Journal of Multidisciplinary Healthcare (Aug 2025)

Needs Analysis of Supportive Care for Postoperative Wound Rehabilitation in Anal Fistula Patients Based on the Kano Model

  • Zhou C,
  • He Y,
  • Yang P,
  • Du J,
  • Yang C,
  • Wang X

Journal volume & issue
Vol. Volume 18, no. Issue 1
pp. 5289 – 5298

Abstract

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Chunxia Zhou,1 Yao He,1 Peirong Yang,1 Jie Du,2 Chuanhua Yang,1 Xue Wang1 1Department of General Surgery, the Fourth West China Hospital of Sichuan University, Chengdu City, People’s Republic of China; 2Department of Female Pelvic Medicine and Reconstructive Surgery, the Fourth West China Hospital of Sichuan University, Sichuan University, Chengdu City, People’s Republic of ChinaCorrespondence: Xue Wang, General Surgery, West China Fourth Hospital, Sichuan University, No. 16, Section 3, South Renmin Road, Wuhou District, Chengdu, Sichuan Province, People’s Republic of China, Tel +86186 2807 8792, Email [email protected]: 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.Keywords: Kano model, anal fistula, fistulotomy, wound rehabilitation, supportive care

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