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DETERMINATION OF CLOSURE EFFECT IN FATIGUE CRACKING BY MEANS OF COMPLIANCE TECHNIQUE AND NUMERICAL METHOD
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《Acta Metallurgica Sinica(English Letters)》 SCIE EI CAS CSCD 1992年第1期38-42,共5页
The crack tip strain gauge method in the compliance technique was used to determine the opening load of notched crack of axle steel,and the nonlinear finite element ADINA program, to which the cyclic stress-strain cur... The crack tip strain gauge method in the compliance technique was used to determine the opening load of notched crack of axle steel,and the nonlinear finite element ADINA program, to which the cyclic stress-strain curve of axle steel was applied,was used to analyze the stress-strain field ahead of the crack tip and the opening load of notched crack.The results of both the compliance technique and the numerical method were in good agreement.In this pa- per,the concept of the sensitive point is proposed and the key to the determination of the crack opening load in the experiment is to place a strain gauge at sensitive point.It is certified by both experimental and numerical methods that the sensitive point has the best linear relation- ship character and the value of strain is much greater. 展开更多
关键词 crack closure effect compliance technique numerical method axle steel
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A weak formulation of heterogenous viscoacoustic wave propagation in infinite domain
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作者 Xie Zhinan Zheng Yonglu +4 位作者 Paul Cristini Alexis Bottero Shan Zhendong Lu Jianqi Zhang Xubin 《Earthquake Engineering and Engineering Vibration》 2025年第1期31-51,共21页
The accurate simulation of wave propagation in real media requires properly taking the attenuation into account,which leads to wave dissipation together with its causal companion,wave dispersion.In this study,to obtai... The accurate simulation of wave propagation in real media requires properly taking the attenuation into account,which leads to wave dissipation together with its causal companion,wave dispersion.In this study,to obtain a weak formulation of heterogenous viscoacoustic wave propagation in an infinite domain,the viscoacoustic medium is first characterized by its frequency-dependent complex bulk compliance instead of the classically used complex bulk modulus.Then,a mechanical model using serially connected standard linear solids(SSLS)is built to obtain the rational approximation of the complex bulk compliance whose parameters are calculated via an adapted nonlinear optimization method.Utilizing the obtained bulk compliance-based constitutive relation,a novel second-order viscoacoustic wave equation in the frequency domain is derived,of which the weak formulation can be physically explained as the virtual work equation and can thus be discretized using a continuous spectral element method in space.Additionally,a new method is introduced to address the convolution terms involved in the inverse Fourier transform,whose accurate time integration can then be achieved using an explicit time scheme,which avoids the transient growth that exists in the classical method.The resulting full time-space decoupling scheme can handle wave propagation in arbitrary heterogeneous media.Moreover,to treat the wave propagation in an infinite domain,a perfectly matched layer in weak formulation is derived for the truncation of the infinite domain via complex coordinate stretching of the virtual work equation.With only minor modification,the resulting perfectly matched layer can be implemented using the same time scheme as for the wave equation inside the truncated domain.The accuracy,numerical stability,and versatility of the new proposed scheme are demonstrated with numerical examples. 展开更多
