广州市医疗机构放射工作人员职业健康管理现况调查
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摘要
目的探讨广州市医疗机构放射工作人员职业健康管理现况及影响因素。方法 2017年7月,采用分层整群抽样方法,对来自省部级、市级、区级、社区和民营机构共528名放射工作人员进行问卷调查。结果 528名调查对象各项职业健康管理水平为41.67%～95.64%。多因素logistic回归分析显示,知晓相应政策是享有放射保健津贴、放射保健休假、知晓单位有健康疗养、定期教育培训、岗前职业健康检查、个人剂量监测和持有《放射工作人员证》的促进因素(OR为2.790～58.366)。除岗前教育培训和在岗期间职业健康检查外,市级医疗机构的放射工作人员职业健康管理水平均高于省部级医疗机构的放射工作人员(OR为2.235～14.542)。放射诊断人员持有《放射工作人员证》、定期进行职业健康检查和知晓单位有健康疗养较其他类别高(OR为2.068～3.857);放射工龄是享有放射保健津贴(OR=1.024)、持有《放射工作人员证》(OR=1.107)以及岗前教育培训(OR=1.092)的促进因素。结论广州市医疗机构放射工作人员职业健康管理发展不平衡,应重点关注放射工作人员权益保障,并加强对省部级医疗机构、非放射诊断类以及工龄短放射工作人员的监管力度。
[Objective] To explore the situation of occupational health management and its influencing factors for radiation workers in medical institutions in Guangzhou city. [Methods] In July 2017, stratified cluster sampling method was used to investigate 528 radiation workers with self-designed questionnaire from provincial and ministerial, municipal, district-level,community and private medical institutions.[Results] There were 528 valid questionnaires. The level of occupational health management was 41.67%-95.64%. Multivariate logistic regression analysis showed that awareness of relevant policies was the promotion factor for radiation health care allowance, radiation health care vacation, awareness that unit had health recuperation,regular training, pre-job occupational health examination, personal dose monitoring and holding the radiation worker certificate(OR was 2.790-58.366). In addition to pre-job training and in-service occupational health examination, the occupational health management level of radiation workers in municipal medical institutions was higher than that in provincial and ministerial medical institutions(OR was 2.235-14.542). The rate was higher among diagnostic radiologists than other types in holding the radiation w orkers certificate, regular occupational health examination and awareness that unit had health recuperati on(OR was 2.068-3.857). Radiation age was the promotion factor for keeping radiation health care allowance(OR=1.024), holding radiation worker certificate(OR=1.107) and pre-job training(OR=1.092).[Conclusion] The development of occupational health management for radiation workers in medical institutions in Guangzhou is unbalance. We should pay more attention to protect the rights and interests of radiation workers, and strengthen the supervision to the provincial and ministerial medical institutions, nonradiological diagnostic categories and short-age radiation workers.
[Objective] To explore the situation of occupational health management and its influencing factors for radiation workers in medical institutions in Guangzhou city. [Methods] In July 2017, stratified cluster sampling method was used to investigate 528 radiation workers with self-designed questionnaire from provincial and ministerial, municipal, district-level,community and private medical institutions.[Results] There were 528 valid questionnaires. The level of occupational health management was 41.67%-95.64%. Multivariate logistic regression analysis showed that awareness of relevant policies was the promotion factor for radiation health care allowance, radiation health care vacation, awareness that unit had health recuperation,regular training, pre-job occupational health examination, personal dose monitoring and holding the radiation worker certificate(OR was 2.790-58.366). In addition to pre-job training and in-service occupational health examination, the occupational health management level of radiation workers in municipal medical institutions was higher than that in provincial and ministerial medical institutions(OR was 2.235-14.542). The rate was higher among diagnostic radiologists than other types in holding the radiation w orkers certificate, regular occupational health examination and awareness that unit had health recuperati on(OR was 2.068-3.857). Radiation age was the promotion factor for keeping radiation health care allowance(OR=1.024), holding radiation worker certificate(OR=1.107) and pre-job training(OR=1.092).[Conclusion] The development of occupational health management for radiation workers in medical institutions in Guangzhou is unbalance. We should pay more attention to protect the rights and interests of radiation workers, and strengthen the supervision to the provincial and ministerial medical institutions, nonradiological diagnostic categories and short-age radiation workers.
引文
[1]王畅,莫素芳,张静波,等.2011至2014年某市市属及以下医疗机构放射工作人员个人剂量监测[J].中华劳动卫生职业病杂志,2017,35(8):594-597.
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[4]李茂进,李春素,赵培青.放射工作人员外周血淋巴细胞畸变及形态分析[J].中华劳动卫生职业病杂志,2016,34(10):767-769.
[5]周齐红,俞慧娟,付风云,等.放射工作人员外周血淋巴细胞染色体畸变和微核率分析[J].中华劳动卫生职业病杂志,2016,34(4):275-277.
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[10]林涌钦,刘祖森,张怡,等.2005-2007年深圳市放射防护状况调查[J].预防医学论坛,2008,14(6):502-504.
[11]林涌钦,王海军,罗晋甘.深圳市放射诊疗工作人员职业健康监护及存在问题分析[J].职业与健康,2015,31(16):2265-2267.
