Al Mohammad Badera, Gharaibeh Monther, Al Alakhras Maram
Jordan University of Science and Technology, Faculty of Applied Medical Sciences, Allied Medical Sciences Department, Irbid, Jordan.
The Hashemite University, Faculty of Medicine, Department of Special Surgery, Zarqa, Jordan.
J Med Imaging (Bellingham). 2022 Nov;9(6):066002. doi: 10.1117/1.JMI.9.6.066002. Epub 2022 Nov 11.
Many orthopedic procedures, particularly minimally invasive surgeries that require fluoroscopic imaging, present a radiation exposure risk to the orthopedic surgeon. Surgeons may have a higher risk of developing cancer if they receive significant amounts of radiation. Using personal protective equipment (PPE) and appropriate imaging device positioning, plays an important role in reducing the surgeon's radiation exposure. However, there is a lack of knowledge about the surgeon's radiation safety awareness and practices. Therefore, the aim of this study is to investigate the practices and radiation protection knowledge of orthopedic surgeons in the operating theater.
A nationwide survey was conducted from October 2021 to January 2022 to evaluate the radiation protection practices and awareness of orthopedic surgeons in Jordan. Normalized practice and knowledge scores were evaluated through the survey and compared between different groups. Descriptive statistics were used to present the surgeon's practices and radiation protection knowledge. Student's -test was used to compare the outcomes between surgeons that received radiation protection training and surgeons who did not. Using ANOVA analysis, we compared the score outcomes for all the other variables.
The surgeons that received radiation protection training had significantly higher practice score 39.6% compared with 31% for the group that did not have training ( ). No statistically significant difference in the knowledge scores was found between the two groups. Although 91% of the surgeons reported using some kind of PPE, only 5.5% used a dosimeter badge during surgeries.
There is an obvious deficit in radiation safety training of orthopedic surgeons.
许多骨科手术，尤其是需要透视成像的微创手术，会给骨科医生带来辐射暴露风险。如果医生接受大量辐射，患癌症的风险可能更高。使用个人防护设备（PPE）和适当的成像设备定位在减少医生的辐射暴露方面起着重要作用。然而，对于医生的辐射安全意识和做法缺乏了解。因此，本研究的目的是调查手术室中骨科医生的做法和辐射防护知识。
2021年10月至2022年1月进行了一项全国性调查，以评估约旦骨科医生的辐射防护做法和意识。通过调查评估标准化的做法和知识得分，并在不同组之间进行比较。描述性统计用于呈现医生的做法和辐射防护知识。采用学生t检验比较接受辐射防护培训的医生和未接受培训的医生之间的结果。使用方差分析，我们比较了所有其他变量的得分结果。
接受辐射防护培训的医生的实践得分显著更高，为39.6%，而未接受培训的组为31%（ ）。两组之间的知识得分没有统计学上的显著差异。尽管91%的医生报告使用了某种个人防护设备，但只有5.5%的医生在手术期间使用了剂量计徽章。
骨科医生的辐射安全培训存在明显不足。
