Analysis on the early postoperative home dietary care guidance needs of gastrointestinal polypectomy patients based on the Kano model
10.3760/cma.j.cn211501-20241206-03358
- VernacularTitle:基于Kano模型的胃肠息肉切除患者术后早期家庭饮食护理指导需求分析
- Author:
Lianjin JIANG
1
;
Xiaoying ZHU
;
Xiaolei SHI
;
Liangyun XI
;
Lu LIANG
;
Jieyu YE
Author Information
1. 中国融通集团医疗健康公司鹰潭一八四医院消化内科，鹰潭 335000
- Publication Type:Journal Article
- Keywords:
Kano model;
Gastrointestinal polyps;
Family diet care;
Analysis of requirements
- From:
Chinese Journal of Practical Nursing
2025;41(25):1978-1985
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the early family diet nursing guidance needs of patients with gastrointestinal polyps resection based on Kano model, further screen the needs and optimize nursing strategies.Methods:This was a cross-sectional study. A total of 215 patients who underwent gastrointestinal polypectomy in Yingtan 184 Hospital of China Rongtong Group Healthcare Co. Ltd from January 2022 to June 2024 were prospectively selected using the purposive sampling method. The Kano model combined with Delphi expert consultation method was used to design a questionnaire on the family dietary nursing guidance needs of patients with gastrointestinal polypectomy. The Kano model needs attribute classification, Better-Worse coefficient analysis and two-dimensional matrix analysis were used to determine the information needs attributes, and the most sensitive and most needed factors were screened out for strategy optimization.Results:In this study, 232 questionnaires were distributed, and 215 valid questionnaires were returned, with an effective return rate of 92.67%. The 215 patients ranged in age from 20 to 72 years, with a mean age of 40.92 ± 10.06 years, including 163 males and 52 females. Among the 16 items in the survey questionnaire, 15 items need to be improved first. These include 1 attractive demand, 7 basic demands and 7 expected demands. The top 3 most sensitive needs were the formulation of an early home diet plan, the evaluation of the current diet structure, and the avoidance of exacerbating negative emotions, with sensitivities of 0.380, 0.370 and 0.328, respectively.Conclusions:The follow-up recommendations focus on providing support for family diet nursing, strengthening education on healthy diet, helping patients build a reasonable diet structure and habits, preventing malnutrition in the process, so as to meet the needs of early family diet nursing guidance for such patients.
