Expectations and Level of Satisfaction of the Patient with Parkinson’s Disease Undergoing Deep Brain Stimulation Surgery at the National Institute of Neurology and Neurosurgery

Background: Deep brain stimulation (DBS) is an established treatment for patients with advanced Parkinson’s disease (PD). Reports show continued patient satisfaction after surgery despite not maintaining clinical improvement as measured by evolution scales. Objectives: The present study sought to explore expectations and level of satisfaction in patients after DBS surgery with a semi-structured questionnaire and subsequent correlation with functional scales, Quality of Life (QoL), and motor and non-motor symptoms. Methods: We performed descriptive statistics to represent demographic data, Wilcoxon rank tests to determine significant differences, and Spearman correlation between the applied scales. Results: We evaluated 20 patients with a history of DBS surgery. 45% were female, with a mean age of 55.7 ± 14.15 years, a mean disease duration of 13.42 ± 8.3 years, and a mean time after surgery of 3.18 ± 1.86 years. Patients reported surgery meeting expectations in 85.5% and continued satisfaction in 92%. These two variables showed a significant correlation. Conclusions: This sample of patients remained satisfied after DBS surgery, although we found no differences in motor and non-motor clinimetric scales. Further studies are needed to confirm the importance of assessing quality of life in patients with DBS.

Satisfaction at Work and Suffering in Professional Psychic Service Mobile Service Emergency (SAMU)

Background: This study aimed to evaluate the level of professional satisfaction, to identify the presence of psychic suffering and their correlations in Emergency Medical Services professionals. Methods: The study is of the exploratory, census, descriptive, transversal type, with quantitative approach. It used three instruments: A sociodemographic questionnaire;the Professional Satisfaction Index—PSI;and the Self Report Questionnaire—SRQ-20. 200 professionals took part in the research (doctors, nurses, nursing technicians and conductors). Results: The data show that the majority of professionals are aged between 40 and 49 years old and that the largest quantity of women belong to the group of nurses. As to the PSI, the majority of professionals pointed out remuneration as the most important for satisfaction. In the overall satisfaction result, the physicians were those who had the highest level of satisfaction. Regarding the SRQ-20 scores, the group of nursing technicians and nurses had the highest prevalence for psychic suffering, with 44.56% and 43.48%. In the statistical analyses between each of the components of the professional satisfaction with the SRQ-20 scores, we verified statistically significant correlations when adopting (p Conclusions: It was concluded that the discontent of workers with remuneration and managerial issues are predominant for total dissatisfaction with work and dissatisfaction exerts a strong influence on the presence of suffering in these professionals.

The Research of Cenozoic Migrant Worker Satisfaction

The phenomenon of Cenozoic migrant worker shortage is a realism problem of China's enterprise, and Cenozoic migrant worker has become an important force occupied the social structure. So the study of Cenozoic migrant worker's status and the demand is imperative. Understand employees' both psychological and physiological satisfaction of enterprises' environmental factors, and make some corresponding changes is of great help to reduce the employee turnover rate. This paper commenced to research from the Cenozoic migrant worker 's characteristics, analyzed conditions and puts forward the corresponding countermeasures.

集体经营性建设用地入市农户满意度影响因素研究——基于Logistic-ISM模型的分析

农户满意程度可以反映政策改革成效,探究农户集体经营性建设用地入市满意度影响因素,有助于评价政策实施效果,同时对提升农村发展和农民幸福感也有一定的现实意义.采用问卷调查和访谈的方式,选取重庆市大足区作为研究区域,基于Logistic模型确定农户满意度的影响因素,结合ISM模型分析各影响因素之间的层次关系,对农民的政策实施满意度影响因素进行实证分析.研究结果显示:(1)针对入市实施效果,绝大部分农户持满意态度,不满意的地方集中在收益分配不及时和环境污染方面;(2)家中是否有村干部、生态环境变化情况、是否参与表决、分配公平性、入市实际收益、程序透明性、入市风险存在情况、对入市土地所有者的认知对入市农户满意度有显著影响.其中对入市土地所有者的认知、入市风险存在情况、入市实际收益为表层直接因素,中层间接因素有生态环境变化情况、是否参与表决、分配公平性以及程序透明性,家中是否有村干部为深层根源因素.应进一步完善土地产权制度,明晰入市到期后土地权属问题;健全监督管理机制,建立集体经营性建设用地入市单位的产业目录和准入标准制度;完善收益分配机制,制定集体土地入市指导性分配意见;将村集体负责人纳入政府基层领导队伍体系,提高程序透明性.

