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HOUSEHOLD COPING STRATEGIES FOR DELIVERY CARE COSTS: FINDINGS FROM A RURAL DISTRICT OF PAKISTAN 分娩护理费用的家庭应对策略:来自巴基斯坦农村地区的调查结果
Pub Date : 2023-06-13 DOI: 10.59365/hsj.1(2).2023.50
Sohail Akhtar, Muhammad Kamran Khalid
Aim: Objective of the existing study is to find out the associated factor of which play significant role in financing OOPE in choice of delivery by households in district Rajanpur, Punjab, Pakistan.Background: In Pakistan health expenditure is a main issue when it commes to Out-of-pocket expenditure is considered as major challeneg. Housholds resort to different coping strategies with the increase in OOPE on health care, including maternal care.Material and Methods:Nature of the data was cross-sectional and study setting and location was in district Rajanpur, a predominantly rural district in Pakistan. Data was collected in time period of october 2020 to december 2020 from 368 mothers using multi-stage random sampling, in the selected Basic Health Unit areas were included in the study. Data were collected through a pretested inteview schedule translated in Urudu langage.Results: Savings or current income were the primary sources of financing OOPE on delivery care by 90% of respondents, followed by borrowing reported by 35% of respondents who borrowed money from friends and relatives to cope with the current expenditure on delivery. Low-income families used multiple sources to meet the burden of OOPE, and a significant proportion of them had resorted to borrowing (41.5%) and sale of household assets (23%) to meet OOPE on delivery care. The study concludes that despite various government initiatives to improve maternal healthcare services in Pakistan, most rural families have incurred OOPE in seeking delivery care.
目的:现有研究的目的是找出在巴基斯坦旁遮普省拉詹普尔地区家庭选择分娩时,在为外出服务提供资金方面发挥重要作用的相关因素。背景:在巴基斯坦,保健支出是一个主要问题,当涉及到自付支出被视为主要挑战时。家庭采取不同的应对策略,以应对包括孕产妇保健在内的卫生保健方面的实际支出增加。材料和方法:数据的性质是横断面的,研究环境和地点在Rajanpur地区,主要是巴基斯坦的农村地区。在2020年10月至2020年12月期间,采用多阶段随机抽样从368名母亲中收集了数据,这些母亲来自选定的基本卫生单位地区。通过翻译成乌鲁都语的预先测试的访谈时间表收集数据。结果:90%的受访者表示储蓄或当前收入是分娩护理的主要资金来源,其次是借款,35%的受访者表示向朋友和亲戚借钱以应付当前的分娩支出。低收入家庭使用多种来源来满足OOPE的负担,其中很大一部分家庭通过借款(41.5%)和出售家庭资产(23%)来满足OOPE的分娩护理负担。该研究的结论是,尽管巴基斯坦政府采取了各种措施来改善孕产妇保健服务,但大多数农村家庭在寻求分娩护理时出现了外泄。
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引用次数: 0
DIFFICULTY IN USABILITY OF ELECTRONIC PERSONAL HEALTH RECORD SYSTEMS FOR AN UNDERSERVED ELDERLY ADULT POPULATION 电子个人健康记录系统在服务不足的老年人口中的可用性困难
Pub Date : 2023-06-13 DOI: 10.59365/hsj.1(2).2023.45
Abdul-Aziz Musaad Alharbi, Ahmed Ali Ajmal Pasha, Abdullah Jaber Faqihi
Objective: The objective of the current paper is to investigate the use of electronic patient records (E-PHRs) among elder people and those with low income. Elder population due to low awareness, literacy rate, low income level and lack of training and experience felt difficulty while assessing E-PHRs.Background: Use of PHRs has been increasing in healthcare organizations. Patients’ involvement in managing health has been crucial. However, scars and spars literature is available about use of PHRs in elderly people.Material and Methods: The nature of the current study is quantitative and nature of data is cross-sectional. Survey approach was used. Self-administered questionnaire was distributed among 30 elderly people. Questionnaire consists of two sections. First is about demographic information such as gender, age, literacy and second section are about awareness, lack of experience, training and resistance to new technology. Frequency, percentage, and mean values are calculated in SPSS. The reliability of the questionnaire was checked by Cronbach alpha.Results: Findings indicated that highest mean value is scores by lack of experience followed by resistance to new technology. Moreover all the constructs met the threshold for reliability.Conclusion: It is concluded that hospital administration focus on training on elderly population. Motivate them to use new technology, make it user friendly and raise awareness about using E-PHRs and its benefits.Practical Implications: This study has practical implications for health practitioners, policy makers and ministry of health. Policy makers cannot ignore the importance of E-PHRs while making policy. Budget is required for training, raising awareness and motivating elderly population to use E-PHRs but it has long term benefits in future. Both health care professionals and patients can take benefits from use of E-PHRs.