关键词 viscoacoustic wave standard linear solid complex bulk compliance heterogenous media perfectly matched layer Legendre spectral element method
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Measuring internal residual stress in Al-Cu alloy forgings by crack compliance method with optimized parameters 被引量:8
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作者 DONG Fei YI You-ping HUANG Shi-quan 《Journal of Central South University》 SCIE EI CAS CSCD 2020年第11期3163-3174,共12页
Measuring the internal stress of Al alloy forgings accurately is critical for controlling the deformation during the subsequent machine process.In this work,the crack compliance method was used to calculate the intern... Measuring the internal stress of Al alloy forgings accurately is critical for controlling the deformation during the subsequent machine process.In this work,the crack compliance method was used to calculate the internal residual stress of Al-Cu high strength alloys,and the effect of various model parameters of crack compliance method on the calculated precision was studied by combining the numerical simulation and experimental method.The results show that the precision first increased and then decreased with increasing the crack range.The decreased precision when using a high crack range was due to the strain fluctuation during the machining process,and the optimized crack range was 71%of the thickness of forgings.Low orders of Legendre polynomial can result in residual stress curve more smooth,while high orders led to the occurrence of distortion.The Tikhonov regularization method effectively suppressed the distortion of residual stress caused by the fluctuation of strain data,which significantly improved the precision.In addition,The crack compliance method with optimized parameters was used to measure the residual stress of Al-Cu alloy with different quenching methods.The calculated results demonstrated that the distribution of residual stress was obtained accurately. 展开更多
关键词 residual stress crack compliance method crack range interpolation orders Tikhonov regularization method
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基于MOCS算法的超声滚挤压轴承套圈加工参数优化 被引量:1
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作者 王彪 王晓强 +2 位作者 田英健 石青松 张旭 《塑性工程学报》 CAS CSCD 北大核心 2024年第6期59-66,共8页
为了提高轴承套圈的表层性能,以42CrMo为试验材料,设计正交试验,基于试验结果,建立了表面粗糙度、残余压应力和硬度的响应曲面预测模型,通过方差分析,验证模型具有一定的预测价值。利用多目标布谷鸟搜索算法对响应曲面预测模型进行了优... 为了提高轴承套圈的表层性能,以42CrMo为试验材料,设计正交试验,基于试验结果,建立了表面粗糙度、残余压应力和硬度的响应曲面预测模型,通过方差分析,验证模型具有一定的预测价值。利用多目标布谷鸟搜索算法对响应曲面预测模型进行了优化,得到了超声滚挤压加工参数及表层性能的最优取值范围,通过试验验证了其优化结果的可靠性。结果表明,加工参数的最优取值范围为:转速[300,420]r·min^(-1),进给速度[17,25]mm·min^(-1),振幅[15,21]μm,静压力[460,620]N;表层性能的最优取值范围为:表面粗糙度[0.313,0.483]μm,残余压应力[925,1052]MPa,硬度[755,821]HV。 展开更多
关键词 表层性能 超声滚挤压 42CrMo 响应曲面法 mocS算法
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BOUNDARY ELEMENT-COMPLIANCE MATRIX METHOD FOR 3D ELASTIC FRICTIONAL CONTACT ANALYSIS
