公立医院3种身份护理人员满意度与忠诚度分析

?????? 目的 对3种不同身份护理人员满意度与忠诚度进行研究。 方法 通过现场调查获得数据,并进行独立样本t检验、相关性分析等统计分析。结果 对整体数据进行分析,忠诚度与年龄、身份、技术职称三个因素有显著相关性（P<0.05）。结论 公立医院对不同身份员工需要采取不同应对策略。     

Resolving inter-group conflict in winter recreation: Chilkoot Trail National Historic Site, British Columbia

The Chilkoot Trail National Historic Site, BC, Canada, well-known for its summer historic gold rush hiking route, is popular in the winter with local residents for skiing, snowmobiling and other winter sports. Park managers implemented a strategy of temporal segregation to mitigate known conflicts between motorised and non-motorised winter users. This study evaluated the effectiveness of separating users, by monitoring visitor satisfaction and support for the management strategy, and assessing the key differences between user groups within the theory of asymmetrical conflict. The results show that separating users increases satisfaction for non-motorised users; however, support for controlled access is moderate to low among all users. This study alerts park managers using direct tools such as controlled access to the possibility that dissatisfaction may shift from those who were most affected by the inter-group conflict (non-motorised users) to the motorised group, who are dissatisfied with increased access limitations and loss of freedom.     

工作家庭冲突与麻醉医师工作倦怠及工作满意度的关联性研究

目的 探讨工作家庭冲突对麻醉医师工作倦怠的影响,并检验工作满意度的中介作用。方法 采用网络问卷调查法收集数据。采用描述性统计分析、Pearson相关性分析及多元阶层线性回归分析法检验变量之间的关系及中介效应。结果 工作家庭冲突对麻醉医师工作倦怠（β=0.240, P＜0.01）具有显著的正向影响,对工作满意度（β=-0.282, P＜0.01）具有显著的负向影响。工作满意度在二者之间扮演了完全的中介作用。结论 工作家庭冲突显著降低麻醉医师的工作满意度,进而导致他们出现工作倦怠症状。因此,工作家庭冲突对麻醉医师的工作及生活会产生不利影响。     

哈尔滨市城镇职工基本医疗保险市级统筹满意度分析

目的 了解参保者对城镇职工基本医疗保险市级统筹政策运行状况的满意度。方法 对哈尔滨市4家三甲医院随机抽取的385名门诊和住院的职工医保患者进行问卷调查。运用一般描述性分析、方差分析、χ²检验和多分类logistic回归进行统计分析。结果 受访者的受教育程度(P=0.037)和健康状况(P=0.002)、对定点医院医生处方的网上监管(P=0.000, OR=2.346)和定点医院医疗水平(P=0.000, OR=2.140)是市级统筹满意度的主要影响因素。结论 需要加强政策的宣传教育、加强对定点医院医生所开处方的网上监管、加强双向转诊管理等措施来提高满意度。     

美容整形受术者心理评估与术后满意度的相关性研究

目的:探讨女性美容整形受术者的心理状态及与术后满意度的相关性,为临床工作提供科学的理论依据,以减少不必要的医疗纠纷.方法:采用临床90项症状问卷(SCL-90),艾森克人格问卷(EPQ)和美容整形术后满意度问卷(CSPPOSR)对145例受术者进行调查分析.被调查者分为满意组和不满意组,比较两组中各指标的差异性及对术后满意度的相关性.结果:满意组和不满意组在躯体化、偏执及精神质等方面存在统计学差异(p＜0.05).躯体化、偏执两因子的标准得分与满意度总分之间呈负相关(r=-0.527～-0.207).精神质因子得分与满意度总分之间呈负相关(r=-0.352).结论:不满意组具有躯体化、偏执及精神质的心理状态和人格特征.并且情绪不稳定、身体不适、有强迫思维及行为、易猜疑的受术者术后易出现不满意结果.     