目的:本研究的目的是调查老年人和低收入者电子病历的使用情况。由于老年人口的认知度低、识字率低、收入水平低以及缺乏培训和经验,在评估E-PHRs时感到困难。背景:在医疗机构中,phrr的使用一直在增加。患者参与健康管理至关重要。然而,关于老年人使用PHRs的文献是可用的。材料和方法:当前研究的性质是定量的,数据的性质是横断面的。采用调查法。对30名老年人进行问卷调查。问卷由两部分组成。第一部分是关于人口统计信息,如性别、年龄、识字率,第二部分是关于意识、缺乏经验、培训和对新技术的抵制。频率、百分比和平均值在SPSS中计算。问卷的信度采用Cronbach alpha检验。结果:调查结果表明,由于缺乏经验而得分的平均值最高,其次是对新技术的抵制。所有构念均满足信度阈值。结论:医院管理层应重视老年人群的培训。鼓励他们使用新技术,使其易于使用,并提高对使用E-PHRs及其好处的认识。实际意义:本研究对卫生从业人员、政策制定者和卫生部具有实际意义。政策制定者在制定政策时不能忽视E-PHRs的重要性。培训、提高认识和激励老年人使用E-PHRs需要预算,但它具有长远的未来效益。医疗保健专业人员和患者都可以从使用E-PHRs中获益。
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引用次数: 0
A PROFILE OF DIABETIC RETINOPATY PATIENTS RECEIVING GREEN LASER FROM 2015 TO 2019 IN D.I.KHAN DIVISION, PAKISTAN 2015 - 2019年巴基斯坦dii khan地区接受绿色激光治疗的糖尿病视网膜病变患者分析
Pub Date : 2023-06-13 DOI: 10.59365/hsj.1(2).2023.39
Muhammad Kamran Khalid, Najaf Ali, Muhammad Ayub Khan
ABSTRACT:Background: Diabetic retinopathy (DR) is one of the leading cause of blindness worldwide and laser therapy has a basic role in the control of diabetic retinopathy. Green laser therapies are performed both for proliferative diabetic retinopathy and diabetic macular edema. The aim of our study was to determine the frequencies of different stages of diabetic retinopathy in patients undergoing laser in our setup.Materials & Methods: This descriptive study was conducted at the department of Ophthalmology, Gomal Medical College, D.I.Khan, Pakistan from January 2015 to December 2019.The sample consisted of all the diabetic patients undergoing green laser procedures during this period at Eye Unit, DHQ Teaching Hospital D.I.Khan Pakistan.Results: Out of a total of 1,893 green laser procedures performed for diabetic patients from January 2015 to December 2019, 1,011 were male and 882 were female. 969 (51.1%) patients were having relatively early stages of DR, 676 (35.7) patients had advanced DR and 248 (13.1%) had diabetic macular edema (DME).Conclusion: Laser therapy is frequently needed for the control of diabetic eye disease so keeping in mind the disease burden the laser facilities should be expanded in our setup.
