Tang Ying, Deng Xintong, Chen Chan, You Linlin, Gong Jing, Liu Xing, Zhou Jing
The Second Affiliated Hospital of Zunyi Medical University, Guizhou, China.
School of Nursing, Zunyi Medical University, Zunyi, Guizhou, China.
BMC Geriatr. 2025 Jul 2;25(1):449. doi: 10.1186/s12877-025-06106-1.
Owing to the ageing global population and increasing burden imposed by chronic diseases, the health information needs of older patients with chronic diseases have become increasingly complex and diverse. Traditional medical services are constrained in terms of addressing these needs effectively, and current research provides limited insight into the systemic classification and prioritization of their needs. Consequently, conducting an analysis based on the Kano Model holds considerable value, as it offers a structured approach for identifying the health information needs of older patients with chronic diseases.
A total of 469 older inpatients was selected from a tertiary general hospital in Zunyi City through convenience sampling between January and July 2024. The attributes of each demand were assessed using the Kano Model, satisfaction coefficients were computed and a two-dimensional matrix graph illustrating the relationship between demand and satisfaction was generated.
The health information needs questionnaire administered to older patients with chronic conditions identified 13 essential needs, 8 desired needs, 24 attractive needs and 8 undifferentiated needs. The two-dimensional matrix revealed that the advantageous category comprises 8 items, the improvement category comprises 24 items, the maintenance category comprises 7 items and the remaining 14 items fall under the maintenance category.
This study combines the Kano Model with the self-designed needs questionnaire to systematically classify and rank the health information needs of older patients with chronic diseases by priority. The results provide a novel analytical framework for related research. By clarifying the satisfaction paths of different types of needs, the study can serve as a valuable guide for optimising service supply and promoting the efficient allocation of health information resources. In addition, it establishes a theoretical foundation and practical reference for the management of chronic diseases and help to improve the personalised nursing level and healthy quality of life of older patients with chronic diseases.
由于全球人口老龄化以及慢性病带来的负担日益加重，老年慢性病患者的健康信息需求变得越来越复杂和多样。传统医疗服务在有效满足这些需求方面受到限制，目前的研究对其需求的系统分类和优先级划分的见解有限。因此，基于卡诺模型进行分析具有重要价值，因为它为识别老年慢性病患者的健康信息需求提供了一种结构化方法。
2024年1月至7月，通过便利抽样从遵义市一家三级综合医院选取了469名老年住院患者。使用卡诺模型评估每个需求的属性，计算满意度系数，并生成一个二维矩阵图来说明需求与满意度之间的关系。
对老年慢性病患者进行的健康信息需求问卷调查确定了13项基本需求、8项期望需求、24项魅力需求和8项无差异需求。二维矩阵显示，优势型需求包括8项，改进型需求包括24项，必备型需求包括7项，其余14项属于无关型需求。
本研究将卡诺模型与自行设计的需求问卷相结合，对老年慢性病患者的健康信息需求进行了系统分类和优先级排序。研究结果为相关研究提供了一个新的分析框架。通过明确不同类型需求的满意度路径，该研究可为优化服务供给和促进健康信息资源的有效配置提供有价值的指导。此外，它为慢性病管理奠定了理论基础并提供了实践参考，有助于提高老年慢性病患者的个性化护理水平和健康生活质量。
