影响C臂机下骨科手术医务人员放射防护依从性的相关因素及对策

陈少娟?马凯冰?鲍群梅?陈思颖?江水娇

[摘要] 目的 分析影響骨科手术中应用C臂机医护人员放射防护依从性的相关因素及探讨相应的对策，为提高医护人员放射防护的依从性提供依据。 方法 对术中应用C臂机进行手术的医护人员进行问卷调查，了解其放射认知情况及自身对防护所采取的措施情况，再针对其中的不足做出改进。将2013年12月调查前的防护现状及依从性情况列为对照组，经1年时间的数据总结、原因分析、专业培训及整改措施落实后，将2015年后的防护措施及依从性情况列为实验组。 结果 根据调查所得的结果，对医护人员进行针对性的规范化培训及对不足进行逐项整改，医护人员的放射防护知识知晓率和对防护措施执行的依从性均得到明显的提高（P<0.05）。 结论 加强医护人员专项知识培训，提高其防护意识，建立和健全放射防护规章制度，增加高规格要求的射线屏蔽手术间数量，淘汰陈旧沉重的防护用具，提供充足的新型防护设施并对其执行严格的清洁消毒感染控制管理，克服医护人员不良抵触情绪，可有效提高医护人员放射防护的依从性。

[关键词] X射线；防护装置；骨科手术；辐射防护；依从性

[中图分类号] R472 [文献标识码] A [文章编号] 2095-0616（2017）10-150-04

Related factors and countermeasures affecting radiation protection compliance under c-arm of operating room staff members in department of orthopedics

CHEN Shaojuan MA Kaibing BAO Qunmei CHEN Siying JIANG Shuijiao

Operating Room， Zhaoqing First People's Hospital，Zhaoqing 526060，China

[Abstract] Objective To analyze related factors and explore countermeasures which can affect radiation protection compliance under C-arm of operating room staff members in orthopedic surgery to provide references for radiation protection compliance of medical staff. Methods Medical staff who used C-arm in surgery were given questionnaire survey.Their awareness of radiation and measures of self-protection were known.Of which，the weakness was improved.Prevention status and compliance before the survey of December 2013 were set as the control group.After one year of data summarization，cause analysis，professional training and rectification measures，prevention measures and compliance after 2015 were set as the experimental group. Results After targeted standardized training and rectification term by term of weakness for medical staff according to survey results，knowledge rate of radiation protection and implementation compliance of prevention measures were both significantly improved（P<0.05）. Conclusion There are many ways to effectively improve radiation protection compliance of medical staff，including strengthening specialized knowledge training of medical staff，improving awareness of protection，establishing and amplifying rules and regulations of radiation protection，increasing the number of radiation shielding operating room with high-specification requirements，discarding old and heavy protective devices，providing adequate new prevention safeguards with strict management of cleansing，disinfection and infection control and getting rid of bad inimical emotions of medical staff.

[Key words] X-ray；Protective devices；Orthopedic surgery；Radiation protection；Compliance