Investigation and analysis on radiation protection status of medical staff in minimally invasive orthopedic surgery

Objective: To investigate the current status of X-ray radiation protection for medical staff of minimally invasive orthopedic surgery. Methods: From March 2019 to May 2019, a questionnaire survey was conducted among 149 orthopedic surgeons, anesthesiologists and operating room nurses who participated in minimally invasive orthopedic surgery in 9 tertiary hospitals in Shandong Province. A self-designed questionnaire was used to investigate the general demographic data, the status of radiation protection, and the knowledge of radiation protection. Results: The employees participating in orthopedic minimally invasive surgery in 9 tertiary hospitals in Shandong Province accounted for 53.0% of the occupational health examinations each year, 66.4% participated in the radiation protection work training, and averaged 0.46 times per year. Medical staff under the age of 30 were significantly lower in protective knowledge scores than other age groups (P < 0.05). The more desirable training method is on-site simulation guidance (87.3%), and it is more desirable to understand the use of radiation protection products, the principle of ionizing radiation protection and the use of standard C-arm operation (81.88%, 71.81%, 75.84%). Conclusion: In the aspect of radiation protection in orthopedic minimally invasive surgery, hospital administrators pay insufficient attention to the implementation of radiation protection system and inadequate protection equipment. Although some hospitals conduct regular training, the awareness of protection knowledge is not enough, and there is a gap between training content and clinical application. It is necessary to improve the training mode and strengthen training. (authors)