以质量求发展，以服务铸品牌

护理学报 ›› 2024, Vol. 31 ›› Issue (17): 57-60.doi: 10.16460/j.issn1008-9969.2024.17.057

• 临床护理※外科护理 • 上一篇    下一篇

基于KANO模型的肺癌手术患者智慧照护需求分析

戴琪a, 李方b, 朱媛a, 张筱童a   

  1. 南京医科大学第一附属医院 a.胸外科; b.护理部,江苏 南京 210029
  • 收稿日期:2024-01-24 出版日期:2024-09-10 发布日期:2024-10-08
  • 通讯作者: 李方（1980-）,女,江苏徐州人,硕士,主任护师,护理部主任。E-mail:lifangcf@163.com
  • 作者简介:戴琪（1994-）,女,江苏泰州人,硕士,主管护师。
  • 基金资助:
    2021年江苏省人民医院“临床能力提升”项目（JSPH-NC-2021-25）; 2022年江苏省人民医院“临床能力提升”项目（JSPH-NB-2022-4）

Intelligent care need of patients undergoing lung cancer surgery based on KANO model

DAI Qia, LI Fangb, ZHU Yuana, ZHANG Xiao-tonga   

  1. a. Dept. of Thoracic Surgery; b. Dept. of Nursing Administration, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
  • Received:2024-01-24 Online:2024-09-10 Published:2024-10-08

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摘要： 目的 基于KANO模型调查并分析肺癌手术患者智慧照护需求的属性,提炼出患者的必备需求、期望需求、魅力需求。方法 采用便利抽样法,选择2023年8—9月于某三级甲等医院就诊的205例肺癌患者作为研究对象,基于KANO模型确定各项需求的属性,计算出满意系数,并构建需求和满意度之间的二维矩阵图。结果 经分析,肺癌手术患者智慧照护需求共包括魅力属性6项,期望属性8项,必备属性8项,无差异属性9项。二维矩阵图显示,重点优化区域包括6个条目,待改进区域包括7个条目,次要改进区域包括11个条目,优先满足区域则包括7个条目。结论 基于KANO模型对肺癌手术患者的智慧照护需求进行属性分析,不仅对患者围术期的需求有了全面的认识,还有助于提炼出有效需求项,为针对性干预方案的设计提供框架。

关键词: 肺癌, 手术, Kano模型, 智慧需求, 需求评估

Abstract: Objective To analyze the attributes of intelligent care demand of patients undergoing lung cancer surgery based on KANO model, and extract the necessary need, expected need and charm need of the patients. Methods A total of 205 patients with lung cancer treated in a tertiary grade-A hospital from August 2023 to September 2023 were selected by convenience sampling. The attributes of each demand were determined based on KANO model; the satisfaction coefficient was calculated, and two-dimensional matrix between demand and satisfaction was constructed. Results The intelligent care need of patients undergoing lung cancer surgery included 6 charm attributes, 8 expected attributes, 8 necessary attributes and 9 undifferentiated attributes. Two-dimensional matrix diagram showed that there were 6 items in key optimization area, 7 items in the area to be improved, 11 items in the secondary improvement area, and 7 items in the top priority area. Conclusion Attribute analysis of intelligent care need of lung cancer patients based on KANO model not only provides comprehensive understanding of perioperative needs of patients, but also helps to extract effective demands and provides framework for the design of targeted intervention programs.

Key words: lung cancer, surgery, KANO model, intelligent care, need assessment

中图分类号: 

  • R473.6
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