪。

结论

在本研究中,发现骨科医生在荧光透视的使用和风险方面未得到充分培训,在预防辐射损伤的方法方面也未做好准备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f32/6739260/69cce26112a5/gr1.jpg

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