江苏省实施常见职业性放射性疾病诊断标准的调查

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。

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

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.