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.

Relationship between Authoritative Parenting Style and Preschool Children’s Emotion Regulation:A Moderated Mediation Model

An authoritative parenting style has been shown to promote children’s emotion regulation in European-American family studies.However,little is known about how sleep problems and the child’s sibling status in Chinese families affect this relationship.Based on family system theory,this study attempts to better understand the relationship between authoritative parenting style and emotion regulation.Mothers of preschool children in Chinese kindergartens completed questionnaires about their children’s sleep habits,their authoritative parenting styles,and children’s emotion regulation.A total of 531 children participated in this study.Results showed that authoritative parenting was positively associated with emotional regulation.Sleep problems mediated the effects of authoritative parenting style on emotion regulation.The child’s sibling status moderated the mediating effects of sleep problems in authoritative parenting and emotion regulation relationships.Specifically,the relationship between the authoritative parenting style and sleep problems was significant for only children,while birth order had no significant influence on the authoritative parenting style and sleep problems in two-child families.These findings suggest that a lowauthoritative parenting style predicts low emotion regulation through sleep problems,and this depends on the child’s sibling status,indicating that children without siblings may impair emotion regulation due to increased sleep problems.

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.

基于Swanson关怀理论的护理干预在早产儿母亲中的应用

目的:探讨以Swanson关怀理论为框架的护理干预在早产儿母亲中的应用效果。方法:采取便利抽样法选取2022年1月-5月入住百色市某三级甲等医院新生儿重症监护室(NICU)治愈出院的40例早产儿母亲作为对照组,选取2022年6月-10月入住百色市某三级甲等医院NICU治愈出院的40例早产儿母亲作为试验组。对照组实施NICU常规护理,试验组在对照组干预的基础上实施基于Swanson关怀理论的护理干预,比较两组早产儿母亲干预前后疾病不确定感、希望水平、育儿胜任感得分情况。结果:干预后试验组早产儿母亲疾病不确定感得分明显低于对照组(P<0.001),希望水平得分明显高于对照组(P<0.001);出院时及出院1个月后试验组早产儿母亲育儿胜任感得分明显高于对照组(P<0.001)。结论:基于Swanson关怀理论的护理干预可有效降低早产儿母亲疾病不确定感水平,提高其希望水平,增强其育儿胜任感,有利于早产儿顺利从医院过渡至家庭。

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.

Exploration of Therapeutic Measures and Clinical Efficacy for Recurrent Respiratory Infections in Children

Objective:To explore the treatment strategies and clinical effects for recurrent respiratory infections in children.Methods:From May 2022 to May 2024,100 pediatric patients with recurrent respiratory infections were selected in this study and evenly divided into two groups.The control group(50 patients)was treated with conventional therapy supplemented with budesonide,while the observation group(50 patients)received pidotimod treatment in addition to the control group’s treatment.Subsequently,the duration of clinical symptom improvement,respiratory function enhancement,serological index changes,reinfection status,and parental satisfaction were compared between the two groups.Results:In terms of clinical symptoms,the observation group showed significantly shorter durations of fever reduction,cough relief,tonsil swelling reduction,and disappearance of fine wet rales compared to the control group(average reduction times were 1.6 days,2.3 days,2.1 days,and 1.9 days,respectively,P<0.05).Regarding respiratory function,the observation group experienced a 12%increase in peak expiratory flow rate variability,a 0.6-liter increase in lung capacity,a 0.7-liter increase in forced lung capacity,and a 0.5-liter increase in forced expiratory volume in the first second after treatment,all significantly higher than the control group(P<0.05).Serological testing revealed that interferon-γand interleukin-2 levels increased by 15%and 18%,respectively,while interferon-α,interleukin-5,and interleukin-4 levels decreased by 10%,12%,and 9%,respectively,in the observation group,showing significant differences compared to the control group(P<0.05).Additionally,the reinfection rate in the observation group(10%)was significantly lower than that in the control group(30%),with an average reduction of two reinfections within one year and a 3.2-day shorter infection control time(P<0.05).In terms of parental satisfaction,the observation group achieved 95%,significantly higher than the 70%in the control group(P<0.05).Conclusion:The addition of pidotimod to conventional therapy for pediatric patients with recurrent respiratory infections can significantly alleviate clinical symptoms,promote the recovery of respiratory function,regulate serological indicators,effectively reduce the risk of reinfection,and improve parental satisfaction.This method deserves widespread clinical application.

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.

