| 邓佑兴,熊毅,张玉银,等.军队低剂量电离辐射作业人员疗养期间健康管理指标体系的构建研究[J].中华放射医学与防护杂志,2026,46(9):865-871.Deng Youxing,Xiong Yi,Zhang Yuyin,et al.Research on construction of health management index system for military operators involving low dose ionizing radiation during their convalescence period[J].Chin J Radiol Med Prot,2026,46(9):865-871 |
| 军队低剂量电离辐射作业人员疗养期间健康管理指标体系的构建研究 |
| Research on construction of health management index system for military operators involving low dose ionizing radiation during their convalescence period |
| 投稿时间：2026-02-05 |
| DOI：10.3760/cma.j.cn112271-20260205-00041 |
| 中文关键词: 低剂量电离辐射 作业人员 健康管理 指标体系 德尔菲法 |
| 英文关键词:Low dose ionizing radiation Operating personnel Health management Index system Delphi method |
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| 中文摘要: |
| 目的 构建军队低剂量电离辐射（LDIR）人员疗养期间健康管理指标体系，为提升军队疗养机构卫生资源利用率提供参考依据。方法 2023年9月—2024年5月，拟定LDIR人员健康管理指标体系初稿。通过两轮德尔菲专家咨询法和层次分析法，构建LDIR人员疗养期间健康管理指标体系并确定各项指标权重。结果 邀请19名专家参与咨询，第一轮函询发放和收回问卷均19份，其中有效问卷19份（100%）；第二轮函询发放问卷19份，收回15份，其中有效问卷15份（78.9%）。两轮专家权威系数均为0.90；两轮专家函询整体指标体系重要性的肯德尔协调系数分别为0.221和0.198；各级指标的重要性得分均数4.40～5.00，变异系数0~0.17，满分比0.53~1.00。最终构建了包含6项一级指标（健康监测与评估、健康教育、疾病矫治、运动功能调适、营养调剂、心理调适）、17项二级指标和47项三级指标的LDIR人员健康管理指标体系。结论 本研究专家积极性、权威性、意见协调程度均较高，构建了军队LDIR人员健康管理指标体系，该体系提供了具体实施要点和科学评价指标，具有一定的可行性，实际应用效果有待进一步验证。 |
| 英文摘要: |
| Objective To construct a health management index system (HMIS) for military operators involving low dose ionizing radiation during convalescence period, providing a basis for improving the use of health resources in military convalescence institutions.Methods From September 2023 to May 2024, based on literature retrieval and group research, an initial draft of the HMIS was propsed. Through two rounds of Delphi expert consultation and the Analytic Hierarchy process, the HMIS was constructed together with the weights of index given.Results A total of 19 experts were invited to participate in the two rounds of expert consultation. In the first round, 19 questionnaires were distributed and then were all responsed, with efficiency of 100%. In the second round, 19 questionnaires were distributed and then 15 were responsed, with efficiency of 78.9%. For the two rounds of expert consultation, the authority coefficients were 0.90 and the Kendall's coordination coefficient of the importance were 0.221 and 0.198, respectively. For all levels of indicators, the average importance scores ranged from 4.40 to 5.00, the coefficient of variation 0 to 0.17, and the full score ratio 0.53 to 1.00, respectively. Finally, the HMIS was constructed, encompassing 6 first-level indicators (health monitoring and assessment, health education, disease correction, exercise function adjustment, nutrition adjustment, psychological adjustment), 17 second-level indicators and 47 third-level indicators.Conclusions The HMIS was constructed attributalbe to the high enthusiasm, authority and good coordination of these partipants during this study. This HMIS has a certain degree of feasibility by providing specific implementation key points and scientific evaluation indicators, but the efficiency of practical application still needs to be further verified. |
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