Analysis on the Satisfaction Degree of Agricultural Water Demand in Semiarid Area of Western Liaoning

[Objective] The satisfaction degree of agricultural water demand was analyzed to provide climate basis for the agricultural structure adjustment and good harvest.[Method] By using integral humidity index and climatic tendency rate,the satisfaction degree of water demand of crops and its trend variation were studied.[Result] The precipitation in the growing season of crops showed decrease trend in western Liaoning,and the climatic tendency rate was-8.660--18.560 mm/10 a,with the precipitation decrease of 43-93 mm in recent 50 years.The satisfaction degree of agricultural water demand was up to 72%-88% in average,and over 80% satisfaction degree accounted for 30%-60%,while water shortage probability reached 68%-90%.The satisfaction degree of Chaoyang,Lingyuan and Beipiao was the lowest,while that of Jianchang and Jiangping was relative higher.The satisfaction degree of gross agriculture water demand went down with the time,and climate tendency rate was up to-2.490%--3.863%/10 a,with the decrease of 12%-19% in recent 50 years.[Conclusion] With the reduction of precipitation,the satisfaction degree of water demand of crops went down,and the climate in western Liaoning became more and more dry.

Investigation on Tourists' Satisfaction Degree in Xionger Mountain of Shandong Province

Through the field investigation in Xionger Mountain,it was found that the scenic area is rich in tourism resources.However,the development of tourism is lagging behind.By the method of random sampling,a survey for visitors was conducted.A total of 100 questionnaires were issued,100 of which were valid.With the help of TSI evaluating model,tourists' satisfaction degree was calculated accurately.The results showed that ratio of tourism performance to price in Xionger Mountain wasn't high,of which tourists generally expressed dissatisfaction;that the overall environment was quite good,of which tourists showed higher satisfaction degree;that some tourists' expectations to this scenic area were not high;that revisit willing was comparatively high;that there was a certain gap compared with other scenic spot.Tourists' satisfaction degree on Xionger Mountain is 55.89% through calculating TSI index.Finally,aiming at the existent problems,some countermeasures for improving the tourists' satisfaction degree on Xionger Mountain were put forward from the aspects of tour value,environmental perception,marketing philosophy and modes.

Construction of Tourist Satisfaction Degree Evaluation Model in Western Tourist Area by Performance Prism and Fuzzy Comprehensive Evaluation Method——with Lijiang in Yunnan Province as the Study Case

Starting from the utilization and protection of local knowledge, with the performance prism as the framework, the evaluation index system of tourist satisfaction degree was established. The weight was determined by using AHP method. Finally, the investigating result was judged with fuzzy comprehensive evaluation method, the evaluation model of tourist satisfaction degree in western tourist area was built, and the case study was carried out. With Lijiang in Yunnan Province as example, according to AHP method, five dimensions weight of the performance prism, various KPI weight and consistency were obtained, fuzzy evaluation on tourist satisfaction degree was conducted. The results showed that the overall was satisfactory, but there were still some problems. Aiming at the utilization and protection of local knowledge, some corresponding countermeasures were put forward which will benefit for further development of tourism in Lijiang of Yunnan Province.

Analysis on Tourist Satisfaction Degree and Its Measuring Indexes in Tourist Area——A Case Study of Zhenyuan Ancient City of Guizhou Province

By using principal component analysis,this paper had modified and put forward a theoretical model of evaluation on tourist satisfaction degree with tourist perception quality and tourist satisfaction degree as structure variables and with thirty indexes like image of tourist area,tourists' expectation,infrastructure in tourist area,landscape features and ticket price as observed variables,based on random questionnaire survey of tourists of Zhenyuan ancient city in Guizhou Province and the existing evaluation models of tourist satisfaction degree at home and abroad.The survey result showed that tourist satisfaction degree was not high,that tourists were dissatisfied with observing facilities,transportation,accommodation and landscape features,and that the attraction power of tourist area was weak.The comprehensive tourist satisfaction degree of Zhenyuan ancient city was 77.653.Therefore,the government should enhance reconstruction of infrastructure and construction of landscape features,and improve tourist service quality level,so as to realize sustainable development of tourist economy in Zhenyuan ancient city.

