Construction of nutritional support needs system for nasopharyngeal carcinoma radiotherapy patients and Kano evaluation
1Fei Yanyan,1Wu Jiang,2Fu Yangshan,3Liu Qin
1Department of Radiotherapy The Third Affiliated Hospital of Kunming Medical University Yunnan Provincial Tumor Hospital Yunnan
Hospital of Peking University Cancer Hospital Kunming 650118 Yunnan China
2
The First Affiliated Hospital of Kunming Medical
University Department of Emergency Medicine Kunming 650021 Yunnan China
3Department of Gastric and Small Intestinal
Surgery The Third Affiliated Hospital of Kunming Medical University Yunnan Provincial Tumor Hospital Yunnan Hospital of Peking
University Cancer Hospital Kunming 650118 Yunnan China
Abstract：Objective To construct a nutritional support needs system for nasopharyngeal carcinoma radiotherapy patients that is
suitable for China's national conditions and to use the Kano analysis method to clarify their demand attributes. Method Used literature
analysis semi- structured interviews and Delphi method to form a nutritional support needs system for nasopharyngeal carcinoma
radiotherapy patients. A questionnaire survey was conducted on 180 nasopharyngeal carcinoma radiotherapy patients at Peking
University Cancer Hospital Yunnan Hospital from January to December 2023. The Kano analysis method was used to clarify the
nutritional support needs of nasopharyngeal carcinoma radiotherapy patients. Result The judgment basis coefficients Ca for the two
rounds of expert consultation were 0. 901 and 0. 904 respectively. The familiarity coefficients Cs for the indicators were 0. 840 and
0. 845 and the authority coefficients Cr were 0. 857 and 0. 868 respectively. A nutritional care demand indicator system for
nasopharyngeal carcinoma radiotherapy patients was ultimately formed which includes 5 primary indicators and 31 secondary
indicators. Among the 31 secondary indicators the Kano attribute has the highest proportion of One-dimensional Quality O with 13
41. 9% Must-be Quality M with 10 32. 3% Attractive Quality A with 6 19. 4% and Indifferent Quality I with 2
6. 4% . Conclusion The nutritional support needs system for nasopharyngeal carcinoma radiotherapy patients constructed in this study
is reliable and authoritative. Kano's analysis shows that the nutritional support needs of nasopharyngeal carcinoma radiotherapy patients
exhibit diversified characteristics. Medical staff should actively meet the expectations and essential attributes of patients and provide
and innovate attractive attribute services to improve their medical experience.