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作者 BAO Jin-song +6 位作者 (鲍劲松) ZHANG Wei-hua (张伟华) GONG Yun-peng (巩云鹏) 《Journal of Shanghai Jiaotong university(Science)》 EI 2002年第1期59-63,共5页
Boundary element compliance matrix (BEM) method to deal with 3D elastic frictional contact problem was presented, and its calculation method and convergence criteria were discussed. It has the advantages of both bound... Boundary element compliance matrix (BEM) method to deal with 3D elastic frictional contact problem was presented, and its calculation method and convergence criteria were discussed. It has the advantages of both boundary element method and compliance matrix methods: small number of inputting data, simple and convenient model, precise solution, short calculating time and requirements for a small quantity of computer memory. In comparison to the other BEM with friction problems, we obtain more precise solution and less iteration times. The effect of friction coefficient on contact area. contace state, and relative displacement, normal and tangential stress was analyzed by two examples. And because of the quickness of calculation of program and efficient method, we visualize the result in virtual reality (VR) environment. We grant the real time of VR and provide more immersion to users who ware the VR device. 展开更多
关键词 frictional CONTACT analysis BEM compliance MATRIX method VR
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Analysis of Fluid-Structure Interaction during Fracturing with Supercritical CO_(2)
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作者 Jiarui Cheng Yirong Yang +2 位作者 Sai Ye Yucheng Luo Bilian Peng 《Fluid Dynamics & Materials Processing》 EI 2024年第12期2887-2906,共20页
During the implementation of CO_(2) fracturing for oil and gas development,the force transfer effect caused by the unsteady flow of high-pressure CO_(2) fluid can lead to forced vibration of the tubing and ensuing str... During the implementation of CO_(2) fracturing for oil and gas development,the force transfer effect caused by the unsteady flow of high-pressure CO_(2) fluid can lead to forced vibration of the tubing and ensuing structural fatigue.In this study,a forced vibration analysis of tubing under CO_(2) fracturing conditions is carried out by taking into account the fluid-structure coupling and related interaction forces by means of the method of characteristics(MOC).The results show that for every 1 m^(3)/min increase in pumping displacement,the fluid flow rate increases up to 3.67 m/s.The flow pressure in the pipe tends to be consistent with the pumping pressure at the initial stage and then decreases with an increase in the pump starting time.When the pumping pressure increases by 10 MPa,the additional stress in the tubing increases by 11.8%,and the peak value of the additional stress at the bottom of the well is the largest.The temperature in the tubing grows with well depth,which causes a phase change in CO_(2) due to heat absorption.At this time the pressure in the tubing decreases,the fluid flow rate increases by about 1.12 m/s,and the additional stress grows by about 1.5 MPa. 展开更多
关键词 Supercritical CO_(2) FRACTURING fluid-structure interaction method of characteristics(moc) vibration characteristics
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高能机械化学法制备亚微米MoC粉体 被引量:4
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作者 李大成 安耿 +1 位作者 刘高杰 胡江平 《粉末冶金技术》 CAS CSCD 北大核心 2008年第3期205-207,共3页
