基于KANO模型的鼻咽癌放疗患者吞咽困难健康教育需求的调查分析  

Needs Assessment of Health Education for Dysphagia in Nasopharyngeal Carcinoma Radiotherapy Patients Based on KANO Model

作　　者：费严焰[1] 符阳山 杨秉坤[1] 李丽娟[1] 代水芬 吴江[1] 刘琴[3] FEI Yanyan;FU Yangshan;YANG Bingkun;LI Lijuan;DAI Shuifen;WU Jiang;LIU Qin(Dept.of Radiotherapy,The 3rd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650118;Dept.of Emergency Medicine,Affiliated Hospital of Yunnan University,Kunming Yunnan 650021;Stomach and small intestine surgery,The 3rd Affiliated Hospital ofKunming Medical University,Kunming Yunnan 650118,China)

机构地区：[1]昆明医科大学第三附属医院放射治疗科,云南昆明650118 [2]云南大学附属医院急诊医学部急诊内科,云南昆明650021 [3]昆明医科大学第三附属医院胃与小肠外科,云南昆明650118

出　　处：《昆明医科大学学报》2022年第8期178-183,共6页Journal of Kunming Medical University

基　　金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目(202001AY070001-078);云南省教育厅科学研究基金资助项目(2022J0146)。

摘　　要：目的用KANO模型对鼻咽癌放疗患者的吞咽困难健康教育需求进行定性分析,为临床优化健康教育策略提供依据。方法基于KANO模型设计鼻咽癌放疗患者吞咽困难知识需求的调查问卷,采用整群抽样法,选取2021年9月至2021年12月某三甲肿瘤专科医院放射治疗科收治的160例鼻咽癌放疗患者为研究对象进行调查。结果在鼻咽癌放疗患者吞咽困难健康教育需求的23个条目中,必备型需求6个(26.08%),期望型需求9个(39.13%),魅力型需求7个(30.43%),无差异型需求1个(4.34%),重要度-满意度矩阵图中,2个(8.67%)条目位于待改进区,5个(21.73%)条目位于次要改进区。结论KANO模型可用于鼻咽癌放疗患者的健康教育需求调查,使用后能充分全面的了解了患者的需求,并为提升患者对于健康教育的满意度提供依据。Objective To qualitatively analyze the needs of health education for dysphagia in nasopharyngeal carcinoma patients undergoing radiotherapy by using KANO model,and provide the basis for optimizing the health education.Methods Based on the KANO model,a questionnaire was designed to investigate the knowledge needs of nasopharyngeal carcinoma radiotherapy patients on dysphagia.Cluster sampling method was used to investigate 160 patients with nasopharyngeal carcinoma treated in radiotherapy department of a third-class cancer hospital from September 2021 to December 2021.Results Among the 23 items of health education needs of nasopharyngeal carcinoma patients with dysphagia after radiotherapy,6 items are necessary(26.08%),9 items are expected(39.13%),7 items are attractive(30.43%)and 1 item is undifferentiated(4.34%).In the importancesatisfaction matrix,2 items(8.67%)are located in the area for improvement,and 5 items(21.73%)are located in the area for minor improvement.Conclusion The KANO model can be used in the neeeds assessment of health education of patients with nasopharyngeal carcinoma radiotherapy demand investigation,which helps us to fully and comprehensively understand the needs of patients and to improve the satisfaction of patients with health education.

关 键 词：鼻咽癌 放疗 吞咽困难 KANO模型 健康教育需求 

分 类 号：R473.73[医药卫生—护理学]