Analysis of supportive care needs and influencing factors of postoperative patients with gastric cancer based on Kano model

WANG Linfang; LIAO Xiaohong; WEN Lan; XIAO Hefang; YI Jianzhong

doi:10.12104/j.issn.1674-4748.2025.03.004

Abstract：Objective:To analyze the supportive care needs and influencing factors of postoperative patients with gastric cancer based on Kano model.Methods:A total of 91 gastric cancer patients admitted to the hospital from January 2022 to November 2023 were included.The supportive care Need Scale for Cancer patients(SCNS-SF34)was used to evaluate the current situation of postoperative supportive care needs of patients with gastric cancer,and the influencing factors of supportive care need of patients with gastric cancer were analyzed.Kano model was used to determine the attributes of supportive care needs of postoperative patients with gastric cancer.Results:The score of SCNS-SF34 scale was(98.85±8.73)in 91 patients with gastric cancer after operation.Comparison of SCNS-SF34 scores among patients with different education level,living condition and FoP data(P＜0.05);There was no significant difference in patient scores among different data(P＞0.05).Through linear regression analysis,the results showed that the education level of junior high school or below,living alone,and the severity of FoP were all influencing factors for the supportive care needs of postoperative patients with gastric cancer(P＜0.05).According to the analysis of Kano model,in the SCNS-SF34 scale,there are 14 items of charm need(A),9 items of essential need(M),9 items of univariate need(O),and 2 items of indifferent need(I).Among the 34 items,the satisfaction values of items 9,12,22,24,25 and 30 were higher,indicating that these items had greater impact on patient satisfaction.Conclusion:The supportive care needs of patients after gastric cancer surgery are affected by the cultural level,living conditions and FoP factors,and items 9,12,22,24,25 and 30 in the scale have greater influence on patient satisfaction.