使用自行设计的高能机械化学球磨机,在室温和煤气气氛下球磨钼粉,得到了亚微米碳化钼粉体。分别利用X射线衍射仪、扫描电镜对制得的粉体进行结构和粒度分析。结果表明,在球料的质量比为8∶1的情况下经过30h球磨,可得到六方结构的MoC粉体... 使用自行设计的高能机械化学球磨机,在室温和煤气气氛下球磨钼粉,得到了亚微米碳化钼粉体。分别利用X射线衍射仪、扫描电镜对制得的粉体进行结构和粒度分析。结果表明,在球料的质量比为8∶1的情况下经过30h球磨,可得到六方结构的MoC粉体,粉体平均粒度为100nm。在Mo与煤气的高能机械化学反应过程中,球磨机转速的高低对反应速率有重大影响。 展开更多
关键词 高能机械化学法 亚微米 moc 粉体
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高能机械化学法制备微纳米MoC粉体及涂层磨损试验研究 被引量:3
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作者 胡江平 刘高杰 +1 位作者 燕伟 安耿 《稀有金属》 EI CAS CSCD 北大核心 2009年第2期196-199,共4页
室温下利用自行设计的高能机械化学球磨机,将钼粉在煤气气氛中通过高能球磨得到了微纳米碳化钼粉体。利用XRD和SEM对制得粉体的物相及粒度分析表明:在球料比为8∶1,球磨时间为30 h条件下,得到了微纳米MoC粉体,粉体平均粒度在100 nm以内... 室温下利用自行设计的高能机械化学球磨机,将钼粉在煤气气氛中通过高能球磨得到了微纳米碳化钼粉体。利用XRD和SEM对制得粉体的物相及粒度分析表明:在球料比为8∶1,球磨时间为30 h条件下,得到了微纳米MoC粉体,粉体平均粒度在100 nm以内。将不同比例的微纳米MoC粉体掺入N i60金属合金喷涂粉,利用等离子喷涂在40C r钢基体表面形成金属陶瓷涂层。磨损试验表明,用掺入微纳米MoC粉体的喷涂粉喷涂样品表面,样品耐磨性显著提高。 展开更多
关键词 微纳米moc 粉体 高能机械化学法 涂层 磨损试验
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Application of perfectly matched layer to soil-foundation interaction analysis 被引量:1
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作者 Mohammad Davoodi Abbas Pourdeilami +1 位作者 Hosein Jahankhah Mohammad Kazem Jafari 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2018年第4期753-768,共16页
Despite of the limitation in modeling infinite space, the finite element method(FEM) is one of the most used tools to numerically study the geotechnical problems regarding the capacity of simulating different geometri... Despite of the limitation in modeling infinite space, the finite element method(FEM) is one of the most used tools to numerically study the geotechnical problems regarding the capacity of simulating different geometries, conditions and material behaviors. A kind of absorbing layer named perfectly matched layer(PML) has been applied to modeling the radiation damping using FEM, which makes the dynamic analysis of soil-structure interaction more accurate. The PML is capable of absorbing incident waves under any angle and frequency, ensuring them to pass through the model boundaries without reflection.In this context, a new FEM program has been written and the PML formula has been implemented by rewriting the dynamic equation of motion and deriving new properties for the quadrilateral elements.The analysis of soil-foundation interaction by applying the PML is validated by the evaluation of impedance/compliance functions for different ground conditions. The results obtained from the PML model match the extended mesh results, even though the domain is small enough that other types of absorbing boundaries can reflect waves back to the foundation. The mechanism of the wave propagation in the region shows that the forced vibrations can be fully absorbed and damped by the boundaries surrounded by PMLs which is the role of radiation damping in FEM modeling. 展开更多
关键词 Perfectly matched layer (PML) Finite element method (FEM) Wave propagation Impedance/compliance
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Investigation on Instantaneous Meshing Stiffness and Profile Modification of Involute Helical Gear
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作者 孟祥生 常山 陈谌闻 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 1996年第4期54-58,共5页