摘要:背景:糖尿病视网膜病变(DR)是世界范围内致盲的主要原因之一,激光治疗在糖尿病视网膜病变的控制中具有基础作用。绿色激光治疗用于增殖性糖尿病视网膜病变和糖尿病黄斑水肿。我们研究的目的是确定在我们的装置中接受激光治疗的患者中不同阶段糖尿病视网膜病变的频率。材料与方法:本描述性研究于2015年1月至2019年12月在巴基斯坦dii khan的Gomal医学院眼科进行。样本包括在此期间在巴基斯坦DHQ教学医院眼科接受绿色激光手术的所有糖尿病患者。结果:在2015年1月至2019年12月期间,共有1893例糖尿病患者接受了绿色激光手术,其中1011例为男性,882例为女性。相对早期DR 969例(51.1%),晚期DR 676例(35.7%),糖尿病性黄斑水肿248例(13.1%)。结论:糖尿病性眼病的控制需要激光治疗,应考虑到糖尿病性眼病的疾病负担,扩大激光治疗设施。
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引用次数: 0
RELATIONSHIP BETWEEN JOB EMBEDDEDNESS, ETHICAL CLIMATE WITH NURSES’ TURNOVER: THE MODERATING ROLE OF LOCUS OF CONTROL AND PERCEIVED EMPLOYMENT ALTERNATIVES 工作嵌入性、伦理氛围与护士离职的关系:控制点和感知就业选择的调节作用
Pub Date : 2023-06-13 DOI: 10.59365/hsj.1(2).2023.49
Saqib Yaqoob Malik, Waheed-ur-Rehman
Aim: The aim of current study is to investigate the moderating effects of Locus of control and perceived employment alternatives among Job embeddedness ethical climate with turnover intentionBackground: Quality care and health services are based on the diligence of health workforce. As per the report of WHO Pakistan is also one of the countries having shortage of workforce especially paramedical staff.Material and Methods: This is a quantitative study. Survey based approach was used. Self-administered questionnaire was used. 242 completed questionnaires were received and used in the statistical analyses.Results: Results elaborated that there is significant relationship among job embeddedness, ethical climate, and turnover intention, ethical climate, LOC. and turnover, PAEO, LOC and turnover. LOC does act as a moderator on JE, and turnover while PAEO does not act as moderator on JE and turnover, on the contrary LOC and PAEO does not moderate on JE and EC and turnover intention. The future researchers can explore the concept in depth to keep employees stick to their jobs.Conclusion: Nurses work in a stressful environment in the healthcare organizations it is therefore essential for the healthcare organizations to retain the nurses for long time and reduce turnover intention.Practical Implications: Ministry of Health (MoH) Pakistan and healthcare professionals, hospitals’ administration can take benefit and formulate policies to increase the job satisfaction of nurses and reduce turnover intention. Turnover incurs direct and indirect cost and healthcare organizations’ cannot afford high turnover intention of the nurses as there is already shortage of health workforce in Pakistan.
目的:本研究旨在探讨控制点和就业选择对工作嵌入性、道德氛围和离职意向的调节作用。背景:高质量的护理和卫生服务是建立在卫生工作者勤奋的基础上的。根据世界卫生组织的报告,巴基斯坦也是劳动力特别是辅助医务人员短缺的国家之一。材料与方法:本研究为定量研究。采用基于调查的方法。采用自填问卷。共收到242份填妥的问卷,用于统计分析。结果:工作嵌入性、伦理氛围与离职倾向、伦理氛围、LOC之间存在显著的相关关系。和营业额,PAEO, LOC和营业额。LOC对脑炎和离职有调节作用,而PAEO对脑炎和离职没有调节作用,相反,LOC和PAEO对脑炎和离职意图没有调节作用。未来的研究人员可以深入探索这个概念,以保持员工坚持自己的工作。结论:护士在医疗机构中处于压力环境中工作,因此,医疗机构应长期留住护士,降低离职意愿。实践启示:巴基斯坦卫生部(MoH)和医疗专业人员、医院管理部门可以从中受益并制定政策来提高护士的工作满意度,降低离职意愿。人员流动会产生直接和间接的成本,由于巴基斯坦的卫生人力已经短缺,卫生保健组织无法承受护士的高流动意愿。
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引用次数: 0
HOSPITAL WASTE MANAGEMENT AND TREATMENT IN HEALTHCARE SECTOR: A REVIEW 医疗保健部门的医院废物管理和处理综述
Pub Date : 2023-06-13 DOI: 10.59365/hsj.1(2).2023.41
Shabreen Banu S, Syed Arif Pasha, Muneeb Jehan
Aim: Medical waste generation was significantly increased during pandemic due to excessive use of face masks, plastic, syringes. Many countries during pandemic successfully reduce medical waste (MW). The purpose of this current study is to highlight the management and treatment process of MW so that personnel responsible for collecting, transporting and disposing of the MW keep themselves as well as environment safe help in reducing MW and spreading infections.Study Design: Review, Conceptual,Material and Methods: Articles published in Scopus, Web of Science, Pub Med, and EBSCO were downloaded for literature. Different keywords such as Waste treatment, Recycling of Waste, Waste Management (WM) were used for search of literature. Articles included in this study were chosen on certain criteria. Those articles which are published between 2017-2023 were included and those which match the keywords were included in the current study. Those articles which do not match the criteria were excluded.Results: There are five main themes emerged as the main findings of this study. These are waste generation, segregation, collection and transportation, recycling, treatment, and disposal.Conclusion: It is concluded that authorized personnel must be allowed to touch and dispose of the MW. These personnel must be provided with adequate training so that spread of infections can be prevented.