Patient Satisfaction Index and Quality of Life Measurement with Breast-Q after Breast Reconstruction in a Plastic Surgery Center in Mexico

Introduction: Cancer is one of the most devastating pathologies to affect the breast. Mastectomy stigmas are associated with depression, body image dysmorphia, and decreasing quality of life. BREAST-Q is a PROM (Patient Reported Outcome Measures) that has proven useful in measuring satisfaction with breast reconstruction results from the patient’s point of view. Objectives: To measure the satisfaction index and improvement in quality of life after breast reconstruction for breast cancer sequelae in our hospital in the last 5 years. Materials and Methods: Descriptive Study that includes patients with Breast cancer diagnosis that underwent mastectomy and breast reconstruction (prosthesis or autologous tissue) in “Hospital Central Sur de Petroleos Mexicanos” (January 2015 to January 2020), whose satisfaction index was measured with BREAST-Q one year after reconstruction. Results: 153 patients were included in the analysis. Mean global satisfaction was 74 points. We observed a tendency towards higher psychosocial, sexual and appearance satisfaction in patients who underwent reconstruction with autologous tissue. The mean satisfaction with provided information was 64 points and with the medical team > 90 points. Conclusion: Breast reconstruction is associated to a high satisfaction index and quality of life improvement regardless of the technique. BREAST-Q proved to be useful in evaluating patient experience and it helped us identify areas of opportunity to improve our care.

Do Learners' Preferred Learning Styles Affect Learning Outcomes and Satisfaction in PLE: A Pilot Study of the Supervised-PLE-IELTS Platform

Personal Learning Environment(PLE)enables a knowledge-based,learner-centered lifelong learning which could be successfully integrated with formal education when taking educators’supervision into consideration.But do learners’preferred Learning Styles matter in PLE?To investigate the relationship among learners’Learning Styles,learning outcomes and satisfaction towards the PLE platform,the study constructed and applied a supervised-PLE-IELTS platform.57 sophomores majored in Business in Wenzhou University took part in a 16-week project.Data were collected by Honey and Mumford’s Learning Styles questionnaire for the Learning Styles,post-test of IELTS reading,listening and vocabulary for the cognitive learning outcomes,and Distance Education Learning Environments Survey(DELES)for the satisfaction towards the PLE platform.The results showed:(1)Learning Styles have positive relationship with the cognitive learning achievements in PLE;(2)Learning Styles had no direct effect on satisfaction,and learners of all Learning Styles enjoyed PLE-IELTS platform;and(3)learners who spent more time on PLE platform achieved better cognitive learning outcomes.The paper shed light on the future construction of supervised-PLEs.

基于重要性—绩效的公共交通服务质量满意度分析

基于顾客满意度模型,挖掘政府购买服务背景下的公交满意度影响机理,从硬件(产品满意度)和软件(服务满意度)两维度构建公共交通满意评价体系;其次,利用结构方程模型确定各公交服务属性在预测整体满意度方面的重要性,采用重要性—绩效分析方法确定公共交通满意度指标的改善优先级;最后,以北京某区为例进行实证。结果显示,公共交通软件(服务满意度)的相对重要性高于硬件(产品满意度),采用重要性-绩效分析方法识别公共交通满意度属性的改善优先级,制定并实施改进策略后,满意度提升9.9%。研究为政府购买服务背景下的公共交通服务水平提升、政策建议和策略制定提供理论支撑。

