《职业性放射性疾病诊断总则》(GBZ 112—2017)在江苏省的追踪评价分析

Follow-up evaluation and analysis of "General guideline for diagnosis of occupational radiation diseases"(GBZ 112—2017) in Jiangsu Province

目的通过开展标准追踪调查研究,及时掌握江苏省《职业性放射性疾病诊断总则》(GBZ 112—2017)的普及,掌握和实施水平。方法采用描述性、横断面研究设计,通过分层整群抽样方法,对江苏省20名职业病诊断医师,5名卫生监督人员以及156名放射工作人员开展问卷调查。结果卫生监督人员标准知晓率(100.0%)和培训率(80.0%)均略高于职业病诊断医师(分别为75.0%和70.0%);网络宣传是卫生监督人员和职业病诊断人员的主要获得途径,参与率分别为(80.0%和55.0%)。两类人员对标准的多项指标认可度较高(均达到75.0%以上),但现阶段职业病诊断医师对标准的采用率仍然较低(仅为15.0%),卫生监督人员采用率为60.0%。放射工作人员对标准的知晓率和培训参与率均较高,但存在专业知识掌握程度不高的现象。结论加强多部门之间的培训沟通,提高网络宣传力度和质量,加大标准采用力度以及标准指标的科学性和实用性尤为重要。

Objective To grasp the popularization and implementation of "General guideline for diagnosis of occupational radiation diseases"(GBZ 112—2017) in Jiangsu province through standard follow-up investigation. Methods A descriptive and cross-sectional study design was performed. A questionnaire survey was carried out among 20 occupational disease diagnosticians, 5 health supervisors and 156 radiation workers in Jiangsu Province with stratified cluster method. Results The standard awareness rate(100.0%) and training rate(80.0%) of health supervisors were slightly higher than those of occupational disease diagnostic physicians(75.0% and 70.0% respectively). Network publicity was the main access for health supervisors and occupational disease diagnostic personnel, with participation rate of 80.0% and 55.0% respectively. Both of the two types of personnel have a high degree of approval for many indicators of the standard(all above 75.0%), but at present,the rate of adoption by occupational disease diagnostic doctors is still low(only 15.0%) and that by health supervisors is60.0%. Radiation workers have a high rate of awareness and training participation, but the degree of professional knowledge is low. Conclusion It is particularly important to strengthen training and communication among different departments, improve the strength and quality of network propaganda, increase the adoption and practicability of standard.