目的:大流行期间,由于口罩、塑料、注射器的过度使用,医疗废物的产生量显著增加。许多国家在大流行期间成功地减少了医疗废物。本研究的目的是强调微波的管理和处理过程,以便负责收集、运输和处置微波的人员保证自身和环境的安全,有助于减少微波和传播感染。研究设计:综述、概念、材料和方法:下载在Scopus、Web of Science、Pub Med和EBSCO上发表的文章作为文献。使用不同的关键词,如废物处理,废物回收,废物管理(WM)进行文献检索。纳入本研究的文章是根据一定的标准选择的。纳入2017-2023年间发表的文章,匹配关键词的文章纳入当前研究。不符合标准的文章被排除在外。结果:本研究的主要发现有五个主题。这些是废物的产生、分类、收集和运输、回收、处理和处置。结论:必须允许授权人员接触和处理MW。必须向这些人员提供适当的培训,以防止感染的传播。
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引用次数: 0
EVALUATION OF BASIC KNOWLEDGE OF RETINOPATHY OF PREMATURITY: A MULTI-DISCIPLINARY STUDY 早产儿视网膜病变基础知识评价:一项多学科研究
Pub Date : 2023-01-02 DOI: 10.59365/hsj.1(1).2022.21
Danish Zafar, NargisNoman, Muhammad Sharjeel, Zeeshan Hameed
Aim: To evaluate the basic knowledge of doctors about retinopathy of prematurity, dealing mostly with ROP in pediatric and ophthalmology departments. Study Design: Quantitative, cross sectional study Place and Duration: Ayub Teaching Hospital Complex, Abbottabad from 1st April 2022 to 8th April 2022 (one-week duration) Material and Methods: After explaining the whole scenario to the participants, a questionnaire was handed over to them which contained different questions regarding ROP. Data response was saved, evaluated and then analyzed in terms of percentages of response. Excel spreadsheets and SPSS v.25.0 were used wherever required. Results: Total number of participants were 57 out of which 23 (40.35 %) were males and 34 (59.65%) were female. Majority of the doctors were house officers 27 (47.37%) followed by residents 20 (35.09%) and consultants 10 (17.54%). Mostly were from paediatrics department (67%) followed by ophthalmology department (31%). 94% had basic knowledge about ROP. About 48 % were unaware about screening protocols for ROP and 50% were unaware about treatment modalities. Conclusion: ROP is very ignorable entity especially for doctors working in neonatal ICU. Majority of doctors don’t have proper awareness about disease and need to be trained well in order to prevent and manage the disease by proper and timely referral to ophthalmologist for further planning.