基于SERVQUAL模型的零售药店药学服务质量评价体系构建

目的:为进一步提高零售药店的药学服务质量提供参考。方法:基于SERVQUAL理论构建零售药店药学服务质量评价体系,并以此体系为依据对206例顾客进行问卷调查,分析零售药店的药学服务质量对顾客满意度的影响。结果:结合SERVQUAL量表的有形性、可靠性、响应性、安全性、移情性等5个维度的内涵,可构建出药学服务质量的上述5个一级指标,以及与之分别对应的药店布局、服务环境、服务人员资格、履行承诺、服务及时性、投诉服务、药师审核处方、工作人员专业能力、建立药历档案、售后服务等27个二级指标。经过对206份问卷中的166份有效问卷进行回归分析表明,各维度对零售药店药学服务质量满意度的影响大小依次为可靠性、有形性、安全性、移情性(权重分别为0.359、0.338、0.230、0.159)。结论:应重点确保服务质量的可靠性,从保障服务人员的资格、履行对顾客的承诺等方面入手,以提高顾客的满意度。

基于改进P-S模型工程抢修抢建风险预警方法

为适应风险预警"风险可能性低、安全满意度高"的心理特征与期望,提出了一种基于改进可能满意度的震后工程抢修抢建风险预警方法。在介绍可能满意度方法原理基础上,建立了震后工程抢修抢建风险预警模式,划分预警等级,确定多层次风险预警等级的可能度、满意度函数,分析风险可能度与满意度的互逆变化特征,确定风险预警可能满意度的并合形式化表达,运用数据包络分析方法改进风险预警的可能满意度模型,确定震后工程抢修抢建风险预警的相对可能满意度模型。模型应用于边坡工程抢修作业进程中整体安全风险预警案例,结果表明方法合理、可行,具有较好的预警能力。

心理契约视角下银川市公立医院医生工作满意度提升路径研究

[目的]调查银川市公立医院医生心理契约与工作满意度现状,并从心理契约视角分析提升公立医院医生工作满意度的路径。[方法]于2022年6月采用简单随机抽样方法抽取银川市某三级甲等公立医院329名医生进行公立医院医生心理契约、工作满意度问卷调查。采用独立样本t检验和单因素方差分析研究不同人口学特征在医生心理契约和工作满意度得分上是否存在差异;采用多元线性回归分析心理契约及各维度对医生工作满意度及各维度的影响。[结果]银川市公立医院医生心理契约总得分为(3.91±0.48)分,心理契约总体履行情况呈中等偏上水平,医生工作满意度总得分为(3.49±0.45)分,总体上处于一般水平。心理契约对工作满意度有显著正向影响(β=0.731,P<0.001),对人际关系影响最大的因素是医院关系责任(β=0.263,P<0.001),对工作本身影响最大的因素是医院理念责任(β=0.340,P<0.001),对工作条件、报酬与福利影响最大的因素是医院交易责任(β=0.297,0.148,P<0.05),对培训与晋升影响最大的因素是医院发展责任(β=0.406,P<0.001),对领导与管理影响最大的因素是医院关系责任(β=0.300,P<0.001)。[结论]公立医院医生心理契约及各维度对工作满意度及各维度有显著的正向影响,要关注医院交易、发展、关系、理念责任的履行情况,增强医生归属感和认同感,激发工作积极性,提高工作满意度。

具有最大总加权满意度的单机调度问题的dynasearch算法

研究了总加权满意程度最大化的单机调度问题.对最优解的性质进行分析和证明,提出该类问题的统治规则.提出该问题新的基于dynasearch邻域的迭代局域搜索算法(ILS).算法主要特点:1)dynasearch是基于多摄动的思想,即一次可以做多个相互独立的交换(或插入);2)用动态规划获得最优dynasearch移动;3)ILS采用随机kick策略对局部最优解进行摄动,然后继续迭代.实现了该问题的两种dynaearch算法;把两种dynasearch算法与统治规则相结合;在进行kick时引入误差限制.实验表明:嵌入统治规则的算法优于没有统治规则的算法;基于dynasearch交换的ILS优于基于dynasearch插入的ILS;dynaearch算法要优于以交换为邻域的多初始点改进算法.