Evaluation of Tourist's Satisfaction Degree of Dongda Hot Spring Resort Area in Xi'an City

Tourist's satisfaction degree is one of the important indexes to evaluate the service quality of scenic spot.Taking Xi'an Dongda Hot Spring Resort Area for an example,with the expectation difference theory and customers' satisfaction evaluation model as the theoretical basis of the research,the overall satisfaction degree of tourists to hot spring resort area,and the actual sensation accomplishments and the expectation difference of each service index were analyzed by using regression analysis and paired sample t test method.The results showed:① The overall satisfaction degree of tourists to the resort area was higher.There were remarkable correlation among three variables:the sensation value,the overall satisfaction degree,and the tourist's loyalty degree;② Generally,the sensation actual accomplishments of 15 service appraisal factors were higher than the expectation value.According to the characteristics,these 15 service appraisal factors were divided into 5 groups.Some unsatisfactory aspects were found out,and the corrective measures were put forward.

Evaluation System for Farmers' Satisfaction Degree in the Green Energy Saving Rebuilding of Rural Residence

In view of the present situation of measuring a green residence just by energy saving and environmental protection,we propose that we should build the rural residence more from the farmer's view and set up an evaluation system based on farmers satisfaction.A total of 16 factors affecting the farmers' satisfaction degree of green energy saving rebuilding of rural residence are selected.Questionnaire survey on 110 peasant households is carried out under different situations in Guanzhong region in Shaanxi Province,so as to obtain the importance score of evaluation index.During constructing the evaluation system for farmers' satisfaction degree,Factor Analysis Method is used to classify the related influencing factors.Subjective analysis of Analytic Hierarchy Process and the objective analysis of Factor Analysis Method are combined together to determine the weights of factors at different grades.Then,the final evaluation model is obtained,which provides guidance for the further green energy saving rebuilding of rural residence in China.

Optimal satisfaction degree in energy harvesting cognitive radio networks

A cognitive radio（CR） network with energy harvesting（EH） is considered to improve both spectrum efficiency and energy efficiency. A hidden Markov model（HMM） is used to characterize the imperfect spectrum sensing process. In order to maximize the whole satisfaction degree（WSD） of the cognitive radio network, a tradeoff between the average throughput of the secondary user（SU） and the interference to the primary user（PU） is analyzed. We formulate the satisfaction degree optimization problem as a mixed integer nonlinear programming（MINLP） problem. The satisfaction degree optimization problem is solved by using differential evolution（DE） algorithm. The proposed optimization problem allows the network to adaptively achieve the optimal solution based on its required quality of service（Qos）. Numerical results are given to verify our analysis.

A Support Vector Machine-based Evaluation Model of Customer Satisfaction Degree in Logistics

This paper presents a novel evaluation model of the customer satisfaction degree （CSD） in logistics based on support vector machine （SVM）. Firstly, the relation between the suppliers and the customers is analyzed. Seondly, the evaluation index system and fuzzy quantitative methods are provided. Thirdly, the CSD evaluation system including eight indexes and three ranks based on one-against-one mode of SVM is built, last simulation experint is presented to illustrate the theoretical results.

Use Characteristics and Satisfaction Degree of Jinjiang 198 Greenway in Chengdu under the Background of Park City Construction

Greenway construction is one of the important measures for Chengdu to build a “beautiful and livable park city”, and is also a framework system for building a park city. According to the construction demand of the park city, a Tianfu greenway system with the theme of “one axis, two mountains, three rings and seven belts” will be formed throughout Chengdu. Jinjiang 198 Greenway is the first large-scale greenway in the main urban area of Chengdu. In view of the use of Jinjiang 198 Greenway in Chengdu, its use characteristics and user satisfaction degree are studied. The general situation of people's use of greenway is obtained from the characteristics of users themselves and its use conditions. According to the statistics of user satisfaction degree through field survey and questionnaire survey, it is known that the overall satisfaction degree of users on the greenway is good. Through factor analysis, the main factors affecting user satisfaction degree are obtained, which are in turn supporting facilities, service facilities, activity sites,green environment and accessibility. Finally, based on the above analysis and summary, suggestions and opinions are put forward for the future construction and development of Tianfu greenway system.

Level of Acceptance of Industrialized Construction in Brazil by Assessing the Degree of Satisfaction of User

This paper compares the satisfaction of users of residential buildings produced by two construction processes considered as industrialized:“prefabricated masonry panels”and“reinforced concrete walls molded on site”and compared with“conventional process”(structural masonry of concrete blocks).The premise of the study was to diagnose the level of acceptance of the buildings considered industrialized by the Brazilian population,aiming to assess whether the preference for the systems considered“conventional”and the rejection of the“industrialized”is decreasing in Brazil.This article concerns the results obtained in the second phase of the research,which was carried out after five years of the first phase.So,if the buildings were considered new in the first phase,this second research was carried out after the depreciation due to the action of time.To quantify the“degree of satisfaction”the same checklist of the first survey was applied,in the same neighborhood and the sum attributed to each answer made by residents was applied and,as a result,it was possible to ascertain the oscillations in it and to confirm the satisfactory acceptance of industrialized construction systems and a tendency to reduce rejection by the population in relation to the innovative construction systems.

