基于Kano模型的肝癌术后患者支持性照护需求属性识别与分类研究

doi:10.3761/j.issn.2096-7446.2025.07.002

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (7): 780-785.doi: 10.3761/j.issn.2096-7446.2025.07.002

基于Kano模型的肝癌术后患者支持性照护需求属性识别与分类研究

韦学福(), 王硕, 卢芳燕(), 龚芝萍, 杜丽丽

310003 杭州市浙江大学医学院附属第一医院护理部

收稿日期:2024-10-30 出版日期:2025-07-10 发布日期:2025-07-04
通讯作者: 卢芳燕 E-mail:22218954@zju.edu.cn;2196032@zju.edu.cn
作者简介:韦学福：男，本科（硕士在读），主管护师，E-mail：22218954@zju.edu.cn
基金资助:
浙江省教育厅一般科研项目(Y202455007)

Research on the identification and classification of supportive care needs attributes of postoperative patients with liver cancer based on the Kano model

WEI Xuefu(), WANG Shuo, LU Fangyan(), GONG Zhiping, DU Lili

Nursing Department，the First Affiliated Hospital，Zhejiang University School of Medicine，Hangzhou，310003，China

Received:2024-10-30 Online:2025-07-10 Published:2025-07-04
Contact: LU Fangyan E-mail:22218954@zju.edu.cn;2196032@zju.edu.cn

摘要/Abstract

摘要：

目的利用Kano模型进行肝癌患者术后支持性照护需求属性识别与分类，为肝癌患者术后支持性照护服务方案的制订提供依据。方法使用基于Kano模型原理自行设计的肝癌患者术后支持性照护需求问卷，便利选取2023年2月—2024年2月浙江省某三级甲等医院收治的326例肝癌术后患者进行调查。结果通过Kano模型进行需求分析，肝癌患者术后支持性照护需求包括9个魅力属性、12个期望属性、2个必备属性、3个无差异属性，没有发现逆向属性。结论基于Kano模型的肝癌患者术后支持性照护需求分析可以为医护人员制订有效的健康指导提供依据，通过动态识别患者的需求并提供满足其需要的支持性照护服务对于提高患者的生活质量具有重要意义。

关键词: 肝癌, Kano模型, 术后支持性照护, 需求分析

Abstract:

Objective To analyze the postoperative supportive care needs of liver cancer patients using the Kano model，providing a basis for formulating supportive care service measures for postoperative patients with liver cancer.Methods The needs of supportive care were examined in 326 postoperative liver cancer patients from a tertiary hospital in Zhejiang Province from February 2023 to February 2024 using a self-designed questionnaire based on the Kano model. Results Using the Kano model to conduct needs analysis，the supportive care needs of postoperative patients with liver cancer included 9 attractive attributes，12 expected attributes，2 must-be attributes，3 indifferent attributes，and no reverse attributes were found. Conclusion Medical personnel can formulate useful health guidelines by using the Kano model to analyze supportive care for postoperative patients with liver cancer. It is of great significance to improve the quality of life of patients by dynamically identifying patients’ needs and providing supportive care services that meet their needs.

Key words: Liver Cancer, Kano Model, Postoperative Supportive Care, Needs Analysis

韦学福, 王硕, 卢芳燕, 龚芝萍, 杜丽丽. 基于Kano模型的肝癌术后患者支持性照护需求属性识别与分类研究[J]. 中华急危重症护理杂志, 2025, 6(7): 780-785.

WEI Xuefu, WANG Shuo, LU Fangyan, GONG Zhiping, DU Lili. Research on the identification and classification of supportive care needs attributes of postoperative patients with liver cancer based on the Kano model[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 780-785.