An efficient finite element model of involute helical gear is presented. A program based on compliance matrix method is developed for the calculation of instantaneous meshing stiffness, and the relationship between th... An efficient finite element model of involute helical gear is presented. A program based on compliance matrix method is developed for the calculation of instantaneous meshing stiffness, and the relationship between the rate of meshing stiffness and overlap ratio is given. On the basis of stiffness calculation, an optimization program for the optimal design of profile modification is developed according to the principle of internal point punishment function method. 展开更多
关键词 ss: Instantaneous MESHING STIFFNESS PRofILE MODIFICATION compliance matrix method internal point PUNISHMENT function method
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A Study on Load Distribution along Contact Lines of Cylindrical Involute Gears
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作者 常山 陈谌闻 +1 位作者 李威 徐振忠 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 1995年第4期55-59,共5页
The mathematical model of current methods for determining load distribution along contact lines of the instantaneously engaged teeth of gears has a defect that its numerical solution is not unique. In order to overcom... The mathematical model of current methods for determining load distribution along contact lines of the instantaneously engaged teeth of gears has a defect that its numerical solution is not unique. In order to overcome this defect, a new method based on three-dimensional finite element compliance matrix method improved by smoothing method is presented. Calculated examples of helical gears show that the new method can calculate tooth load distribution accurately and agree well with the results of experiments. 展开更多
关键词 ss: LOAD DISTRIBUTION CYLINDRICAL gear SMOOTHING method 3D-FEM compliance matrix
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基于STEAM理念联合PBL教学法在急诊医学教学中的应用研究 被引量:2
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作者 贾竹亭 毕锋莉 +2 位作者 王佳森 高纪彬 陈曦 《中国继续医学教育》 2024年第2期92-97,共6页
目的分析基于STEAM[S(science),T(technology),E(engineering),A(art),M(mathematics)]理念联合以问题为基础的教学法(problem base learning,PBL)在急诊医学教学中应用效果。方法选择2021年6月—2022年6月滨州医学院急诊科80名本临床... 目的分析基于STEAM[S(science),T(technology),E(engineering),A(art),M(mathematics)]理念联合以问题为基础的教学法(problem base learning,PBL)在急诊医学教学中应用效果。方法选择2021年6月—2022年6月滨州医学院急诊科80名本临床医学专业实习生为研究对象,将其随机分为对照组、试验组,各40名。对照组接受传统教学,试验组接受基于STEAM理念联合PBL教学法。对比2组教学前后理论知识及实践操作考试成绩、实习生对教学的满意度、学习依从度及教学前后实习生职业特质评分。结果教学前,2组考核成绩对比,差异无统计学意义(P>0.05);教学3个月后,2组基础理论、实践操作考核成绩均明显提升,但试验组提升幅度更大,差异有统计学意义(P<0.001)。试验组实习生学习依从性(97.50%)高于对照组(85.00%),差异有统计学意义(P<0.001)。试验组教学方法、学术能力、带教态度管理质量评分高于对照组,差异有统计学意义(P<0.001)。教学前,2组实习生职业特质评分对比,差异无统计学意义(P>0.05);教学3个月后,试验组评分高于对照组,差异有统计学意义(P<0.001)。结论在急诊医学教学中,基于STEAM理念联合PBL教学法有利于提升实习生的综合能力,提高理论实践成绩和学习依从性。 展开更多
关键词 STEAM理念 PBL教学法 急诊医学教学 传统教学 考核成绩 依从性
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Elastic Modulus Prediction of Three-dimension-4 Directional Braided C_f/SiC Composite Based on Double-scale Model
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作者 牛序铭 SUN Zhigang +1 位作者 KONG Chunyuan 宋迎东 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 2015年第3期500-508,共9页
