《职业性放射性疾病诊断总则》(GBZ 112—2017)在四川省的追踪调查报告

Follow up investigation report of “General guideline for diagnosis of occupational radiation diseases”(GBZ 112—2017) in Sichuan Province

目的了解四川省职业病诊断机构、职业病诊断医师和放射工作人员对《职业性放射性疾病诊断总则》(GBZ 112—2017)的知晓、理解及运用情况,提出修改、机构管理、人员培训、标准宣贯建议。方法采用调查表法收集数据,EpiData录入,SPSS17.0软件进行统计分析。结果共调查了3家职业病诊断机构、8名诊断医师和485名放射工作人员;仅1家职业病诊断机构具备受照剂量估算能力;诊断医师和放射工作人员标准知晓率分别为100%和67.2%;诊断医师标准培训率为50%,标准采用率为0,11项标准条款可行率均为100%;放射工作人员防护知识培训率为94.8%,有18.1%人员未接受岗前培训,5个问题平均正确率为56%。结论四川省实施放射性疾病标准能力还有待进一步提高。

Objective To study the level of understanding and application of "General guideline for diagnosis of occupational radiation diseases"(GBZ 112—2017) among the occupational disease diagnosis institutions, occupational disease diagnosis doctors and radiation workers in Sichuan Province, and to put forward suggestions on the revision, organization management, personnel training and standard publicity and implementation. Methods Using questionnaire, EpiData input and SPSS17.0 for statistics analysis. Results Three occupational disease diagnosis institutions, eight Diagnosis Doctors and 485 radiation workers were investigated. Only one occupational disease diagnosis institution has the ability of radiation dose estimation. The standard awareness rate of diagnosis doctors and radiation workers is 100% and 67.2% respectively. The standard training rate of diagnosis doctors is 50%, the standard adoption rate is 0, and the feasibility rate of 11 standard clauses was 100%. The training rate of the protection knowledge training among radiation workers was 94.8%, 18.1% of the staff did not receive pre job training, and the average accuracy rate of 5 questions was 56%. Conclusion The implement of radiation disease standard in Sichuan Province needs to be further improved.