图/表 4

参考文献 21

[1]	Han BF, Zheng RS, Zeng HM, et al. Cancer incidence and mortality in China,2022[J]. J Natl Cancer Cent, 2024, 4(1):47-53.
[2]	姜树森, 姚红兵, 谭李军. 肝癌术前肝脏储备功能评估方法的应用与研究进展[J]. 中国普通外科杂志, 2024, 33(1):88-99.
	Jiang SS, Yao HB, Tan LJ. Application and research progress of methods of preoperative liver reserve function assessment in liver cancer[J]. China J Gen Surg, 2024, 33(1):88-99.
[3]	贾志阳, 徐丽娜, 王猛. 接纳承诺疗法对中青年肝癌介入治疗病人复发恐惧及自我感受负担的影响[J]. 护理研究, 2024, 38(12):2233-2238.
	Jia ZY, Xu LN, Wang M. Effect of acceptance and commitment therapy on fear of cancer recurrence and self-perceived burden in young and middle-aged patients with hepatocellular carcinoma undergoing interventional therapy[J]. Chin Nurs Res, 2024, 38(12):2233-2238.
[4]	胡正楠, 汪晖, 李蓉蓉, 等. 肝癌术后病人癌症复发恐惧现状及其影响因素[J]. 护理研究, 2022, 36(19):3516-3521.
	Hu ZN, Wang H, Li RR, et al. Status quo and influencing factors of fear of cancer recurrence in patients after liver cancer surgery[J]. Chin Nurs Res, 2022, 36(19):3516-3521.
[5]	张瑶瑶, 张锡锴, 方洪春, 等. 低位直肠癌造口患者支持性照顾需求轨迹分析[J]. 护理学杂志, 2024, 39(4):1-5.
	Zhang YY, Zhang XK, Fang HC, et al. Trajectories of supportive care needs of patients having an enterostomy in place after surgical treatment of low-lying rectal cancer[J]. J Nurs Sci, 2024, 39(4):1-5.
[6]	Paterson C, Toohey K, Bacon R, et al. What are the unmet supportive care needs of people affected by cancer:an umbrella systematic review[J]. Semin Oncol Nurs, 2023, 39(3):151353.
[7]	Fitch MI. Supportive care framework[J]. Can Oncol Nurs J, 2008, 18(1):6-14. doi: 10.5737/1181912x181614 pmid: 18512565
[8]	Kano. Attractive quality and must-be quality[J]. J Jap Soc Qual Control, 1984, 14(2):147-156.
[9]	杨荣卓, 冯晓玉, 崔献梅, 等. 基于Kano模型的宫颈癌化疗患者出院照护需求研究[J]. 护理学杂志, 2023, 38(11):49-52.
	Yang RZ, Feng XY, Cui XM, et al. The discharge care needs of patients undergoing chemotherapy for cervical cancer based on the Kano model[J]. J Nurs Sci, 2023, 38(11):49-52.
[10]	曾雪萍. 基于Kano模型的胃癌术后患者支持性照护需求问卷的编制及应用研究[D]. 南昌: 南昌大学, 2023.
	Zeng XP. Development and application of supportive care demand questionnaire for postoperative patients with gastric cancer based on Kano model[D]. Nanchang: Nanchang University, 2023.
[11]	Vogel A, Cervantes A, Chau I, et al. Hepatocellular carcinoma:ESMO Clinical Practice Guidelines for diagnosis,treatment and follow-up[J]. Ann Oncol, 2018, 29(suppl 4):iv238-iv255.
[12]	Zhang MM, Zhang LL, Zhi XX, et al. Demand analysis of health care services for community-dwelling breast cancer survivors based on the Kano model:a cross-sectional study[J]. Int J Nurs Sci, 2024, 11(2):171-178.
[13]	殷显玉, 刘智鹏, 赵小林, 等. 原发性肝癌患者综合需求分布及影响高需求因素分析[J]. 医学与哲学, 2023, 44(17):67-71,76.
	Yin XY, Liu ZP, Zhao XL, et al. Comprehensive demand distribution and analysis of high demand factors in patients with primary liver cancer[J]. Med Philos, 2023, 44(17):67-71,76.
[14]	Thorsen L, Bøhn SH, Lie HC, et al. Needs for information about lifestyle and rehabilitation in long-term young adult cancer survivors[J]. Support Care Cancer, 2022, 30(1):521-533.
[15]	卞丽芳, 高蓓蕾, 张晟, 等. 肝动脉化疗栓塞术后患者发生急性中重度腹痛的危险因素分析[J]. 中华护理杂志, 2020, 55(3):416-421. doi: 10.3761/j.issn.0254-1769.2020.03.020
	Bian LF, Gao BL, Zhang S, et al. Risk factors and predictive analysis of acute severe abdominal pain after transarterial chemoembolization[J]. Chin J Nurs, 2020, 55(3):416-421. doi: 10.3761/j.issn.0254-1769.2020.03.020
[16]	包建英, 崔传芳, 林征, 等. 肝细胞肝癌患者首次经动脉化疗栓塞术后中重度腹痛预测模型的构建及验证[J]. 南京医科大学学报(自然科学版), 2024, 44(5):655-660.
	Bao JY, Cui CF, Lin Z, et al. Development and validation of predictive model for moderate to severe abdominal pain after first-time transarterial chemoembolization in patients with hepatocellularcarcinoma[J]. J Nanjing Med Univ(Nat Sci), 2024, 44(5):655-660.
[17]	Cassinotto C, Nogue E, Durand Q, et al. Life expectancy of pa-tients with hepatocellular carcinoma according to the upfront treatment:a nationwide analysis[J]. Diagn Interv Imaging, 2023, 104(4):192-199.
[18]	钟凯颖, 孙龙凤. 基于Kano模型的失能老年人长期照护需求研究进展[J]. 中华护理杂志, 2022, 57(3):368-373. doi: 10.3761/j.issn.0254-1769.2022.03.019
	Zhong KY, Sun LF. Research progress on long-term care needs of disabled elderly based on Kano model[J]. Chin J Nurs, 2022, 57(3):368-373. doi: 10.3761/j.issn.0254-1769.2022.03.019
[19]	Pedro LW. Quality of life for long-term survivors of cancer:influencing variables[J]. Cancer Nurs, 2001, 24(1):1-11. pmid: 11219417
[20]	翁敏, 代正燕, 王昆华. 肝癌患者不同疾病状态时的营养治疗[J]. 肿瘤代谢与营养电子杂志, 2022, 9(1):1-6.
	Weng M, Dai ZY, Wang KH. Nutritional therapy of patients with liver cancer in different disease states[J]. Electron J Metab Nutr Cancer, 2022, 9(1):1-6.
[21]	蔡英杰, 史铁英, 李艳娇, 等. 乳腺癌患者支持性照顾需求与生活质量的纵向研究[J]. 中国护理管理, 2018, 18(1):134-139.
	Cai YJ, Shi TY, Li YJ, et al. A longitudinal study on the supportive care needs and quality of life of patients with breast cancer[J]. Chin Nurs Manag, 2018, 18(1):134-139.

基于Kano模型的肝癌术后患者支持性照护需求属性识别与分类研究

Research on the identification and classification of supportive care needs attributes of postoperative patients with liver cancer based on the Kano model

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