Bridge the gap caused by public health crises: medical humanization and communication skills build a psychological bond that satisfies patients

Abstract Background Patient satisfaction is an important outcome domain of patient-centered care. Medical humanization follows the patient-centered principle and provides a more holistic view to treat patients. The COVID-19 pandemic posed significant barriers to maintaining medical humanization. However, empirical study on the relationship between medical humanization and patient satisfaction is clearly absent. Objectives We examined the mediation effects of communication on the relationship between medical humanization and patient satisfaction when faced with a huge public health crisis like the COVID-19 pandemic, and the moderation effect of medical institutional trust on the mediation models. Methods A cross-sectional survey study was performed. A final sample size of 1445 patients was surveyed on medical humanization, communication, patient satisfaction and medical institutional trust. Results All correlations were significantly positive across the main variables (r = 0.35–0.67, p < 0.001 for all) except for medical institutional trust, which was negatively correlated with the medical humanization (r=-0.14, p < 0.001). Moderated mediation analysis showed that the indirect effect of medical humanization on patient satisfaction through communication was significant (b = 0.22, 95% CI: 0.18 ~ 0.25). Medical institutional trust significantly moderated the effect of medical humanization on patient satisfaction (b=-0.09, p < 0.001) and the effect of medical humanization on communication (b= -0.14, p < 0.001). Conclusion Medical humanization positively influence patient satisfaction, communication mediated the association between medical humanization and patient satisfaction, and medical institutional trust negatively moderated the effects of medical humanization on patient satisfaction and communication. These findings suggest that humanistic communication contributes to patient satisfaction in the face of a huge public health crisis, and patients’ evaluation of satisfaction is also regulated by rational cognition

Experimental research on the cooling effect of a novel two-phase closed thermosyphon with semiconductor refrigeration in permafrost regions

Hybrid two-phase closed thermosyphon (TPCT) artificial ground freezing technique is an effective cooling strategy adaptable to different geological and meteorological conditions in permafrost regions. Previous studies have focused on the feasibility of hybrid TPCT with little attention given to the cooling characteristics and long-term effects of this technique under actual environmental conditions. In this study, a novel structured semiconductor refrigeration device, with simple structure, small size, and wide operating temperature range, was designed and manufactured to act as the active condenser of a hybrid TPCT, and the cooling effect of this device was investigated during a two-year field test under stable power supply. This study showed that: 1) The minimum (maximum) average temperature of the semiconductor refrigeration two-phase closed thermosyphon (SRTPCT) evaporator was 0.5 (2.1) °C lower than the TPCT evaporator. The average ground temperature decreased by 0.3 °C, and the permafrost table rose to 0.2 m at 1 m from the evaporators around SRTPCT. The semiconductor refrigeration device added more than 9.75 MJ of cold storage to the soil around the TPCT evaporator during an operating cycle. 2) The optimal working period for the semiconductor refrigeration device was from June to October, and the cooling effect was better when the ambient temperature was low in the warm season. 3) As active condenser of hybrid TPCT in permafrost regions, semiconductor refrigeration device has a larger heat transfer power enhancement for TPCTs than vapor compression refrigeration device in the warm season, and vice versa in the cold season, as well as a higher heat transfer power enhancement for TPCTs than adsorption refrigeration device. The results of this study provide relevant parameters and references for the design and engineering application of future SRTPCT