Application of Plan-Do-Check-Action cycle and fishbone diagram analysis in optimizing surgical procedures to improve satisfaction degree of doctor-nurse-patient

Background:To study the application of management tools such as Plan-Do-Check-Action(PDCA)cycle and fishbone diagram in optimizing surgical procedures to improve the satisfaction of doctor-nurse-patient.Methods:The fundus surgery nursing team of our hospital began to implement the PDCA cycle management mode to optimize the surgical procedure from July 2017,set up a project activity improvement team,unified the surgical labeling processing plan,and made the fundus surgery procedure,and established the preoperative health education for surgical patients,and standardized the training content of post-rotating doctors and interns.Results:The satisfaction degree to surgical procedure after implementation of doctors and nurses was higher than that before implementation.Conclusions:Using PDCA cycle and fishbone diagram analysis tools to manage the surgical procedure optimization can better integrate doctor-nurse medical care,improve the efficiency and accuracy of the surgical procedure delivery and operation,and optimize the satisfaction of the three parties of doctor-nurse-patient.

PDCA循环在缩短日间手术术前等待时间中的效果评价

目的探讨运用PDCA程序缩短日间手术患者术前准备等待时间,进而符合院感防控的管理模式。方法采用PDCA循环管理方法,以建立多学科合作机制、精准安排患者入院时间、合理规划术前等待区域等改进方案。2022年1月8日—21日的日间手术患者316例为对照组,2022年3月26日—5月8日,实施PDCA改善后的日间手术患者为PDCA组。对2组患者术前等待时间、患者术前等候期满意度进行比较。结果日间手术患者平均等待时间由对照组的184.36 min,降低至PDCA组的47.64 min,满意度由81.01%提升至96.11%,前后比较差异有统计学意义(P<0.001)。结论日间手术短平快的运作方式与感染控制理念相融合,需要各医院根据业务区域特点及患者需求做有效的患者术前分流措施,对于提升患者就医体验、降低院感发生率、护患满意度具有重要意义。

基于归因理论的护理干预在经鼻高流量氧疗患者中的应用效果

目的探讨基于归因理论的护理干预在经鼻高流量氧疗(HFNC)患者中的应用价值,以期为临床治疗提供参考。方法选取2021年2月-2023年5月于四川大学华西医院接受治疗的144例HFNC患者为研究对象。采用随机数字表法将患者分为观察组和对照组,每组72例。对照组患者给予常规护理干预,观察组患者在对照组基础上联合基于归因理论的护理干预。比较2组患者遵医情况及护理满意度;比较2组患者干预前后疾病感知问卷(BIPQ)、Borg疲劳量表、视觉类比呼吸困难法量表(VAS)、抑郁自评量表(SDS)及焦虑自评量表(SAS)评分。结果观察组患者总遵从率高于对照组,差异有统计学意义(P<0.05)。干预前,2组患者BIPQ中治疗控制、后果、情绪、持续时间、症状、关注、个人控制、疾病了解评分比较,差异无统计学意义(P>0.05)。干预后,2组患者BIPQ中治疗控制、后果、情绪、持续时间、症状、关注、个人控制、疾病了解评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者Borg疲劳量表及VAS评分比较,差异无统计学意义(P>0.05)。干预后,2组患者Borg疲劳量表评分均低于干预前,且观察组低于对照组;VAS评分高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者SAS、SDS评分比较,差异无统计学意义(P>0.05)。干预后,2组患者SAS、SDS评分均低于干预前,且观察组低于对照组,差异均具有统计学意义(P<0.05)。观察组患者护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论基于归因理论的护理干预能有效强化患者的遵医行为,减轻患者的疾病感知压力,缓解患者的负面情绪,提高患者的护理满意度,值得临床推广应用。