Are Sexual Dissatisfaction and Sexual Abuse Associated with Obesity? A Population‐Based Study

Objective: To investigate whether there is any association between obesity and sexual satisfaction and sexual abuse in a normal population. Research Methods and Procedures: A representative sample of 2810 subjects from a population study was interviewed about sexual satisfaction, sexual abuse, and life satisfaction. The answers from normal weight, overweight, and obese participants were compared. Univariate and multivariate analyses were performed. Results: Data were presented separately for two age groups, 18 to 49 and 50 to 74 years, and gender. The older group of obese men reported a greater decrease of sexual desire compared with 5 years prior than normal weight men [odds ratios (OR), 2.44; 95% confidence interval (CI), 1.4 to 4.3]. The older group of overweight men reported involuntary participation in sexual activities more often than normal weight men (OR, 2.06; 95% CI, 1.1 to 3.8). Although older overweight and obese women were diagnosed with a lingering disease (defined as >1 month) more often than normal weight women (overweight: OR, 2.41; 95% CI, 1.3 to 4.4; obese: OR, 4.45; 95% CI, 1.7 to 11.5), there was no difference between BMI groups in satisfaction with physical health. Discussion: Overweight and obese groups seem to be heterogeneous with respect to sexual satisfaction and experiences of sexual abuse. No significant differences were detected between BMI groups, which does not exclude the possibility of significant differences between BMI groups among patients seeking medical attention.     

Defining the Relationship between Obesity and Total Joint Arthroplasty

Objective: The purpose of this study was to examine the relationship between obesity and patient‐administered outcome measures after total joint arthroplasty. Research Methods and Procedures: A voluntary questionnaire‐based registry contained 592 primary total hip arthroplasty patients and 1011 primary total knee arthroplasty patients with preoperative and 1‐year data. Using logistic regression, the relationships between body mass index and the several outcome measures, including Short Form‐36 and Western Ontario and McMaster Universities Osteoarthritis Index, were examined. Results: There was no difference between obese and non‐obese patients regarding satisfaction, decision to repeat surgery, and Δphysical component summary, Δmental component summary, and ΔWestern Ontario and McMaster Universities Osteoarthritis Index scores (p > 0.05 for all). Body mass index was associated with an increased risk of having difficulty descending or ascending stairs at 1 year (odds ratio, 1.2 to 1.3). Discussion: Obese patients enjoy as much improvement and satisfaction as other patients from total joint arthroplasty.     

Utilization of dental health services by community-dwelling older adults in Japan who attended a weekly educational programme

Objectives: The purpose of this study was to describe dental health services utilization and identify factors which influenced a group of independently living elderly persons in an urban area of Japan. Subjects: The study sample consisted of 2,990 participants, 83% of the total sample of the Senior Citizen's College, who were 60 years and over. Measurements: Their dental utilization and satisfaction with dental treatment were measured by a questionnaire from 1993 to 1998 Results: The mean age of the subjects was 66.5 years and 52% were male. Sixty percent of the subjects had visited a dentist within the previous year, and 33% of them had received a regular oral health check‐up. The majority of the subjects (63%) were satisfied with their dental treatment. A multiple stepwise logistic regression analysis showed that dental services utilization had a significant positive association with presence of teeth (p<0.001), being male (p<0.01) and satisfaction with financial status (p<0.05). A regular oral health check‐ups had a significant association with presence of teeth (p<0.001), satisfaction with financial status (p<0.05) and aging (p=0.001). Conclusions: Dental health services utilization was related to the presence of teeth and financial status, rather than age or medical conditions, among independently living elderly persons in an urban area of Japan.     

Failure to meet weight loss expectations does not impact maintenance in successful weight losers

Objective: The objective was to examine whether having a weight loss experience that lives up to one's expectations is related to maintenance in a group of successful weight losers participating in the STOP Regain trial. Research Methods and Procedures: Participants (N = 314, 81% women, mean age, 51.3 ± 10.1 years; BMI = 28.6 ± 4.8 kg/m²) who lost ≥10% of their body weight within the past 2 years were randomly assigned to a maintenance program delivered either face‐to‐face or via the Internet or to a control group and assessed at 0, 6, 12, and 18 months. Results: At study entry, participants had lost 19% of their body weight, yet 86% of participants were currently trying to lose more weight. Further losses of 13% of body weight were needed to reach self‐selected ideal weights, with heavier participants wanting to lose more (p < 0.001). The weight loss‐related benefits participants achieved did not live up to their expectations (p ≤ 0.01). However, neither satisfaction with current weight, nor amount of further weight loss desired, nor discrepancies between actual and expected benefits predicted regain after adjusting for treatment group, gender, baseline weight, and percent weight loss before entry. Discussion: Even among very successful weight losers, expectations were not met and substantial further weight losses were desired; however, these factors were not related to subsequent weight maintenance outcomes.