Double-scale model for three-dimension-4 directional(3D-4d) braided C/SiC composites has been proposed to investigate its elastic properties. The double-scale model involves micro-scale that takes fiber/ matrix/poro... Double-scale model for three-dimension-4 directional(3D-4d) braided C/SiC composites has been proposed to investigate its elastic properties. The double-scale model involves micro-scale that takes fiber/ matrix/porosity in fibers tows into consideration with unit cell which considers the 3D-4d braiding structure. Micro-optical photographs of composites have been taken to study the braided structure. Then a parameterized finite element model that reflects the structure of 3D-4d braided composites is proposed. Double-scale elastic modulus prediction model is developed to predict the elastic properties of 3D-4d braided C/SiC composites. Stiffness and eompliance-averaging method and energy method are adopted to predict the elastic properties of composites. Static-tension experiments have been conducted to investigate the elastic modulus of 3D-4d braided C/SiC composites. Finally, the effect of micro-porosity in fibers tows on the elastic modulus of 3D-4d braided C/SiC composites has been studied. According to the conclusion of this thesis, elastic modulus predicted by energy method and stiffness-averaging method both find good agreement with the experimental values, when taking the micro-porosity in fibers tows into consideration. Differences between the theoretical and experimental values become smaller. 展开更多
关键词 3D-4d braided C/SiC composites double-scale model elastic modulus energy methodstiffness and compliance-averaging method porosity ratio
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合规情报的基本问题研究
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作者 陈峰 《情报学报》 CSSCI CSCD 北大核心 2024年第2期230-236,共7页
使用透过“名”与“实”分离表象的真实情报行为识别、参加合规管理专题会议调研、案例研究、文献资料研究、专家咨询访谈等方法,围绕合规管理的情报属性、合规管理情报行为与现有情报学分支领域的关系、合规情报的概念与学科发展前景... 使用透过“名”与“实”分离表象的真实情报行为识别、参加合规管理专题会议调研、案例研究、文献资料研究、专家咨询访谈等方法,围绕合规管理的情报属性、合规管理情报行为与现有情报学分支领域的关系、合规情报的概念与学科发展前景、当前合规情报研究与服务的优先推进领域等问题进行研究。本文认为合规管理属于典型的“情报(intelligence)”行为,合规情报是不同于已有情报学分支领域的新的分支领域和学科方向;提出了合规情报的概念并凝练其含义要点,指出培育合规情报学科方向既有可行性也有必要性,具有重要意义和良好发展前景;指出当前合规情报研究与服务的四个优先推进领域:①合规情报基础理论方法;②合规情报专业人才培养;③合规情报技术工具开发应用;④合规情报的宣传推介。 展开更多
关键词 合规情报 理论方法 情报学 学科建设 合规管理 人才培养
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基于横向沟通的减压小组法改善眼部整形手术患者心理压力的效果观察
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作者 王维 陆平 《中国美容医学》 CAS 2024年第11期102-105,共4页
目的:观察基于横向沟通的减压小组法改善眼部整形手术患者心理压力效果。方法:选取笔者医院2021年1月-2022年12月收治的82例改善眼部整形手术患者为研究对象,遵随机数字表法分为41例常规组(常规护理)和41例减压组(常规组基础上+基于横... 目的:观察基于横向沟通的减压小组法改善眼部整形手术患者心理压力效果。方法:选取笔者医院2021年1月-2022年12月收治的82例改善眼部整形手术患者为研究对象,遵随机数字表法分为41例常规组(常规护理)和41例减压组(常规组基础上+基于横向沟通的减压小组法),比较干预前后两组间患者心理压力、自尊水平、体像障碍、人格障碍、治疗依从性及护理满意度。结果:干预后,两组心理压力评分(紧张、抑郁、精力、慌张、疲劳、自尊感和愤怒)均降低,且减压组显著低于常规组(P<0.05);干预后,两组自尊水平评分(外表、行为及社会)均升高,且减压组显著高于常规组(P<0.05);干预后,两组MBSRQ及PDQ-4+评分均降低,且减压组显著低于常规组(P<0.05);减压组治疗依从率显著高于常规组(P<0.05);减压组护理满意度评分(护理技术、病房环境、护患沟通和健康教育)均显著高于常规组(P<0.05)。结论:基于横向沟通的减压小组法能有效改善眼部整形手术患者心理压力,增强患者自尊水平,减轻患者体像障碍及人体障碍,提高患者治疗依从性和护理满意度。 展开更多
关键词 横向沟通 减压小组法 眼部整形 心理压力 依从性
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社会遵从视角下的移动政务用户转移行为
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作者 彭国超 吴思远 +1 位作者 张庆 苏俊杰 《图书馆论坛》 CSSCI 北大核心 2024年第9期134-143,共10页
探究移动政务用户转移行为的驱动因素和驱动路径对促进移动政务良性发展、优化政务环境具有重要意义。文章从社会遵从视角构建转移行为驱动因素的分析框架,采用PLS结构方程分析和模糊集定性比较分析的混合研究方法,探究影响移动政务用... 探究移动政务用户转移行为的驱动因素和驱动路径对促进移动政务良性发展、优化政务环境具有重要意义。文章从社会遵从视角构建转移行为驱动因素的分析框架,采用PLS结构方程分析和模糊集定性比较分析的混合研究方法,探究影响移动政务用户转移行为的驱动因素及组态效应。研究发现:移动政务用户转移行为可归因于政府支持、群体规范、转移认知的共同作用,其中政府支持与群体规范通过用户的转移认知正向影响转移意愿与转移行为;移动政务用户转移行为存在多重并发和殊途同归的因果路径,即政府驱动型和群体遵从型。 展开更多
关键词 移动政务 转移行为 社会遵从 混合研究方法
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问题导向法结合动态护理模式对耳鼻喉门诊病人就医体验及遵医行为的影响
