[1]姚瑶潘石蕾罗锦兰关曼娃覃爱开.基于Kano模型的经阴道分娩孕产妇服务需求调查分析[J].中国卫生质量管理,2023,30(02):065-69.[doi:10.13912/j.cnki.chqm.2023.30.2.15 ]
　YAO Yao,PAN Shilei,LUO Jinlan.Investigation of Service Demand for Pregnant Women during Vaginal Delivery Based on Kano Model[J].Chinese Health Quality Management,2023,30(02):065-69.[doi:10.13912/j.cnki.chqm.2023.30.2.15 ]
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基于Kano模型的经阴道分娩孕产妇服务需求调查分析
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第30卷
期数:
2023年02期
页码:
065-69
栏目:
服务质量
出版日期:
2023-02-15

文章信息/Info

Title:
Investigation of Service Demand for Pregnant Women during Vaginal Delivery Based on Kano Model
作者:
姚瑶潘石蕾罗锦兰关曼娃覃爱开
南方医科大学珠江医院
Author(s):
YAO Yao; PAN Shilei; LUO Jinlan
Zhujiang Hospital, Southern Medical University
关键词:
Kano模型; 孕产妇; 阴道分娩; 服务需求; 服务质量
Keywords:
Kano Model;  Pregnant and Birth-giving Women;  Vaginal Delivery;  Service Demand; Service Quality
分类号:
R714；R197.323
DOI:
10.13912/j.cnki.chqm.2023.30.2.15
文献标志码:
A
摘要:
目的调查分析孕产妇阴道分娩服务需求，探讨产前、产时、产后及康复等服务质量改进策略。方法采用便利抽样法，于2021年3月-5月使用基于Kano模型制定的孕产妇阴道分娩服务需求调查问卷对某三甲综合医院213名阴道分娩孕产妇进行调查，依据Kano模型确定服务需求属性，计算满意影响力和不满意影响力及重要度，并绘制矩阵气泡图。采用SPSS 21.0软件对数据进行统计分析。结果25个服务需求条目中，必备属性需求9项，期望属性需求8项，魅力属性需求8项。矩阵气泡图显示，10个条目分布在提升服务标准区，7个条目分布在创新服务项目区，1个条目分布在维系服务质量区，7个条目分布在提升服务质量区。结论Kano模型能够多维度分析孕产妇阴道分娩服务需求，为医院助产服务改进提供参考。
Abstract:
ObjectiveTo investigate the service demand for pregnant women during vaginal delivery, and explore the improvement strategies of service quality before, during, after and rehabilitation.MethodsThe convenience sampling method was adopted to investigate the service demand of 213 pregnant women with vaginal delivery in a tertiary general hospital from March to May 2021 by using the questionnaire based on Kano model. The service demand attributes were determined according to the Kano model, the influence of satisfaction and the influence and importance of dissatisfaction were calculated, and the matrix bubble chart was drawn. SPSS 21.0 software was used for statistical analysis of the data. ResultsAmong the 25 items of service demand, there were 9 items of necessary attribute demand, 8 items of expected attribute demand, 8 items of charm attribute demand. The matrix bubble chart showed that 10 items were distributed in the area of improving service standards, 7 items were distributed in the area of innovative service projects, 1 item was distributed in the area of maintaining service quality, and 7 items were distributed in the area of improving service quality. Conclusion Kano model can analyze the service demand of vaginal delivery in multiple dimensions, and provide reference for the improvement of midwifery service in hospitals.

参考文献/References:

［1］陈 练,石慧峰,魏 瑗,等.2019年度全国产科专业医疗服务与质量安全报告分析［J］.中国卫生质量管理,2022,29(5):1-5,16. ［2］KANO N，SERAKU N，TAKAHASHI F，et al. Attractive quality and must-be quality［J］. The Journal of the Japanese Society for Quality Control，1984，14（2）：39-48. ［3］陈 锦,柏 杨,李 燕,等.基于Kano模型的泌尿系结石手术服务要素分类研究［J］.中国卫生质量管理,2020,27(6):67-71. ［4］葛春璐,钟 华,曲晓童.基于Kano模型门诊患者对护理服务需求的调查与分析［J］.中国实用护理杂志,2020,36(29):2303-2307. ［5］袁 媛,北山秋雄,胡俊飞,等.基于Kano模型的社区老年人远程护理服务需求分析［J］.护理学杂志,2020,35(1):5-9. ［6］吴明隆.问卷统计分析实务 SPSS操作与应用［M］.重庆:重庆大学出版社,2017:207-208,243-245. ［7］姚 瑶,陈冬林,李 妙,等.基于有限理性的住院患者信任度评价量表研制［J］. 中国卫生质量管理,2019,26(3):79-82.［8］吴庆斌,龙 舜,陆尧胜,等.产科信息管理平台的设计与应用研究［J］.中国数字医学,2019,14(2):25-28. ［9］卫 荣,宋益喆,郭 健,等.基于信息技术整合的门诊诊疗服务流程再造［J］.中华医院管理杂志,2016,32(6):465-466. ［10］苏智军,林家荣,王友羲,等.新医改形势下平均住院日管理的实践与探讨［J］.中国医院管理,2018,38(10):72-73. ［11］陆 虹.助产专业在我国发展的思考与探索：从探索性研究到实践性改革［J］.中国护理管理,2017,17(1):10-12. ［12］蒋庆源,杜晓红,李 卉,等.10年间阴道助产术的临床应用回顾性分析［J］.实用妇产科杂志,2018,34(7):527-530. ［13］中华医学会妇产科学分会产科学组,中华医学会围产医学分会. 正常分娩指南［J］. 中华围产医学杂志,2020,23(6):361-370. ［14］World Health Organization.WHO recommendations:intrapartum care for a positive childbirth experience ［M］.Geneva:World Health Organization,2018:162-163. ［15］董 诀,陆水芬,徐敏娟.规律产前检查干预对孕产妇自我保健管理水平及妊娠结局的影响［J］.中国妇幼保健,2018,33(22):5102-5104. ［16］中华医学会妇产科学分会产科学组.产后出血预防与处理指南(2014)［J］.中华妇产科杂志,2014,49(9):641-646.

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更新日期/Last Update: 2023-02-15