青岛市三级医院员工HPWS相关职业体验调查分析

目的采用高绩效作体系调查表评估青岛市三级医院人力资源管理实践,分析员工工作满意度之间的关系。方法运用高质效作体系相关员工职业体验调查问卷收集2家医院员工职业体验相关统计数据。结果样本医院团队合作与回报得分最高,在就业安全感、授权、组织承诺、自主性、员工间关系、信任、平等等方面得分较高;晋升、情绪完好状态和绩效管理等方面得分较低;团队合作、授权、信息支持与员工工作满意度和员工感受的病人服务正相关。结论我国医院管理实践中包含了大量高绩效作体系的内容,高绩效作体系与员工工作满意度呈正向关系,因此也适用于我国。

使用SERVQUAL模型评价现场管理创新推动门诊服务升级的效果分析

目的评价使用SERVQUAL模型的现场管理在门诊医疗服务改进的实施效果。方法将传统医院管理与项目管理、全面质量管理理论紧密结合,采用SERVQUAL模型评价门诊医疗服务质量,针对性锁定服务需求及重点问题,通过运用5 s等现场管理方法,有效预防问题发生,确保快速、准确、方便地满足患者的服务需求,并在实施前后对患者进行效果评价。结果现场管理创新实施后,调查患者对门诊服务有行形、可靠性、响应性、保证性、移情性5个维度的实际感受均高于改进前,差异有统计学差异(P<0. 05)。患者总体满意度达83. 3%,高于实施前的70. 8%,差异有统计学意义(P<0. 05)。结论实施现场管理创新,提高了门诊的整体绩效和能力,提升了医院自身竞争力。

患者对预检分诊服务满意度理论框架的扎根理论研究

目的 通过扎根理论研究构建患者视角的预检分诊服务满意度理论框架,为评估和量化患者对预检分诊服务的满意度提供参考。方法 采用目的抽样和理论抽样的方法,选择27例接受过预检分诊服务的患者进行半结构式深度访谈;运用程序化扎根理论的研究方法,采用NVIVO12.0软件辅助对原始数据进行开放式编码、主轴编码及选择性编码,并进行理论饱和度检验。结果 析出患者期望、服务质量、信息供给、人本关怀、持续改进5个主范畴。结论 5个主范畴分别构成预检分诊服务满意度的主体因素、核心因素、关键因素、基本因素和保障因素。该理论框架可为改善预检分诊服务、评估患者满意度提供参考。

复杂性视网膜脱离患者基于Snyder希望理论的护理干预

目的探讨基于Snyder希望理论的护理干预在复杂性视网膜脱离患者中的应用效果。方法将80例复杂性视网膜脱离患者随机分为观察组与对照组各40例。对照组采用常规护理,观察组在常规护理基础上将Snyder希望理论贯穿于整个护理实践中。干预1个月采用Herth希望指数量表、焦虑自评量表、抑郁自评量表对两组患者进行评价。结果干预后观察组希望水平显著高于对照组,焦虑、抑郁评分低于对照组(均P<0.01)。结论基于Snyder希望理论的干预措施应用于复杂性视网膜脱离患者,可帮助患者提升希望水平,改善负性情绪。

基于D-S证据理论的电力客户满意度评价

供电公司在实践以客户满意为指导的市场营销理念的过程中,客户满意度评价至关重要。根据评价指标的建立原则,从供电质量、电能价格、供电服务和用电指导4个方面构建电力客户满意度评价指标体系,应用D-S证据理论建立客户满意度评价模型,同时在问卷调查取得的数据基础上,运用D-S证据理论进行满意度评价,分析结果体现了该方法的有效性。

基于ERAS理念的针对性护理干预在帕金森病围术期患者中的应用

目的:探讨基于快速康复外科(ERAS)理念的针对性护理干预在帕金森病围术期患者中的应用方法及效果。方法:将98例帕金森病行脑深部电刺激术患者按入院日期分为观察组47例和对照组51例,对照组实施传统快速康复护理,观察组实施基于ERAS理念的针对性护理干预,比较两组护理效果。结果:观察组护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及术后视觉模拟评分法(VAS)评分低于对照组(P<0.05);两组术后住院时间、术后下床时间及满意度比较差异有统计学意义(P<0.05)。结论:基于ERAS理念的针对性护理干预可缓解患者的紧张、焦虑情绪,缩短住院时间,提高患者的满意度。

Who says they are satisfied with their job? Evidence from the BHPS Introduction

Nowadays,many people are not satisfied with their work and the dissatisfaction may bring employees the sense of insecurity and instability.In the current modern society,people are suffering fierce competition and fast changing,so job satisfaction becomes a common problem for employees.