以Cameron适时理论为基础的全程护理模式在烧伤后瘢痕整形患者中的应用

目的:研究以Cameron适时理论为基础的全程护理模式对烧伤后瘢痕整形患者的干预效果。方法:选择2021年9月-2022年6月笔者医院收治的60例烧伤后瘢痕整形患者为研究对象,采用随机数字表法分为对照组(30例)和观察组(30例)。对照组给予常规护理干预,观察组在对照组的基础上采用以Cameron适时理论为基础的全程护理模式进行干预,两组均干预8周。统计比较两组瘢痕恢复效果、并发症发生情况、心理状态、应对方式及护理满意度。结果:干预后,观察组创面渗出持续时间、疼痛持续时间均短于对照组(P<0.05);两组创面愈合时间、色素沉着率比较差异无统计学意义(P<0.05)。干预8周后,观察组瘢痕恢复总有效率显著高于对照组(P<0.05);观察组心理韧性评分高于对照组(P<0.05),焦虑、抑郁、心理困扰评分低于对照组(P<0.05);观察组屈服、回避评分低于对照组(P<0.05),面对评分高于对照组(P<0.05);观察组护理总满意率高于对照组(P<0.05)。干预期间,观察组总并发症发生率低于对照组(P<0.05)。结论:以Cameron适时理论为基础的全程护理模式对烧伤后瘢痕整形患者进行干预,可有效促进患者创面愈合,改善患者心理状态及应对方式,降低并发症发生率,患者满意度高,具有较好的应用价值。

牛碱性成纤维细胞生长因子联合盐酸金霉素眼膏对正颌外科术后口角黏膜压力性损伤愈合的效果

目的:研究外用牛碱性成纤维细胞生长因子联合盐酸金霉素眼膏用于正颌外科术后口角黏膜压力性损伤愈合的临床效果。方法:选取温州医科大学附属口腔医院2018年6月—2023年9月行正颌外科术后发生口角黏膜压力性损伤的患者为研究对象,根据用药方式不同,将患者分为盐酸金霉素眼膏组(30例)、外用牛碱性成纤维细胞生长因子组(30例)和外用牛碱性成纤维细胞生长因子联合盐酸金霉素眼膏组(简称联合组)(30例)。比较3组患者的疼痛程度、张口度、愈合时间及满意度。结果:用药第5天,3组VAS评分均较用药前显著下降(P<0.05),张口度均较用药前明显增大(P<0.05)。用药第5天,3组VAS评分和张口度差异有统计学意义(H=13.921,P=0.001;F=8.569,P<0.001),其中与金霉素眼膏和外用牛碱性成纤维细胞生长因子组相比,联合组的VAS评分最低、张口度最大(P<0.05)。3组用药前后VAS评分和张口度的差值差异有统计学意义(H=18.292,P<0.001;F=6.720,P=0.002),且联合组的差值均为最大。3组愈合时间和满意度差异均有统计学意义(F=9.510,P<0.001;χ^(2)=8.940,P=0.011),其中联合组的愈合时间最短、满意度最高(P<0.05)。结论:外用牛碱性成纤维细胞生长因子联合盐酸金霉素眼膏可促进正颌外科术后口角黏膜压力性损伤的愈合,减轻术后疼痛,增大张口度,缩短愈合时间,从而提高患者的满意度。

超声引导下髂筋膜间隙阻滞联合腰硬联合麻醉对老年髋关节手术患者的影响

目的:探讨超声引导下髂筋膜间隙阻滞联合腰硬联合麻醉对老年髋关节手术患者的影响。方法:选取2021年1月—2023年4月于南京市浦口区中医院接受髋关节手术的102例老年患者作为研究对象,患者接受髋关节置换或复位内固定术治疗,根据随机数表法将患者分为对照组和观察组,各51例。对照组行腰硬联合麻醉,观察组在腰硬联合麻醉基础上行超声引导下髂筋膜间隙阻滞麻醉。对比两组平均动脉压、心率、术后镇痛用药情况[术后舒芬太尼用量、经静脉患者自控镇痛(PCIA)开始按压时间及按压次数]、应激反应指标[超氧化物歧化酶(SOD)、晚期氧化蛋白产物(AOPP)、谷胱甘肽过氧化物酶(GSH-Px)、丙二醛(MDA)]、视觉模拟评分法(VAS)评分、简易智力状态检查量表(MMSE)、中枢神经特异蛋白(S100-β)、β-淀粉样蛋白1~40(Aβ_(1~40))水平、不良反应及满意度。结果:两组麻醉前、手术开始时及手术结束时平均动脉压和心率比较,差异无统计学意义(P>0.05);观察组蛛网膜下腔阻滞体位摆放时平均动脉压和心率低于对照组,差异有统计学意义(P<0.05)。观察组术后舒芬太尼用量少于对照组,PCIA开始按压时间晚于对照组,PCIA按压次数少于对照组,差异有统计学意义(P<0.05)。观察组术后5 d SOD、GSH-Px水平高于对照组,AOPP、MDA水平低于对照组,差异有统计学意义(P<0.05)。观察组术后12 h、1 d、3 d VAS评分低于对照组,差异有统计学意义(P<0.05)。观察组术后6 h、1 d、2 d MMSE评分高于对照组,差异有统计学意义(P<0.05)。观察组术后6 h、1 d S100-β、Aβ_(1~40)水平均低于对照组,差异有统计学意义(P<0.05)。观察组不良反应发生率低于对照组,总满意度高于对照组,差异有统计学意义(P<0.05)。结论:老年髋关节手术患者接受超声引导下髂筋膜间隙阻滞联合腰硬联合麻醉方法,可改善麻醉操作期间平均动脉压和心率指标水平,减少术后镇痛药物使用剂量,减轻机体应激反应,降低术后疼痛感,改善术后认知功能,降低并发症发生率,提高满意率。

