十堰市手术室医护人员对X线辐射防护认知情况调查

目的了解十堰市手术室医护人员对X线辐射防护知识的认知、防护意识及自身防护行为的状况，为开展辐射防护工作提供参考资料。方法对3所医疗机构249名手术室医护人员采用自行设计的X线辐射防护认知、防护意识和防护行为问卷进行调查评估，并对医生组和护士组的问卷结果进行简要的统计学分析。结果医护人员对X线辐射防护基本知识知晓率低，医生组掌握情况均优于护士组，但仅部分知识点存在差异性（P〈0．05）。91．57％的医护人员均担心工作中受到辐射伤害并认为“防护培训”是有必要的。护士组对这方面的担心和需求较医生组更为强烈（P〈0．05）。249名医护人员仅8．84％的人员“行X线检查时曾经向检查技师要求过对不照射部位进行防护”。249名医护人员均一致认可“非必要时妊娠妇女不应该行下腹部X线照射”，略超过半数的医护人员在“胸部X线照射时，选择X线透视还是胸部摄片”和“胸部X线摄片是否可以作为儿童常规体检项目”2项中有正确的认识，但医生组识别能力优于护士组（P〈0．05）。结论该市手术室医护人员对X线辐射防护意识高，对实际工作中的放射防护案例有一定的辨别能力，但辐射防护相关知识薄弱，自身采取的防护行为差，相关部门应加强对手术室医护人员薄弱环节的培训。

Investigation on the cognitive situation of X-ray radiation protection among medical staff in operating room in Shiyan City

Objective ] To understand the status of cognition of knowledge about protection against the X-ray radiation, protection awareness and self-protection behavior among medical staff in operating room in Shiyan City, provide the references for radiation protection. Methods ] 249 doctors and nurses in operating rooms of three medical institutions were surveyed and evaluated through the self-designed questionnaires on cognition of knowledge about protection against the X-ray radiation, protection awareness and self-protection behavior. A simple statistic analysis was conducted on the results of questionnaires for the doctor group and the nurse group. Results] The awareness rate of the basic knowledge about protection against the X-ray radiation among medical staff was low. The awareness rate of the doctor group was superior to that of the nurse group, and the significant differences were found in some knowledge points {P 〈0.05 }. 91.57% of the medical staff were worried about the radiation damage and believed that the protection training is necessary. The worry and demand of the nurse group in this aspect were stronger than those of the doctor group （ P 〈 0.05 ）. Only 8.84% of 249 medical staff had asked the technician who conducts the X-ray examination to protect the body parts not to be irradiated. 249 medical staff unanimously thought that pregnant women should not accept lower abdominal X-ray ra- diation when it is unnecessary. Slightly more than half the medical staff had the correct knowledge on the following two items, namely ＂choosing an X-ray irradiation or chest radiography when conduct a chest check＂ and ＂whether the chest X-ray can be used as a routine examination for children or not＂, while the identification ability of the doctor group was better than that of the nurse group {P 〈 0.05}. Conclusion] The doctors and nurses in operating room in Shiyan City have a high protection awareness against the X-ray radiation, have a certain discrimination ability of radiation protection case in actual work, but their knowledge of protec- tion against the radiation is weak, and the protective behaviors are inadequate. So the relevant departments should improve the training on the weak links among medical staff in operating room.