Patient satisfaction with nurses' care is positively related to the nurse–patient relationship in Chinese hospitals: A multicentre study

BackgroundThe nurse–patient relationship and nursing care satisfaction are important factors that represent whether patients experience the care they expect from nurses. However, research is lacking on the relationship between nursing staff and patients, and the correlation between nursing care satisfaction and relationship care in China. Therefore, this study aimed to explore the correlation between the nurse–patient relationship and patients' satisfaction with nursing care, to form a basis for corresponding intervention measures.MethodsA total of 29,108 patients from 107 hospitals in 30 provinces/municipalities in China completed a general information questionnaire, the Nursing Care Satisfaction Scale, and Relational Care Scale.ResultsThe average nurse–patient relational care scale score was 4.38 ± 0.57, and the average patients' satisfaction with nursing care scale score was 5.40 ± 0.86. Nursing care satisfaction score was significantly related to differences among patients in different age, gender, marital status, education level, occupation, residence, family per capita monthly income, type of medical insurance, medical department, and regional patient characteristics. The correlation analysis showed that the total nurse–patient relational care score and its three dimensions of caring, trust, and professional ethics correlated positively with nursing care satisfaction scores. The multiple linear regression analysis showed that patients' age, marital status, region, department, income, type of medical insurance and the caring, trust, and professional ethics dimensions of relational care predicted nursing care satisfaction.ConclusionEnhancing nurse–patient relational care improves nursing care satisfaction, reduces nurse–patient disputes, promotes early rehabilitation of patients, and ensures patient safety

Nutritional Risk, Health Outcomes, and Hospital Costs Among Chinese Immobile Older Inpatients: A National Study

Purpose: Evidence of the impact of nutritional risk on health outcomes and hospital costs among Chinese older inpatients is limited. Relatively few studies have investigated the association between clinical and cost outcomes and nutritional risk in immobile older inpatients, particularly those with neoplasms, injury, digestive, cardiac, and respiratory conditions. Methods: This China-wide prospective observational cohort study comprised 5,386 immobile older inpatients hospitalized at 25 hospitals. All patients were screened for nutritional risk using the Nutrition Risk Screening (NRS 2002). A descriptive analysis of baseline variables was followed by multivariate analysis (Cox proportional hazards models and generalized linear model) to compare the health and economic outcomes, namely, mortality, length of hospital stay (LoS), and hospital costs associated with a positive NRS 2002 result. Results: The prevalence of a positive NRS 2002 result was 65.3% (n = 3,517). The prevalence of “at-risk” patients (NRS 2002 scores of 3+) was highest in patients with cardiac conditions (31.5%) and lowest in patients with diseases of the respiratory system (6.9%). Controlling for sex, age, education, type of insurance, smoking status, the main diagnosed disease, and Charlson comorbidity index (CCI), the multivariate analysis showed that the NRS 2002 score = 3 [hazard ratio (HR): 1.376, 95% CI: 1.031–1.836] were associated with approximately a 1.5-fold higher likelihood of death. NRS 2002 scores = 4 (HR: 1.982, 95% CI: 1.491–2.633) and NRS scores ≥ 5 (HR: 1.982, 95% CI: 1.498–2.622) were associated with a 2-fold higher likelihood of death, compared with NRS 2002 scores <3. An NRS 2002 score of 3 (percentage change: 16.4, 95% CI: 9.6–23.6), score of 4 (32.4, 95% CI: 24–41.4), and scores of ≥ 5 (36.8, 95% CI 28.3–45.8) were associated with a significantly (16.4, 32.4, and 36.8%, respectively) higher likelihood of increased LoS compared with an NRS 2002 scores <3. The NRS 2002 score = 3 group (17.8, 95% CI: 8.6–27.7) was associated with a 17.8%, the NRS 2002 score = 4 group (31.1, 95% CI: 19.8–43.5) a 31.1%, and the NRS 2002 score ≥ 5 group (44.3, 95% CI: 32.3–57.4) a 44.3%, higher likelihood of increased hospital costs compared with a NRS 2002 scores <3 group. Specifically, the most notable mortality-specific comorbidity and LoS-specific comorbidity was injury, while the most notable cost-specific comorbidity was diseases of the digestive system. Conclusions: This study demonstrated the high burden of undernutrition at the time of hospital admission on the health and hospital cost outcomes for older immobile inpatients. These findings underscore the need for nutritional risk screening in all Chinese hospitalized patients, and improved diagnosis, treatment, and nutritional support to improve immobile patient outcomes and to reduce healthcare costs

