Analysis of the attributes of whole-process nursing needs of patients with gastrointestinal tumor surgery based on Kano model
10.3760/cma.j.cn211501-20231128-01142
- VernacularTitle:基于Kano模型的胃肠肿瘤手术患者全流程护理需求属性分析
- Author:
Sumin CUI
1
;
Weiying ZHANG
;
Hongqin ZHANG
Author Information
1. 上海交通大学医学院附属仁济医院护理部，上海 200127
- Keywords:
Gastrointestinal neoplasms;
Whole process nursing;
Needs;
Kano model;
Attribute analysis
- From:
Chinese Journal of Practical Nursing
2024;40(30):2372-2378
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the status quo of the whole process nursing needs of patients with gastrointestinal tumor surgery based on Kano model, and to provide a theoretical reference for the development of high quality nursing service.Methods:From August to September 2023, a cross-sectional survey was conducted on 284 patients undergoing gastrointestinal tumor surgery in Renji Hospital Affiliated to Shanghai Jiao Tong University by simple sampling method. Based on the Kano model as the theoretical framework, referring to the relevant literature, the questionnaire of the whole process nursing needs of patients with gastrointestinal tumor surgery was determined by two rounds of Delphi method, and the 'maximum frequency method' was used to classify the attributes of the whole process nursing needs of patients with gastrointestinal tumor surgery.Results:A total of 270 valid questionnaires were retrieved. Among 270 patients, 159 were males and 111 were females, aged 22-94 (65.34 ± 8.77) years. Among the 26 items, 16 nursing needs were expected attributes, and the first two nursing needs were pain care and relieving oral dryness. 7 essential attributes, the top 2 were relieving insomnia / drowsiness and preoperative preparation and nursing; 2 charm attributes, for postoperative follow-up and follow-up process nursing; 1 indifference attribute, which was the introduction of the surgical environment. The results of quadrant analysis showed that there were 46.15%(12/26) demands in the first quadrant (dominant area), 23.08%(6/26) in the third quadrant (observation area), and both 15.38%(4/26) in each of the other two quadrants.Conclusions:The whole process nursing needs of patients with gastrointestinal tumor surgery are diversified, and the hospital should actively meet the expected attributes and essentials of patients. On this basis, it should provide and innovate charm attribute services to improve patient satisfaction and improve the core competitiveness of the hospital.