治疗性沟通联合微信干预在喉内镜检查患者中的应用效果

目的观察治疗性沟通联合微信干预在喉内镜检查患者中的应用效果。方法选取喉内镜检查患者220例,将常规干预患者110例纳入对照组,行治疗性沟通联合微信干预患者110例纳入观察组,比较2组心境状态、依从性、患者满意度及不良反应。结果2组干预前心境状态中抑郁-沮丧、迷惑-混乱、疲乏-迟钝、愤怒-敌意、精力-活力、紧张-焦虑各项评分差异均无统计学意义(P>0.05),干预后观察组各项评分低于对照组,差异有统计学意义(P<0.05)。观察组复查、护理、治疗依从性评分均高于对照组,差异有统计学意义(P<0.05)。2组干预前沟通及健康教育、护理技术、护理态度、检查环境评分差异均无统计学意义(P>0.05),干预后观察组评分均高于对照组,差异有统计学意义(P<0.05)。观察组出现不良反应2例(1.82%),少于对照组的9例(8.18%),差异有统计学意义(P<0.05)。结论治疗性沟通联合微信干预用于喉内镜检查患者,可改善其心境状态及依从性,提升患者满意度,减少不良反应。

LPCBL联合Seminar教学法在产科护理带教中的应用

目的 探讨应用以授课、问题、案例为基础的教学法(lecture,problem,case-based learning,LPCBL)联合Seminar教学法对于产科护理的带教价值。方法 选取2021年5月—2022年1月南京市妇幼保健院产科接收的106名护理实习生作为研究对象,按照随机数字表法的原则,分成观察组与对照组2组,每组学生均为53名。对照组应用以教师为主体教学方式(lecture-based learning,LBL),观察组采取LPCBL联合Seminar教学法。对比2组实习生在经2个月实习的理论与实践操作考核成绩,实习生对于带教工作满意度。结果 在实习生的考核中,观察组的理论知识考核成绩(92.02±4.28)分、实践操作考核成绩(89.25±4.15)分均要比对照组更高,差异有统计学意义(P <0.001);调查实习生对于教学工作满意度情况,观察组的各个方面满意度得分高于对照组,差异有统计学意义(P <0.001)。结论 在对产科的护理带教工作中,采取LPCBL联合Seminar教学法的教学手段,能够取得良好教学成效,有助于提高实习生对理论知识掌握,并且也对实习生操作水平以及满意度提高有利。

医患沟通技能教育在儿科实习带教中的应用效果

目的 分析医患沟通技能教育在儿科实习带教中的应用效果。方法 选取2021年1-12月滨州医学院附属医院的60名儿科实习生作为研究对象,依据随机数字表法分为对照组与观察组,各30名。对照组采用常规带教,观察组采用医患沟通技能教育。比较2组的带教总满意度、应变能力、综合能力、医患纠纷事件总发生率。结果 观察组的带教总满意度为100%,高于对照组的80.00%,差异有统计学意义(P <0.05);观察组实习生应变能力中的岗位职责[(94.67±2.12)分]、共情能力[(81.59±2.82)分]、心理辅导能力[(92.12±3.07)分]、应急能力[(90.10±2.82)分]评分均高于对照组[(84.53±2.38)分、(61.62±4.31)分、(76.27±2.84)分、(72.84±3.63)分],差异有统计学意义(P <0.001);观察组实习生综合能力中的理论知识[(93.58±3.12)分]、病情汇报[(92.52±2.84)分]、操作技能[(95.31±2.83)分]、查房护理[(95.52±2.12)分]评分均高于对照组[(85.37±2.89)分、(80.17±2.76)分、(83.57±1.69)分、(81.39±2.70)分],差异有统计学意义(P <0.001);观察组的医患纠纷事件总发生率为6.67%,低于对照组的33.33%,差异有统计学意义(P <0.05)。结论 在儿科带教中实施医患沟通技能教育能够提升实习生的教学满意度、应变能力以及综合能力。