Breast Reconstruction: Does It Worth to Start If the Patient Is Not Sure to Take All the Process Along?

Introduction: Breast cancer is the most common cancer in women worldwide, representing a major public health problem. There is still little information comparing the satisfaction of the patients who finished their process against the ones who start it but did not finish it. The aim of our retrospective study was to analyze the results in terms of satisfaction after one year of undergoing to complete breast reconstruction (CBR) vs incomplete breast reconstruction (IBR). Materials and Methods: Retrospective study of patients that underwent breast reconstruction (BR) surgery after mastectomy for breast cancer treatment. Performed at Hospital Central Sur de Alta Especialidad PEMEX in Mexico City, including patients from January 1, 2015 to January 01, 2020. Demographic baseline variables were included. BREAST-Q satisfaction questionnaires one year after the last reconstructive procedure were analyzed. Results: A total of 44 patients fulfilled the inclusion criteria. Of these 44 patients, 11 were included in the IBR group, and 33 patients in the CBR group. There were no statistically significant differences between the two groups in terms of age (IBR 56.09 vs CBR 53.06 years, p = 0.321);BMI (IBR 27.94 vs CBR 26.40, p = 0.253), time from mastectomy to first reconstructive procedure (IBR 22.8 vs CBR 31 months, p = 0.957), history of chemotherapy (IBR 27.3% vs CBR 33.3%, p = 0.709) and radiotherapy (IBR 54.5% vs CBR 42.4%, p = 0.484), additionally type of reconstruction, affected side or complication rate were not significantly different. Regarding postoperative satisfaction, only the second module of satisfaction with breasts displayed statistically significant differences, with a higher score in the CBR group (46.27 vs 52.27, p = 0.019). Other items explored didn’t show significant differences. Discussion: The data reported in this study suggest that regardless of whether the last stage of a BR is reached, the results in these settings can be very similar in terms of psychosocial well-being, sexual well-being, physical well-being regarding the chest area, with some degree of better perception of her breasts. Conclusion: This study suggests that the results in terms of satisfaction in BR after mastectomy for breast cancer are quite similar for patients who decide to take only the first reconstructive stage, compared with those that finished all the process along, this may be a valuable tool for decision making.

Cultivating global health professionals: evaluation of a training course to develop international consulting service competence in China

Background:China’s accelerating development and increasingly important role in global health engagement create a great demand for global health professionals including international consulting experts.This study reported the detailed development and evaluation of an international consulting training for global health workforce.Methods:Based on Kirkpatrick’s model,a mixed-methods approach was used to evaluate the effectiveness of the training.Quantitative and qualitative data on participants’reaction,learning,and application of the learned knowledge and skills were collected by a training evaluation survey at the ending of training and a follow-up interview in three months after the training.Results:Thirty-six participants attended the training and 34 of them completed quantitative investigation.The training satisfaction evaluations were positive,for which participants rated the training program highly and over 90%of them agreed with the usefulness of the training.About knowledge and skills change,participants showed improved consulting knowledge and skills from pre-to post-training(P<0.001).A total of 23 participants accepted follow-up interview,and most participants applied knowledge and skills learned from the training in their daily work or study.However,only 30.4%of participants applied their learning in the consulting program.The largest barrier of application was the lack of consulting opportunities.In addition,almost all the participants reported that they would be glad to attend more training courses in the future.Conclusion:The international consulting training program was well-received,and was feasible to improve the consulting service competence of global health professionals.According to participants’feedback,it is essential to develop and expand consulting training in the field of global health.