Needs Analysis of Supportive Care for Postoperative Wound Rehabilitation in Anal Fistula Patients Based on the Kano Model.

IF 2.4 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of Multidisciplinary Healthcare Pub Date : 2025-08-27 eCollection Date: 2025-01-01 DOI:10.2147/JMDH.S535960

Chunxia Zhou, Yao He, Peirong Yang, Jie Du, Chuanhua Yang, Xue Wang

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Abstract

Objective: To qualitatively analyze the supportive care needs (including health education and nursing care) of anal fistula patients after fistulotomy using the Kano model.

Methods: A total of 183 anal fistula patients who underwent fistulotomy from December 2021 to December 2023 were selected via cluster sampling. Sociodemographic data were collected, and a self-designed questionnaire based on the Kano model (validated through two rounds of expert consultation and referring to the related literature) was used to assess patients' supportive care needs. The questionnaire covered health education needs (eg, delivery methods, content) and nursing needs (eg, physiological and psychological support). Satisfaction indices (SI), dissatisfaction indices (DSI), and a DSI-SI matrix were calculated.

Results: Among 12 health education needs, 3 were Must-be (M) (25.00%), 4 were One-dimensional (O) (33.33%), 4 were Attractive (A) (33.33%), and 1 was Indifferent (I) (8.33%). The DSI-SI matrix identified 2 high-priority (16.67%), 2 to-be-improved (16.67%), 3 secondary-improvement (25.00%), and 5 low-priority (41.67%) items. Among 12 nursing needs, 2 were M (16.67%), 3 were O (25.00%), and 7 were A (58.33%). The matrix showed 1 high-priority (8.33%), 1 to-be-improved (8.33%), 1 secondary-improvement (8.33%), and 9 low-priority (41.67%) items.

Conclusion: The Kano model effectively identifies supportive care needs for anal fistula patients post-surgery, providing a comprehensive basis for precision treatment and postoperative nursing.

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基于Kano模型的肛瘘术后创面康复支持护理需求分析

目的：应用Kano模型定性分析肛瘘患者截瘘后的支持性护理需求（包括健康教育和护理）。方法：采用整群抽样的方法，选取2021年12月至2023年12月行肛瘘切开术的肛瘘患者183例。收集社会人口学数据，并采用基于Kano模型（通过两轮专家咨询和参考相关文献验证）自行设计的问卷来评估患者的支持性护理需求。调查问卷涵盖健康教育需求（例如，提供方式和内容）和护理需求（例如，生理和心理支持）。计算满意指数（SI）、不满意指数（DSI）和DSI-SI矩阵。结果：12个健康教育需求中，“必须”(M) 3个（25.00%），“单向”(O) 4个（33.33%），“吸引”(A) 4个（33.33%），“无所谓”(I) 1个（8.33%）。DSI-SI矩阵确定了2个高优先级（16.67%），2个有待改进（16.67%），3个二级改进（25.00%）和5个低优先级（41.67%）。12个护理需求中，M 2个（16.67%），O 3个（25.00%），A 7个（58.33%）。矩阵中高优先级项目1项（8.33%），待改善项目1项（8.33%），次改善项目1项（8.33%），低优先级项目9项（41.67%）。结论：Kano模型能有效识别肛瘘患者术后支持护理需求，为精准治疗和术后护理提供全面依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Multidisciplinary Healthcare Nursing-General Nursing

CiteScore

4.60

自引率

3.00%

发文量

287

审稿时长

16 weeks

期刊介绍： The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.