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作者 张敏 王金芳 +2 位作者 刘丽芳 田春艳 张丽萍 《全科护理》 2024年第22期4270-4273,共4页
目的:探讨问题导向法结合动态护理模式对耳鼻喉门诊病人就医体验及遵医行为的影响。方法:选取2021年10月—2023年10月山西医科大学第一医院耳鼻咽喉头颈外科收治的152例耳鼻喉门诊病人为研究对象,将2021年10月—2022年10月收治的76例病... 目的:探讨问题导向法结合动态护理模式对耳鼻喉门诊病人就医体验及遵医行为的影响。方法:选取2021年10月—2023年10月山西医科大学第一医院耳鼻咽喉头颈外科收治的152例耳鼻喉门诊病人为研究对象,将2021年10月—2022年10月收治的76例病人设为对照组,将2022年11月—2023年10月收治的76例病人设为观察组。对照组给予常规护理,观察组在此基础上给予问题导向法结合动态护理模式,观察并比较两组干预后心理状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、就医体验及遵医行为情况。结果:实施问题导向法结合动态护理模式干预后,观察组HAMA、HAMD评分均明显低于对照组(P<0.05);观察组护患沟通、就诊流程、护理操作及服务态度4个维度就医体验评分均高于对照组(P<0.05);观察组遵医行为依从率高于对照组(P<0.05)。结论:问题导向法结合动态护理模式可改善耳鼻喉门诊病人心理状态,有效提升就医体验,提高遵医行为依从率,护理效果较好。 展开更多
关键词 问题导向法 动态护理模式 耳鼻喉门诊 就医体验 遵医行为
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高风险科室手卫生依从性电子监测与人工监测方法的卫生经济学效益 被引量:2
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作者 陈诺 李妍 +4 位作者 程晓琳 何文斌 陈小艳 冯毕龙 王莹 《中国感染控制杂志》 CAS CSCD 北大核心 2024年第4期494-501,共8页
目的比较手卫生依从性电子监测(electronic system-based monitoring,ESM)与人工监测(manual paper-based monitoring,MPM)的经济学效益,为临床高风险科室手卫生监测方法提供参考。方法收集某大型三级甲等医院的呼吸与危重症医学科、创... 目的比较手卫生依从性电子监测(electronic system-based monitoring,ESM)与人工监测(manual paper-based monitoring,MPM)的经济学效益,为临床高风险科室手卫生监测方法提供参考。方法收集某大型三级甲等医院的呼吸与危重症医学科、创伤与显微骨科、儿科重症监护室、感染科、关节与运动医学科、呼吸与危重症医学科普通病区、神经内科、神经外科、食管纵膈与淋巴肿瘤放化疗科、头颈与儿童肿瘤放化疗科、血液内科11个高风险科室,2022年12月—2023年5月ESM和MPM两种手卫生监测方法实施期间的成本投入和效果产出,应用TreeAge Pro 2022软件构建决策树模型,测算成本效果、成本效率、霍桑效应和间接成本效益。结果ESM方法的总成本(4868.55元)低于MPM方法(7122.12元),但ESM方法的手卫生依从率(61.33%)低于MPM方法(78.79%)。MPM方法的成本效果比(9039.37元)高于ESM方法(7938.28元),增量成本效果比为17.46%。MPM方法的成本效率比(72013.35元)明显高于ESM方法(8813.45元)。MPM方法的霍桑效应(59.45%)高于ESM方法(47.90%)。MPM方法的成本效益比(2894.70元)低于ESM方法的成本效益比(4765.98元)。当支付意愿低于18500元时,ESM方法是更具成本效果的选择;当投入高于该阈值时,MPM方法是更具成本效果的选择。结论对于感染控制高风险科室,ESM方法的成本效果、成本效率、成本效益均优于MPM方法,但两者霍桑效应的差异无统计学意义。 展开更多
关键词 手卫生 手卫生依从性 监测方法 卫生经济学评价 霍桑效应
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结直肠癌病人口服营养补充依从性评估量表的构建 被引量:4
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作者 刘曼丽 林清然 +2 位作者 皮美娟 章淑贤 吴桂虹 《护理研究》 北大核心 2024年第2期252-257,共6页
目的:构建结直肠癌病人口服营养补充(ONS)依从性评估量表。方法:以知信行理论为量表结构框架,参考相关指南及文献,形成结直肠癌病人ONS依从性评估量表条目池,并采用专家函询法构建结直肠癌病人ONS依从性评估量表。结果:共进行两轮专家函... 目的:构建结直肠癌病人口服营养补充(ONS)依从性评估量表。方法:以知信行理论为量表结构框架,参考相关指南及文献,形成结直肠癌病人ONS依从性评估量表条目池,并采用专家函询法构建结直肠癌病人ONS依从性评估量表。结果:共进行两轮专家函询,问卷回收率分别为90.91%和100.00%,专家意见提出率分别为45.00%和25.00%,专家权威系数分别为0.878和0.893。第2轮专家函询量表维度的重要性均分为4.80~4.90分,满分比为85%~90%,变异系数为0.06~0.11,肯德尔和谐系数为0.874(P<0.001);量表条目的重要性均分为4.30~4.95分,满分比为35%~95%,变异系数为0.05~0.24,肯德尔和谐系数为0.410(P<0.001)。最终形成包括3个维度、33个条目的结直肠癌病人ONS依从性评估量表。结论:构建的结直肠癌病人ONS依从性评估量表具有较好的科学性和可靠性,可作为结直肠癌病人ONS依从性的测评工具。 展开更多
关键词 结直肠癌 德尔菲法 口服营养补充 依从性 量表 护理
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抖音视频联合回授法宣教对泌尿系结石患者术后依从性的影响 被引量:1
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作者 覃献朋 李露 +3 位作者 陆海 韦庆凡 黄景智 罗慧珍 《黔南民族医专学报》 2024年第1期84-87,共4页
目的:探讨抖音视频联合回授法宣教提高泌尿系结石患者术后依从性的应用效果。方法:将本院泌尿外科收治的200例泌尿系统结石患者根据围手术期护理模式的差异分为观察组(100例)和对照组(100例);所有患者均采用输尿管镜或经皮肾镜微创手术... 目的:探讨抖音视频联合回授法宣教提高泌尿系结石患者术后依从性的应用效果。方法:将本院泌尿外科收治的200例泌尿系统结石患者根据围手术期护理模式的差异分为观察组(100例)和对照组(100例);所有患者均采用输尿管镜或经皮肾镜微创手术治疗,对照组患者围术期采用常规传统宣教模式,观察组患者在传统宣教模式的基础上采用抖音视频联合回授法宣教模式;比较两组患者治疗依从性、生活质量综合评价量表(GQOLI-74)评分和并发症发生率。结果:观察组患者治疗依从性(97.00%)高于对照组(85.00%);观察组患者术后心理功能、社会功能、躯体功能和物质生活4个维度评分均高于对照组;观察组患者术后并发症发生率(7.00%)低于对照组(15.00%);各指标组间存在统计学意义(P<0.05)。结论:抖音视频联合回授法宣教模式能够有效提高泌尿系结石患者治疗依从性和生活质量,降低并发症的发生率。 展开更多
关键词 抖音 回授法 泌尿系结石 治疗依从性
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