Radiation protection for surgeons and anesthetists: practices and knowledge before and after training
Radiation protection for surgeons and anesthetists: practices and knowledge before and after training
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DOI：
10.1088/1361-6498/aa9dbd
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发表时间：
2018-03-01
影响因子：
1.5
通讯作者：
Sari-Minodier, I
中科院分区：
文献类型：
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作者：
Brun, A.;Mor, R. Alcaraz;Sari-Minodier, I
在手术室（OR）中使用放射性活动和眼睛透镜剂量的调节性降低需要评估如何保护医务人员免受辐射。本研究旨在评估手术室医生在培训前后的辐射防护（RP）实践和知识。2016年对法国公立医院中心的外科医生和麻醉师进行了描述性研究。在RP培训前和培训后一个月，分发一份关于RP职业实践和知识的临时问卷。参加培训的103名医生中，有90名在培训前回答了调查问卷。结果表明，缺乏知识和良好的做法，在快速成型。大多数参与者（86.7%）从未接受过RP培训，并认识到知识不足。穿铅围裙者占92.2%，戴甲状腺防护罩者占50.0%，戴铅眼镜者占5.6%，被动剂量计者占53.3%，电子剂量计者占17.8%。没有一个人受益于集体保护设备，如天花板悬挂的屏幕。只有35名医生完成了培训后的调查问卷。培训前后的比较结果表明，知识的提高（正确回答的分数：培训前5.5/16，培训后9.5/16），但在RP良好做法（正确回答的分数：培训前3.2/7，培训后3.3/7）。在使用X射线时，一次培训似乎不足以改善安全规则的应用。麻醉师和外科医生之间关于RP的沟通需要改善，例如培训更新，与X射线使用相关的OR工作站分析和职业医疗随访。否则，需要更好地考虑手术室的放射性风险，例如放射性白内障风险。有必要鼓励使用剂量计和防护设备，并加强获得铅玻璃和集体防护设备，如天花板悬挂的屏幕。所有这些建议确保接收的剂量降低到合理可达到的最低水平。
The use of radiological activity in the operating room (OR) and a regulatory decrease of the eye lens dose warrant an assessment of how medical staff are protected from radiation. This study aims to evaluate practices and knowledge in radiation protection (RP) for OR doctors before and after training. A descriptive study of surgeons and anesthetists in a French public hospital center was conducted in 2016. An ad hoc questionnaire concerning occupational practices and knowledge about RP was distributed before and one month after RP training. Among 103 doctors attending the training, 90 answered the questionnaire before the training. Results showed a lack of knowledge and good practice in RP. Most of the participants (86.7%) had never been trained in RP and recognized insufficient knowledge. Most of them (92.2%) wore a lead apron, 50.0% a thyroid-shield, 5.6% lead glasses, 53.3% a passive dosimeter and 17.8% an electronic dosimeter. None of them benefitted from collective protective equipment such as a ceiling suspended screen. The questionnaire following the training was completed by only 35 doctors. A comparison before and after training results showed an improvement in knowledge (scores of correct responses: 5.5/16 before and 9.5/16 after training) but not in RP good practices (scores of correct responses: 3.2/7 before and 3.3/7 after training). One training session appears to be insufficient to improve the application of the safety rules when x-rays are used. Communication needs to be improved regarding RP among anesthetists and surgeons, such as training renewal, workstation analysis in OR related to x-ray use and occupational medical follow-up. Otherwise, radiological risks in OR need to be given better consideration, such as radio-induced cataract risk. It is necessary to encourage the use of dosimeters and protective equipment and to strengthen access to lead glasses and collective protective equipment, such as ceiling suspended screens. All these recommendations ensure the received dose is reduced to as low as is reasonably achievable.