江苏省实施常见职业性放射性疾病诊断标准的调查  

Implementation of Diagnostic Criteria for Common Occupational Radiation Diseases in Jiangsu Province

作　　者：周媛媛[1] 陈维[1] 缪雨季 杨小勇[1] 王福如[1] 王进[1] Zhou Yuanyuan;Chen Wei;Miao Liuyu;Yang Xiaoyong;Wang Fulu;Wang Jin(Jiangsu Provincial Center for Disease Control and Prevention,Nanjing,Jiangsu 210009)

机构地区：[1]江苏省疾病预防控制中心,江苏南京210009

出　　处：《辐射防护通讯》2021年第4期22-26,54,共6页Radiation Protection Bulletin

基　　金：国家卫生健康委法规司2020年度公共卫生标准追踪评价项目(项目编号:20202105)。

摘　　要：采取问卷调查方式,对江苏省内职业性放射性疾病诊断医师、放射工作人员、放射卫生监督人员开展问卷调查,评估5项常见职业性放射性疾病诊断标准在江苏省的实施情况。结果表明:(1)职业性放射性疾病诊断医师对标准的掌握率为61%~89.6%;参加培训率为59.7%~92.2%;标准应用率为62.3%~68.8%,其培训率和应用率显著高于放射卫生监督人员。(2)放射工作人员除《职业性放射性皮肤疾病诊断》的知晓率同放射卫生监督人员有明显差别外,其余标准知晓率两者无统计学差异。(3)放射卫生监督人员标准的培训率为3.2%~48.0%,显著低于职业性放射性疾病诊断医师和放射工作人员,差异有统计学意义。(4)放射工作人员对职业性放射性疾病认知情况的问题回答正确率为34.7%~89.7%,且医疗机构和非医疗机构无明显差别,放射工作人员对申请职业性放射性疾病提交材料的认知情况为73.6%~100%。(5)职业性放射性疾病诊断医师、放射工作人员、放射卫生监督人员对标准中部分条款的认可度尚可。To evaluate the implementation and application of 5 commonly used diagnostic criteria for radiation diseases in Jiangsu Province,a questionnaire survey was conducted among occupational diagnosis physicians,radiation workers and radiation health supervisors.The results showed that:1)for physicians,the master rate,training rate and adoption rate are 61%-89.6%,59.7%-92.2%,62.3%-68.8%respectively.The training rate and adoption rate among them are significantly higher than those among supervisors;2)there is no significant difference in the awareness among workers and supervisors,except that for“the criterion of occupational radiation skin disease diagnosis”;3)the training rate of supervisors is 3.2%to 48.0%,which is significantly lower than that of physicians and workers;4)the Q&A correctness rate of workers on the cognitive status of occupational radiation diseases is 34.7%to 89.7%,and there is no obvious difference between medical and non-medical institutions;the awareness rate of workers on information submitted for determining occupational radiation diseases is 73.6%to 100%;5)the recognition of some provisions of the criteria by physicians,workers and supervisors is acceptable.

关 键 词：职业性放射性疾病 标准 评估 问卷调查 

分 类 号：R148[医药卫生—公共卫生与预防医学]