Volume 23 Issue 3
Mar.  2025
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(3): 521-524
WU Xiuhua, ZHU Xialing, YE Li, WANG Lili. Application of nursing intervention based on KANO model in home care of pacemaker implants[J]. Chinese Journal of General Practice, 2025, 23(3): 521-524. doi: 10.16766/j.cnki.issn.1674-4152.003941
Citation: WU Xiuhua, ZHU Xialing, YE Li, WANG Lili. Application of nursing intervention based on KANO model in home care of pacemaker implants[J]. Chinese Journal of General Practice, 2025, 23(3): 521-524. doi: 10.16766/j.cnki.issn.1674-4152.003941
shu

Application of nursing intervention based on KANO model in home care of pacemaker implants

doi: 10.16766/j.cnki.issn.1674-4152.003941

  • Interventional Surgery Room, Lishui Central Hospital, Lishui, Zhejiang 323000, China

Funds:

 LGF21H170001

 2023GYX30

  • Received Date: 2024-06-26
    Available Online: 2025-05-14
    Abstract
  •   Objective  To develop and implement personalized nursing plans through KANO model demand analysis, and to develop ideas for clinical nursing work.  Methods  A total of 151 patients who received pacemaker implantation surgery in Lishui Central Hospital from January 2022 to March 2023 were selected and divided into a control group (76 cases) and a KANO group (75 cases) by random number table method, and were given conventional continuous nursing intervention or nursing intervention based on KANO model, respectively. Finally, 73 and 74 cases were enrolled in each group, and the mastery of disease-related knowledge, compliance, complication rate, and quality of life score were compared between the two groups.  Results  The awareness rates of "self-disease knowledge, self-care knowledge, pacemaker specific knowledge, and pacemaker implantation knowledge" in the KANO group after nursing were 89.19%, 87.84%, 79.73%, and 85.14%, respectively, which were higher than 64.38%, 64.38%, 57.53%, and 63.01% in the control group (P < 0.05). Medical compliance score: daily pulse measurement [(3.09±0.56) points], regular medication [(3.01±0.47) points], exercise [(2.88±0.45) points], postoperative precautions [(2.90±0.34) points] in the KANO group were higher than (2.53±0.41) points, (2.44±0.36) points, (2.19±0.37) points, (2.23±0.46) points in control group (P < 0.05). The incidence of complications (6.76% vs. 20.55%) in the KANO group was lower than that of the control group (χ2=5.946, P=0.015). The quality of life score in the KANO group was higher than that of the control group (P < 0.05).  Conclusion  Nursing intervention based on the KANO model has obvious advantages in improving disease-related knowledge and compliance behavior of home patients with cardiac pacemaker implantation, reducing the occurrence of complications, and improving the quality of life.

     

    • FullText(HTML)
  • loading
    • References(17)
  • [1]
    ABRAMOCHKIN D V, KUZMIN V S, MATCHKOV V, et al. The snake heart pacemaker is localized near the sinoatrial valve[J]. J Exp Biol, 2021, 224(16): jeb242778. DOI: 10.1242/jeb.242778.
    [2]
    DEALMEIDA M C. Heinrich Ewald Hering ' s discovery of the heart pacemaker: Hering, Tawara and Aschoff ' s search for its morphological basis, the sinoatrial node, and why they failed[J]. Anat Sci Int, 2023, 98(4): 482-492. doi: 10.1007/s12565-023-00711-z
    [3]
    TABATA H, OKADA A, KOBAYASHI H, et al. "Alpha"-looped broken pacemaker lead inside the heart[J]. Circ J, 2020, 85(1): 77. DOI: 10.1253/circj.CJ-20-0680.
    [4]
    谷元静, 史婷奇, 郭赛男, 等. 基于Kano模型的临床护士对护理机器人应用场景需求调查[J]. 护理学杂志, 2023, 38(11): 53-58.

    GU Y J, SHI T Q, GUO S N, et al. Investigation of clinical nurses'needs for nursing robot application scenarios based on Kano model[J]. Journal of Nursing Science, 2023, 38(11): 53-58.
    [5]
    黄运芳. 基于KANO模式的人文关怀服务对精神分裂症患者康复功能、服药依从性及生活质量的影响[J]. 中国医药科学, 2023, 13(17): 148-151.

    HUANG Y F. The impact of humanistic care services based on the KANO model on the rehabilitation function, medication compliance, and quality of life of patients with schizophrenia[J]. China Medicine And Pharmacy, 2023, 13(17): 148-151.
    [6]
    陈灝珠, 林果为, 王吉耀, 等. 实用内科学[M]. 16版. 北京: 人民卫生出版社, 2021: 89-94.