目的:了解儿科和眼科医生对早产儿视网膜病变的基本认识,以早产儿视网膜病变为主。研究设计:定量、横断面研究地点和时间:2022年4月1日至2022年4月8日,阿伯塔巴德Ayub教学医院综合大楼(为期一周)材料和方法:向参与者解释了整个场景后,向他们分发了一份问卷,其中包含有关ROP的不同问题。保存数据响应,评估,然后根据响应百分比进行分析。需要时使用Excel电子表格和SPSS v.25.0。结果:共57人,其中男性23人(40.35%),女性34人(59.65%)。以住院医生27名(47.37%)居多,其次是住院医生20名(35.09%)和咨询医生10名(17.54%)。主要来自儿科(67%),其次是眼科(31%)。94%的人对机械钻速有基本的了解。约48%的人不知道ROP的筛查方案,50%人不知道治疗方式。结论:ROP是一个不容忽视的问题,尤其在新生儿重症监护病房工作。大多数医生对疾病缺乏适当的认识,需要接受良好的培训,以便通过适当和及时的转诊给眼科医生进行进一步的规划来预防和管理疾病。
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引用次数: 0
EFFECT OF METHOTREXATE THERAPY ON VISUAL FUNCTIONS 甲氨蝶呤治疗对视觉功能的影响
Pub Date : 2023-01-02 DOI: 10.59365/hsj.1(1).2022.23
Memona Mohiuddin, Muhammad Sharjeel, Zeeshan Hameed
Aim: To find the effect of Methotrexate therapy on visual functions (visual acuity, contrast sensitivity, color vision, glare sensitivity, visual field) and ocular adnexa Study Design: Descriptive cross-sectional study Place and Duration: College of Ophthalmology and Allied Vision Sciences (COAVS), Mayo Hospital Lahore from September 2016 to November 2016. Material and Methods: A total of 30 patients having psoriasis and rheumatoid arthritis taking methotrexate therapy with different doses and different durations were questioned through a specified performa and then examined for changes in ocular adnexa and visual functions. Results were saved on Excel Sheets and analyzed with SPSS v.25.0. Results: Patients taking methotrexate therapy were found to have affected visual functions with color vision and visual field being more affected as compared to other visual functions. Dosage significantly affects color vision (p=.002) and visual field (p=.001). While in terms of duration, it was analyzed that there is significant relation (p=.006) between duration and the color vision and same was with the visual field (p=.001). Conclusion: Methotrexate therapy has less effect on visual acuity, contrast sensitivity, glare sensitivity and ocular adnexa. However, color vision and visual field were affected due to methotrexate therapy, and neurological visual field defects occur due to long term (1-2 years) therapy.
目的:探讨甲氨蝶呤治疗对视觉功能(视力、对比敏感度、色觉、眩光敏感度、视野)和眼附件的影响。研究设计:描述性横断面研究地点和时间:2016年9月至2016年11月,拉合尔梅奥医院眼科及联合视觉科学学院(COAVS)。材料与方法:对30例银屑病合并类风湿关节炎患者进行甲氨蝶呤不同剂量、不同持续时间的治疗,通过指定的问卷调查,检查眼附件和视功能的变化。结果保存在Excel表格中,用SPSS v.25.0进行分析。结果:甲氨蝶呤治疗后患者的视觉功能受到影响,其中色觉和视野受到的影响大于其他视觉功能。剂量显著影响色觉(p=.002)和视野(p=.001)。而在持续时间方面,分析发现持续时间与色觉之间存在显著相关(p= 0.006),与视野之间存在显著相关(p= 0.001)。结论:甲氨蝶呤治疗对视力、对比敏感度、眩光敏感度和眼附件的影响较小。然而,由于甲氨蝶呤治疗,色觉和视野受到影响,并且由于长期(1-2年)治疗,出现神经性视野缺损。
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引用次数: 0
ZERO HUNGER Vs MALNUTRITION: DOUBLE EDGED SWORDGROUND REALITY BASED ON NATIONAL FAMILY HEALTH SURVEY-V, INDIA 零饥饿与营养不良:双刃剑——基于印度国家家庭健康调查的现实
Pub Date : 2023-01-02 DOI: 10.59365/hsj.1(1).2022.30
Kanchan Singh, Raj Narayan, Sherin Raj TP
Background: Recently released Global Hunger Index has put India’s effort in the field of nutrition in a conundrum. Despite significant steps taken to improve nutrition, India is grappling with double edged sword of Malnutrition. Malnutrition, under or over, has affected many countries across the globe. Objective: This article explores the ground reality in the meadow of Nutrition status revealed by National Family Health Survey (NFHS)-5 data for 36states/UTs in India. Material and Methods: It explicitly evaluates the success and inadequacies based on parameters and comparing them with NFHS-4 data. The paper takes on the panoramic view of all forms of malnutrition in different sections as well as the various initiatives and existing programs addressing this issue. Findings: Among the 22 states, 16 states recorded an increase in underweight and severely wasted fewer than 5 children, which were surveyed during the first phase of the NFHS -5. The NFHS-5 data again revealed that except for Goa & Diu all the states / UTs have shown an increase in the percentage of overweight children over the past 5 years. Conclusion: We need timely nutritional interventions, full immunization, and supplementation programs. PoshanAbhiyan components should be implemented using Inter sectoral convergence and use of technology (ICT) for better service delivery.
