Chunxia Zhou, Yao He, Peirong Yang, Jie Du, Chuanhua Yang, Xue Wang
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Satisfaction indices (SI), dissatisfaction indices (DSI), and a DSI-SI matrix were calculated.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>The Kano model effectively identifies supportive care needs for anal fistula patients post-surgery, providing a comprehensive basis for precision treatment and postoperative nursing.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5289-5298"},"PeriodicalIF":2.4000,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399089/pdf/","citationCount":"0","resultStr":"{\"title\":\"Needs Analysis of Supportive Care for Postoperative Wound Rehabilitation in Anal Fistula Patients Based on the Kano Model.\",\"authors\":\"Chunxia Zhou, Yao He, Peirong Yang, Jie Du, Chuanhua Yang, Xue Wang\",\"doi\":\"10.2147/JMDH.S535960\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To qualitatively analyze the supportive care needs (including health education and nursing care) of anal fistula patients after fistulotomy using the Kano model.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>The Kano model effectively identifies supportive care needs for anal fistula patients post-surgery, providing a comprehensive basis for precision treatment and postoperative nursing.</p>\",\"PeriodicalId\":16357,\"journal\":{\"name\":\"Journal of Multidisciplinary Healthcare\",\"volume\":\"18 \",\"pages\":\"5289-5298\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-08-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399089/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Multidisciplinary Healthcare\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/JMDH.S535960\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Multidisciplinary Healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/JMDH.S535960","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Needs Analysis of Supportive Care for Postoperative Wound Rehabilitation in Anal Fistula Patients Based on the Kano Model.
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.
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.
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