One-Step Ball Milling Preparation of Nanoscale CL-20/Graphene Oxide for Significantly Reduced Particle Size and Sensitivity

Abstract A one-step method which involves exfoliating graphite materials (GIMs) off into graphene materials (GEMs) in aqueous suspension of CL-20 and forming CL-20/graphene materials (CL-20/GEMs) composites by using ball milling is presented. The conversion of mixtures to composite form was monitored by scanning electron microscopy (SEM) and powder X-ray diffraction (XRD). The impact sensitivities of CL-20/GEM composites were contrastively investigated. It turned out that the energetic nanoscale composites based on CL-20 and GEMs comprising few layers were accomplished. The loading capacity of graphene (reduced graphene oxide, rGO) is significantly less than that of graphene oxide (GO) in CL-20/GEM composites. The formation mechanism was proposed. Via this approach, energetic nanoscale composites based on CL-20 and GO comprised few layers were accomplished. The resulted CL-20/GEM composites displayed spherical structure with nanoscale, ε-form, equal thermal stabilities, and lower sensitivities

Effect of process parameters on sheath forming of continuous extrusion sheathing of aluminum

The effect of flow passage length in the die cavity and extrusion wheel velocity on the shape of aluminum sheath during the continuous extrusion sheathing process was analyzed by using finite element methods based on software DEFORM 3D and experimentally validated. The results show that by increasing the flow passage length, the velocity of metal at the cross-section of sheath tends toward uniformity, the values of the bending angles of sheath gradually approach the ideal value of zero and the cross-section exhibits a better shape. The extrusion wheel velocity has negligible effects on the bending shape and cross-section of the sheath product when a long flow passage is used

Reaction process and temperature-resistant properties of B/KNO3/PVDF composites using thermal analysis

Using thermal analysis techniques to explore the relation between temperature and physical and chemical changes in materials is crucial for studying the reaction processes of energetic materials. Herein, thermogravimetry–mass spectrometry was used to study the reaction process of B/KNO3/polyvinylidene fluoride (PVDF) composites. The effects of different PVDF and B contents on the decomposition process, pressure release properties and heat of combustion of the composites were investigated. Furthermore, the thermodynamic and kinetic responses of the composites in a linear integrated state after stimulation at different temperatures were studied. The results show that the addition of PVDF lowered the temperature at which KNO3 decomposed and released [O], enabling the composite to react at a lower temperature. Although the initial reaction temperature increased with increasing PVDF content, excessive PVDF hindered the heat and mass transfer between particles, thereby deteriorating the pressure release characteristics and heat of combustion of the composite. In addition, the B/KNO3/PVDF composites were chemically stabilized by heating at 60 °C for 90 d or at 150 °C for 2 h. This treatment ensured stable combustion and pressure release of the composites. These results provide a reference for studying the reactivity and functional applications of B/KNO3 composites

Fluorescent Glycosylamides Produced by Microscale Derivatization of Free Glycans for Natural Glycan Microarrays

A novel strategy for creating naturally derived glycan microarrays has been developed. Glycosylamines are prepared from free reducing glycans and stabilized by reaction with acryloyl chloride to generate a glycosylamide in which the reducing monosaccharide has a closed-ring structure. Ozonolysis of the protected glycan yields an active aldehyde, to which a bifunctional fluorescent linker is coupled by reductive amination. The fluorescent derivatives are easily coupled through a residual primary alkylamine to generate glycan microarrays. This strategy preserves structural features of glycans required for antibody recognition and allows development of natural arrays of fluorescent glycans in which the cyclic pyranose structure of the reducing-end sugar residue is retained

Additional file 1: of One-Step Ball Milling Preparation of Nanoscale CL-20/Graphene Oxide for Significantly Reduced Particle Size and Sensitivity

Supporting Information for One-step ball milling preparation of nanoscale CL-20/graphene oxide for significantly reduced particle size and sensitive. (DOCX 1448 kb