背景:最近发布的全球饥饿指数使印度在营养领域的努力陷入困境。尽管在改善营养方面采取了重大措施,但印度仍在与营养不良这把双刃剑作斗争。营养不良,或不足或过度,已经影响了全球许多国家。目的:本文探讨了印度36个邦/ ut的国家家庭健康调查(NFHS)-5数据所揭示的营养状况的基本现实。材料与方法:根据参数明确评价成功与不足,并与NFHS-4数据进行比较。本文全面介绍了不同领域的各种形式的营养不良,以及解决这一问题的各种举措和现有方案。调查结果:在22个州中,16个州记录了体重不足的增加,严重浪费的儿童不到5人,这是在NFHS -5的第一阶段进行的调查。NFHS-5数据再次显示,除果阿邦和迪乌邦外,所有邦/自治区在过去5年里超重儿童的比例都有所增加。结论:我们需要及时的营养干预、全面免疫和补充计划。PoshanAbhiyan的组成部分应通过部门间融合和技术(ICT)的使用来实施,以更好地提供服务。
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引用次数: 0
TELEMEDICINE AND E-HEALTH USER READINESS IN PUBLIC SECTOR OF PAKISTAN 巴基斯坦公共部门的远程医疗和电子保健用户准备情况
Pub Date : 2023-01-02 DOI: 10.59365/hsj.1(1).2022.28
Qamar Afaq Qureshi
Aim: Purpose of this study was to identify the impact of e-health readiness on user readiness and project implementation. Methods: Survey approach was used. Primary data was collected. Total 245 sample size was selected using convenience sampling technique and completed questionnaires were analyzed in the SPSS. Findings: There is positive and significant relationship between predictors and criterion variables. Moreover significant impact was found on e-readiness but insignificant affect on project implementation was recorded. Conclusions:  it is concluded that e-health and telemedicine is crucial for better health services delivery and to improve the quality of health services.  
目的:本研究的目的是确定电子卫生准备对用户准备和项目实施的影响。方法:采用问卷调查法。收集了原始数据。采用方便抽样法,共选取245份样本量,完成的问卷在SPSS软件中进行分析。结果:预测因子与标准变量之间存在显著正相关。此外,对电子准备有显著影响,但对项目实施的影响不显著。结论:结论认为,电子保健和远程医疗对于更好地提供保健服务和提高保健服务质量至关重要。
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引用次数: 0
MEASURING PATIENTS SATISFACTION THROUGH SERVPERF-MODEL IN PUBLIC SECTOR HOSPITALS 基于服务人员模型的公立医院患者满意度测评
Pub Date : 2023-01-02 DOI: 10.59365/hsj.1(1).2022.35
Fawad Khan, Qamar Afaq Qureshi
Aim: Purpose of this existing study is to investigate the quality services through patient satisfaction using SERVPERF-model. Methods: For this purpose survey approach was used. Cross-sectional primary data was collected form 100 patients of two public sector hospitals. Data was analyzed in SPSS. Mean, standard deviation, correlation and regression were used. Findings/Results: It was found that there is positive and significant relationship found between predictors and criterion variables. Moreover only reliability factor has significant impact on patient satisfaction.  
目的:本研究旨在利用servperf模型探讨医院服务质量与患者满意度的关系。方法:采用问卷调查法。横断面原始资料收集自两所公立医院的100名患者。数据用SPSS进行分析。采用均值、标准差、相关和回归分析。发现/结果:预测因子与标准变量之间存在显著正相关。而且只有可靠性因素对患者满意度有显著影响。
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引用次数: 0
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