基于卡诺模型的PCI术后患者心脏康复信息需求的识别研究  

Identification of cardiac rehabilitation information need based on KANO model in patients after PCI

作　　者：赵宇柯 徐佳琪 何雨珊 李海燕[3] 张丽娜[3] 田淬[3] 康晓凤[4] Zhao Yuke;Xu Jiaqi;He Yushan;Li Haiyan;Zhang Lina;Tian Cui;Kang Xiaofeng(The First Ward of Gynecology Department,Peking Union Medical College Hospital,Beijing 100730,China;Intensive Care Unit,the Fourth Affiliated Hospital of Zhejiang University School of Medicine,Jinhua 322000,China;Cardiovascular Department,Chinese PLA General Hospital,Beijing 100853,China;School of Nursing,Peking Union Medical College,Beijing 100144,China)

机构地区：[1]北京协和医院妇科一病房,100730 [2]浙江大学医学院附属第四医院重症医学科,金华322000 [3]解放军总医院心内科,北京100853 [4]北京协和医学院护理学院,100144

出　　处：《中华现代护理杂志》2020年第7期846-850,共5页Chinese Journal of Modern Nursing

基　　金：2018年度北京协和医学院护理学院理论与研究中心科研项目(PUMCSON201914)。

摘　　要：目的基于卡诺模型对PCI术后患者的心脏康复信息需求进行定性分析,并进一步得出各项需求的满意度及重要度,为优化临床康复健康指导提供依据。方法采用便利抽样法,2019年5月选取144例行择期PCI术患者为研究对象,依据心脏康复信息需求的基础知识、营养、运动锻炼、药物、工作与职业、压力与心理、社会关注、危急与安全、诊断与治疗、风险因素管理等10个方面的需求项,制作KANO双因素问卷,得到需求属性分类,绘制需求的满意度-重要度象限图。结果心脏康复信息需求量表的51项条目中,必备属性有5项(9.8%),期望属性有14项(27.5%),魅力属性有8项(15.7%),无差异属性有24项(47.1%)。满意度-重要度矩阵图显示,PCI术后心脏康复信息需求条目中,4个(7.8%)处于待改进区,20个(39.2%)处于次改进区。结论需求重要性矩阵直接反映了患者的满意度,间接映射了患者需求的重要性。Objective To qualitatively analyze the cardiac rehabilitation information need based on KANO model in patients after percutaneous coronary intervention(PCI)and to obtain the satisfaction and importance of every need so as to provide a basis for optimizing clinical rehabilitation health guidance.Methods From May 2019,this study selected 144 patients with selective PCI as subjects by convenience sampling.The KANO two-factor questionnaire was designed based on 10 aspects of needs including the basic knowledge,nutrition,exercises,medications,works and professions,pressure and psychology,social concern,crisis and safety,diagnosis and therapy,risk factor management of cardiac rehabilitation information need,to gain the need class and draw the need satisfaction-importance magic quadrant.Results Among 51 items in the cardiac rehabilitation information need questionnaire,there were 5 of them(9.8%)with essential attribute,14 of them(27.5%)with expected attribute,8 of them(15.7%)with glamour attribute and 24 of them(47.1%)with no difference attribute.The satisfaction-importance matrix diagram showed that 4 aspects of need were in the area for improvement and 20 of them in the area for the secondary improvement among cardiac rehabilitation information needs after PCI.Conclusions The need importance matrix directly reflects the patient satisfaction and indirectly reflects patients'need importance.

关 键 词：心脏 康复 卡诺模型 信息需求 经皮冠状动脉介入治疗 

分 类 号：R473.5[医药卫生—护理学]