    CHEN H Z, LIN G W, WANG J Y, et al. Practical Internal Medicine[M]. 16th edition. Beijing: People ' s Medical Publishing House, 2021: 89-94.
    [7]
    张代民, 郭涛, 李淑敏. 起搏器患者生存质量量表的编制及信效度分析[J]. 中国临床康复, 2002, 6(23): 3490-3491.

    ZHANG D M, GUO T, LI S M. Development and evaluation of a quality of life instrument for patients with pacemaker[J]. Chinese Journal of Clinical Rehabilitation, 2002, 6(23): 3490-3491.
    [8]
    冯锦梅, 许艳. 个性化护理模式在永久性心脏起搏器植入术患者围手术期的应用效果[J]. 贵州医药, 2023, 47(8): 1331-1332.

    FENG J M, XU Y. Application of personalized nursing model in perioperative period of patients with permanent cardiac pacemaker implantation[J]. Guizhou Medical Journal, 2023, 47(8): 1331-1332.
    [9]
    刘晟, 左静. 永久性心脏起搏器植入术后康复运动的研究进展[J]. 广西医学, 2022, 44(18): 2163-2166.

    LIU S, ZUO J. Research progress on rehabilitation exercise after permanent pacemaker implantation[J]. Guangxi Medical Journal, 2022, 44(18): 2163-2166.
    [10]
    李娜. 基于健康信念模式的健康教育对永久性心脏起搏器植入术患者自我效能感及心理状态的影响[J]. 临床与病理杂志, 2021, 41(6): 1369-1375.

    LI N. Effect of health education based on health belief model on self-efficacy and psychological state of patients undergoing permanent pacemaker implantation[J]. Journal of Clinical and Pathological Research, 2021, 41(6): 1369-1375.
    [11]
    马子林, 马文妮, 马懿, 等. 基于Kano模型的心房颤动射频消融术患者健康教育需求调查分析[J]. 昆明医科大学学报, 2024, 45(2): 170-176.

    MA Z L, MA W N, MA Y, et al. Investigation and analysis of health education needs of patients undergoing radiofrequency ablation of atrial fibrillation based on kano model[J]. Journal of Kunming Medical University, 2024, 45(2): 170-176.
    [12]
    MONTENEGRO J F, CONTRERAS P A, SÁENZ F. Hybridization of the KANO model and business model canvas: aeronautical and metalworking industry in Bogota, Colombia[J]. Heliyon, 2021, 7(10): e08097. DOI: 10.1016/j.heliyon.2021.
    [13]
    张琪, 胡君君, 金薇. 基于KANO模型改进胸外科住院患者护理服务的效果观察[J]. 护理实践与研究, 2022, 19(16): 2492-2495.

    ZHANG Q, HU J J, JIN W. Effect observation of improving nursing service based on Kano model for inpatients in thoracic surgery[J]. Nursing Practice and Research, 2022, 19(16): 2492-2495.
    [14]
    马嘉兴. 延续护理对心脏起搏器植入术后患者生活质量的影响分析[J]. 中西医结合心血管病电子杂志, 2021, 9(5): 103-105.

    MA J X. Effect of transitional care on the quality of life in the patients with an implanted cardiac pacemaker[J]. Electronic journal of cardiovascular diseases in Integrative Chinese and Western Medicine, 2021, 9(5): 103-105.
    [15]
    黄小琴, 吕东来, 周丽梅. 基于微信平台的延续护理在使用PICC的消化道肿瘤患者中的应用[J]. 中华全科医学, 2021, 19(8): 1419-1422. doi: 10.16766/j.cnki.issn.1674-4152.002075

    HUANG X Q, LYU D L, ZHOU L M. Observation on the application effect of continuing care based on WeChat platform in patients with gastrointestinal tumors using PICC[J]. Chinese Journal of General Practice, 2021, 19(8): 1419-1422. doi: 10.16766/j.cnki.issn.1674-4152.002075
    [16]
    王珊珊, 郭文静, 赵苏莉, 等. KANO模式的干预方案在血液透析护理中的应用[J]. 齐鲁护理杂志, 2023, 29(24): 149-152.

    WANG S S, GUO W J, ZHAO S L, et al. Application of KANO model in hemodialysis care[J]. Journal of Qilu Nursing, 2023, 29(24): 149-152.
    [17]
    白井双, 王颖, 蔡立柏, 等. 基于智慧云随访平台的远程居家管理模式在老年心脏起搏器植入患者中的应用[J]. 中华现代护理杂志, 2021, 27(8): 988-993.

    BAI J S, WANG Y, CAI L B, et al. Application of remote home management model based on smart cloud follow-up platform in elderly patients with pacemakers[J]. Chinese Journal of Modern Nursing, 2021, 27(8): 988-993.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (27) PDF downloads(4) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return