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  

Analysis of the attributes of whole-process nursing needs of patients with gastrointestinal tumor surgery based on Kano model

作　　者：崔苏敏 张伟英[2] 张红芹[1] Cui Sumin;Zhang Weiying;Zhang Hongqin(Department of Nursing,Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200127,China;Department of Nursing,East Hospital Affiliated to Tongji University,Shanghai 200120,China)

机构地区：[1]上海交通大学医学院附属仁济医院护理部,上海200127 [2]同济大学附属东方医院护理部,上海200120

出　　处：《中国实用护理杂志》2024年第30期2372-2378,共7页Chinese Journal of Practical Nursing

基　　金：上海市浦东新区卫生系统重要薄弱学科建设项目(PWZbr2022-04);同济大学医学院学科建设三年行动计划重点学科项目(JS2210103);上海市浦东新区卫生系统领先人才培养计划(PWRl2020-10)

摘　　要：目的基于Kano模型调查胃肠肿瘤手术患者全流程护理需求现状,为开展优质护理服务提供理论参考。方法采用便利抽样法于2023年8—9月对上海交通大学附属仁济医院的284例胃肠肿瘤手术患者进行横断面调查。以Kano模型为理论框架,参考相关文献,经2轮德尔菲法确定胃肠肿瘤手术患者全流程护理需求调查问卷,采用最大频数法对胃肠肿瘤手术患者全流程护理需求进行属性分类。结果共回收有效问卷270份。270例患者中,男159例,女111例,年龄22~94(65.34±8.77)岁。在26项条目中,有16项护理需求为期望属性,人数最多的前2项护理需求是疼痛护理和缓解口腔干燥;7项护理需求为必备属性,前2项是缓解失眠/嗜睡和术前准备;2项护理需求为魅力属性,为术后随访和复诊流程;1项为无差异属性,为手术环境介绍。象限图分析结果显示,有12项(46.15%,12/26)需求位于第1象限(优势区),6项(23.08%,6/26)位于第3象限(观察区),其余2个象限均有4项(15.38%,4/26)。结论胃肠肿瘤手术患者全流程护理需求呈现多元化特点,医院应积极满足患者期望属性和必备属性需求,在此基础上提供并创新魅力属性服务,提升患者满意度,提高医院核心竞争力。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.

关 键 词：胃肠肿瘤 全流程护理 需求 KANO模型 属性分析 

分 类 号：R473.73[医药卫生—护理学]