肝移植受者延续性护理服务需求现状和属性分析

Current status and attribute analysis of continuous care service needs for liver transplantation recipients

目的:调查肝移植受者延续性护理的需求现状、影响因素和需求属性,为提高肝移植受者延续护理服务质量提供依据。方法:于2023年9月—11月,采用便利抽样法选取广州市某3家综合性医院肝胆外科行肝移植手术并于门诊或住院复查的361例肝移植受者为研究对象,采用自拟的一般资料调查表、肝移植受者延续性护理服务需求调查表和基于KANO模型的肝移植受者延续性护理服务需求属性调查表,收集患者的资料并分析。结果:肝移植受者延续性护理服务需求总分为(46.26±15.04)分,处于较高水平。多元线性回归分析结果显示,年龄、婚姻状况、家庭人均月收入、术后并发症和肝移植术后时长是肝移植受者延续性护理服务需求的影响因素(P<0.05)。在肝移植受者延续性护理服务需求属性中,魅力属性有14个,期望属性有13个;优势区有15项、改进区有5项、观察区有3项、保留区有4项。结论:肝移植受者的延续性护理服务需求较高且受多种因素的影响,可通过识别患者的需求类型,提供个性化、优质的延续护理服务。

Objective:To explore the current situation,influencing factors,and demand attributes of continuing care for liver transplant recipients,in order to provide a basis for improving the quality of continuing care services for liver transplant recipients.Methods:Totally 361 patients from three comprehensive hospitals in Guangzhou,including the Department of Hepatobiliary Surgery,that underwent liver transplantation surgery and underwent outpatient or inpatient follow-up,were recruited as the research participants from September to November 2023.A general information survey questionnaire,a selfdesigned questionnaire on the demand for continuing care services for liver transplant recipients,and a KANO model based questionnaire on the attributes of the demand for continuing care services for liver transplant recipients were used to collect patient's data.Afterwards,data were analyzed.Results:The average score for continuity of care needs among liver transplant recipients was 46.26±15.04,indicating a high level.The results of multiple linear regression analysis showed that age,postoperative complications,duration of post liver transplantation,marital status,and per capita monthly income of the family were the influencing factors of the patient's need for continuity of care(P<0.05).There were 14 attractive requirements and 13 one-dimensional requirements in the demand attributes for continuity of care services among recipients.And there were 15 requirements located in the advantageous area,5 requirements in the improvement area,3 requirements in the observation area,and 4 requirements in the reserved area.Conclusion:The continuity of care needs of liver transplant recipients are high and influenced by multiple factors.By identifying the type of needs of patients,high-quality continuity of care services can be provided.