Differences in parents of pediatric liver transplantation and chronic liver disease patients

BACKGROUND With advancements in the treatment of chronic liver disease(CLD),including liver transplantation(LT),quality of life and satisfaction after LT have become an important issue for pediatric patients and their parents.More evidence-based information is needed to describe and assess the impact of pediatric CLD on parents and the satisfaction of parents with treatment to better understand their needs.AIM To assess the satisfaction of parents of pediatric LT patients and that of parents of pediatric CLD patients METHODS During this survey,data were collected from parents of pediatric patients who underwent LT between January 2010 and April 2017(LT group;n=91)and parents of pediatric patients with chronic liver disease(CLD group;n=94).Group comparisons were made based on the pediatric health-related quality of life(PedsQL)health care parent satisfaction scale,impact on family scale(IFS)and demographic characteristics.The PedsQL was administered to parents during a phone interview and the results were used to assess the health carerelated satisfaction of parents.The IFS was used to assess the impact of the child’s CLD status on the family.Demographic variables such as education level(elementary vs middle vs high vs university),monthly income(low vs middle vs high),and place of residence(village vs town vs city)were compared between CLD and LT parent groups.Finally,PedsQL and IFS results were also analyzed according to demographic variables.RESULTS A total of 185 parents aged 19 to 65 years were included.There were statistically significant differences between the LT and CLD groups in terms of career(P<0.001),monthly income(P=0.016),and education level(P=0.041).According to the PedsQL results,family inclusion,communication,technical skills,emotional needs,and overall satisfaction were significantly different between the groups;the LT group had consistently higher scores(P<0.001).Additionally,scores for the IFS parameters of financial impact,familial-social impact,personal strain,and total impact were consistently higher for the LT group(P<0.001).There were statistically significant relationships between education level,monthly income,and place of residence according to the IFS results but not the PedsQL results.There were inverse relationships between the difficulties that parents experience because of their child’s health and education levels,monthly income,and place of residence.However,no relationship was found between education level,monthly income,or place of residence and satisfaction with health care services provided in the hospital according to the PedsQL results.CONCLUSION Parents of children who underwent LT were very satisfied with the health care services provided to their children.However,they had more difficulties than parents of children with CLD.

Determinants of disease-specific knowledge among children with inflammatory bowel disease and their parents:A multicentre study

BACKGROUND Disease knowledge is associated with increased treatment compliance and improvement of symptoms in inflammatory bowel disease(IBD).IBD-knowledge inventory device(IBD-KID)was developed and validated specifically as a tool to measure disease-related knowledge in children with IBD and their parents.AIM To prospectively assess the determinants of disease-related knowledge regarding paediatric IBD patients and their parents,using the IBD-KID.METHODS A questionnaire-based survey was carried out in paediatric patients and their parents.The determinants of patients’and parents’IBD-KID scores were assessed according to hierarchical linear regression models.RESULTS The study group consisted of 269 IBD patients and 298 parents.The patients’mean(standard deviation,SD)IBD-KID score was 10.87(±3.97),while the parents’was 11.95(±3.97).Both groups exhibited poor knowledge of the side effects of steroid therapy,the role of surgical treatment in IBD,dietary restrictions and the risks associated with the use of herbal medicines.The patients’IBD-KID scores were statistically associated with patient sex[B coefficient(standard error,SE)=1.03(0.44),P=0.021]and patient age[B(SE)=0.03(0.01),P<0.001].The parents’IBD-KID scores were significantly related to patient age[B(SE)=0.02(0.01),P=0.003],and treatment with immunosuppressive agent[B(SE)=1.85(0.48),P<0.001].The final models explained 26.9%of the variance of patients’IBD-KID scores and 18.5%of the variance of parents’scores.CONCLUSION The variables originating from parents’knowledge were significantly associated with patients’IBD-KID scores.The study results indicate the need to implement better education programmes for patients and parents.

Children's Social Emotional and Cognitive Development Association with Parent and Sibling

The purpose of this article is to demonstrate the impact on children's development from parents and siblings differed in many aspects through literature review. From the literature review, it shows that parents and siblings contribute differently to children's emotional, social and cognitive development to some extent. Besides,it seems that having a sibling is more likely to benefit the younger siblings, not the older one.

基于ACSI模型的小学课后服务家长满意度影响因素实证研究

研究基于顾客满意度理论模型(ACSI),结合服务对象家长的特征及需求,构建了小学课后服务家长满意度模型。研究选取了C市549名小学生家长开展问卷调查,采用结构方程模型和回归分析方法对小学课后服务家长满意度影响因素进行实证分析,并对假设模型进行检验。结果表明,小学课后服务家长满意度和家长支持均处于较高水平,家长期望对家长支持具有直接正向预测作用,家长感知质量、家长感知价值和家长满意度在家长期望与家长支持之间发挥不同的中介作用,但“家长期望→家长感知质量→家长支持”“家长期望→家长感知价值→家长支持”和“家长期望→家长感知质量→家长感知价值→家长支持”这三条假设路径未得到验证。根据模型检验结果及研究结论对学校开展和推进小学课后服务提出了相应建议。