[12]于丹.放射工作人员职业健康管理现状分析及对策研究[D].长春:吉林大学,2014:17-33.
[13]李小娟,孙全富,傅颖华,等.我国7省158家医院放射工作人员职业健康管理现状分析[J].中国职业医学,2013,40(3):237-241.
[14]夏洪波,赵娜,谷宇佳,等.黑龙江垦区放射工作人员职业健康管理状况调查[J].中国卫生监督杂志,2016,23(3):249-255.
[15]孙全富,牛昊巍,李小娟.我国放射工作人员职业健康管理的几个问题[J].中华放射医学与防护杂志,2014,34(3):161-163.
[16]牛丽梅,刘刚,张荣,等.甘肃省2016年放射工作人员职业健康管理现状调查[J].中国辐射卫生,2018,27(5):442-445.
[17]毛应华,杨龙,朱乐明,等.南京军区放射工作人员职业健康管理现状分析[J].职业与健康,2010,26(12):1330-1332.
[18]傅颖华,杜维霞,孙全富,等.我国放射工作人员职业健康管理现状及其问题[J].中国职业医学,2008,35(1):44-46.
[19]中华人民共和国中央人民政府.国务院办公厅关于印发国家职业病防治规划(2009-2015年)的通知(国办发[2009]43号)[EB/OL].(2009-08-21)[2018-08-10].http://www.gov.cn/zwgk/2009-08/21/content_1398577.htm.
[20]林燕珊,吴凤玲,徐红梅,等.知信行健康教育模式对2型糖尿病患者自我血糖监测能力的影响[J].护理实践与研究,2018,15(6):47-48.
[21]王畅,莫素芳,张静波,等.2011-2014年广州市属及以下医疗机构放射工作人员证办理情况及问题分析[J].中华放射医学与防护杂志,2016,36(9):696-697.
[2]杨春旺.山东省放射工作人员职业健康现状调查[D].济南:山东大学,2017:2-5.
[3]曹立荣,郭美艳,杜冉.272名放射工作人员职业健康检查结果的分析[J].中华劳动卫生职业病杂志,2012,30(8):634-635.
[4]李茂进,李春素,赵培青.放射工作人员外周血淋巴细胞畸变及形态分析[J].中华劳动卫生职业病杂志,2016,34(10):767-769.
[5]周齐红,俞慧娟,付风云,等.放射工作人员外周血淋巴细胞染色体畸变和微核率分析[J].中华劳动卫生职业病杂志,2016,34(4):275-277.
[6]沙磊,谭维维.南通市2014年放射工作人员健康监护结果分析[J].中国辐射卫生,2017,26(1):44-48.
[7]中华人民共和国中央人民政府.卫生部发布《放射工作人员职业健康管理办法》[EB/OL].(2007-6-21)[2019-2-13].http://www.gov.cn/gzdt/2007-06/21/content_655923.htm.
[8]庄家毅,朱磷扬,陶易.连云港市放射诊疗机构放射卫生现状分析[J].中国辐射卫生,2016,25(1):33-34.
[9]郭进瑞.福建省放射诊疗监管存在问题的分析及政策建议[D].福州:福建医科大学,2010:3-4.
[10]林涌钦,刘祖森,张怡,等.2005-2007年深圳市放射防护状况调查[J].预防医学论坛,2008,14(6):502-504.
[11]林涌钦,王海军,罗晋甘.深圳市放射诊疗工作人员职业健康监护及存在问题分析[J].职业与健康,2015,31(16):2265-2267.
[12]于丹.放射工作人员职业健康管理现状分析及对策研究[D].长春:吉林大学,2014:17-33.
[13]李小娟,孙全富,傅颖华,等.我国7省158家医院放射工作人员职业健康管理现状分析[J].中国职业医学,2013,40(3):237-241.
[14]夏洪波,赵娜,谷宇佳,等.黑龙江垦区放射工作人员职业健康管理状况调查[J].中国卫生监督杂志,2016,23(3):249-255.
[15]孙全富,牛昊巍,李小娟.我国放射工作人员职业健康管理的几个问题[J].中华放射医学与防护杂志,2014,34(3):161-163.
[16]牛丽梅,刘刚,张荣,等.甘肃省2016年放射工作人员职业健康管理现状调查[J].中国辐射卫生,2018,27(5):442-445.
[17]毛应华,杨龙,朱乐明,等.南京军区放射工作人员职业健康管理现状分析[J].职业与健康,2010,26(12):1330-1332.
[18]傅颖华,杜维霞,孙全富,等.我国放射工作人员职业健康管理现状及其问题[J].中国职业医学,2008,35(1):44-46.
[19]中华人民共和国中央人民政府.国务院办公厅关于印发国家职业病防治规划(2009-2015年)的通知(国办发[2009]43号)[EB/OL].(2009-08-21)[2018-08-10].http://www.gov.cn/zwgk/2009-08/21/content_1398577.htm.
[20]林燕珊,吴凤玲,徐红梅,等.知信行健康教育模式对2型糖尿病患者自我血糖监测能力的影响[J].护理实践与研究,2018,15(6):47-48.
[21]王畅,莫素芳,张静波,等.2011-2014年广州市属及以下医疗机构放射工作人员证办理情况及问题分析[J].中华放射医学与防护杂志,2016,36(9):696-697.