县域地区父母卷入对儿童希望感的影响——基于西部N县数据的实证研究

聚焦西部县域儿童希望感,基于课题组在N县23所学校开展的中学生调查数据,运用多元线性回归分析了父母卷入对儿童希望感的影响,并纳入交互项,从性别和留守视角分析父母卷入对儿童希望感影响的异质性。研究发现:(1)父母的情感卷入和母亲认知卷入均会对儿童希望感产生显著的正向影响;(2)性别视角下,父母卷入对儿童希望感的影响不存在显著的性别差异;(3)留守状态视角下父母卷入的影响效应差异并不显著;(4)留守距离视角下,对于双留守而言,父母一方在省内会显著降低父亲的行为卷入,但会显著提升母亲的行为卷入。在此基础上,提出应从强化家庭教育宣传引导,促进特色产业发展,通过学校、社区的力量,加强对留守家庭的支持,促进西部县域儿童希望感的发展等方面的政策建议。

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。

家长焦虑情绪对西部青少年心理健康状况的影响:家庭亲密度与家长生活满意度的链式中介效应

目的:探索家长焦虑情绪对西部青少年心理健康状况的影响及家长生活满意度与家庭亲密度在其中的中介作用。方法:采用问卷整群抽样法,对随机选取的初中、高中1590名学生与其家长进行问卷调查。结果:①西部青少年心理健康(2.26±0.70)状况存在轻度问题的青少年占45.8%;存在中等问题的青少年占14.5%;存在严重问题的青少年占1.1%。②家长焦虑情绪、西部青少年心理健康状况、家长生活满意度、家庭亲密度总均分两两之间均呈正相关;③中介模型检验表明,家长焦虑情绪可直接正向预测西部青少年心理健康状况,直接效应量为0.04;家庭亲密度在家长焦虑情绪与青少年心理健康之间起中介作用,中介效应量为0.004;家长生活满意度在家长焦虑情绪与青少年心理健康之间起中介作用,中介效应量为0.005;且家庭亲密度-生活满意度的链式中介作用也显著,中介效应量为0.001。结论:家长焦虑情绪不仅可以直接预测西部青少年心理健康状况,还可以通过家庭亲密度的中介作用、家长生活满意度的中介作用及家庭亲密度和生活满意度的链式中介作用间接预测青少年心理健康状况。

李、杏、杏李品种S基因型在杂交亲本选择中的应用

以50个李、杏、杏李品种为试材,根据最大单果重、平均单果重、可溶性固形物、可溶性糖、可滴定酸和维生素C含量等6个指标筛选出"味帝""味王""味厚""恐龙蛋""苹果李""风味皇后""风味玫瑰""灰子李""兰州大接杏""银香白"和"平顶香"等11个果实较大、品质优良的品种作为杂交亲本的育种材料,并结合11个优良品种的S基因型和花期,从110对杂交组合中最终筛选出了55对可行的种间杂交组合,为李亚科远缘杂交新品种创制提供了重要的理论基础和实践指导。

Conners父母症状量表在ADHD患儿中的应用

目的了解儿童注意缺陷多动障碍患者合并其他行为问题的情况。方法采用Conners儿童行为问卷（父母用），对符合美国精神病协会《精神障碍诊断和统计手册》第4版（DSM—Ⅳ）注意缺陷多动障碍诊断标准的1006例患者进行了合并行为问题的研究，分析不同性别、不同亚型患儿Conners量表测试结果，以分析注意缺陷多动障碍合并其他行为障碍的特点。结果多动／冲动为主型、注意缺陷为主型和混合型行为问题各占18．3％、55．9％和25．9％，其分布经比较有显著性差异（X2=9．054，P〈0．05）；1006例患者主要分布在7～11岁之间，占总人次的78．1％，其中以9岁组为最多；合并学习问题者占57．6％、品行问题占50．1％，焦虑占36．2％，心身障碍占17．3％；女性患儿各因子异常率和总分异常率均高于男性，除心身障碍因子外，其余因子异常率性别间经比较差异有统计学意义（X2=11．148，P〈0．01）；多动／冲动为主型行为问题发生率由高到低为品行问题、学习问题、焦虑和心身障碍；注意缺陷为主型和混合型行为问题发生率顺序均为学习问题、品行问题、焦虑和心身障碍；以上4种障碍发生率均以混合型行为问题最高，不同亚型各因子异常率经比较均存在显著性的差异。结论注意缺陷多动障碍患儿合并行为问题较多，性别和亚型间存在差异；症状愈严重，合并障碍比例愈高。

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。