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. 2022 Sep 28:10:990295.
doi: 10.3389/fpubh.2022.990295. eCollection 2022.

Demand analysis of telenursing among empty-nest elderly individuals with chronic diseases based on the Kano model

Yuan Yuan  1   2 , Chunhua Tao  1 , Ping Yu  3 , Yanwei Wang  2 , Akio Kitayama  2 , En Takashi  2 , Kiyoko Yanagihara  2 , Jingyan Liang  4   5
Affiliations

Demand analysis of telenursing among empty-nest elderly individuals with chronic diseases based on the Kano model

Yuan Yuan et al. Front Public Health. .

Abstract

Aim: The increase in empty-nest elderly individuals with chronic diseases poses a major challenge to the provision of public health services in China. Telenursing can effectively relieve the pressure of public health services to a certain extent. This study aims to explore the telenursing needs of empty-nest elderly individuals with chronic diseases based on the Kano model to provide references for improving the quality of telenursing.

Methods: Participants were selected from five rural communities and five urban communities in Yangzhou and Nantong, Jiangsu Province, China. A total of 348 empty-nest elderly individuals with chronic diseases were included. The participants received a sociodemographic characteristics questionnaire, and their telenursing needs were surveyed and analyzed based on the Kano model.

Results: Of the 15 quality attributes evaluated by the participants, 3 telenursing services were categorized as "must-be quality", 5 were categorized as "one-dimensional quality", 5 were categorized as "attractive quality", and 2 were categorized as "indifferent quality". The proportion of individuals who desired telenursing services ranged from 47.41 to 83.62%, the better values (satisfaction) ranged from 35.29-83.98%, and the worse values (dissatisfaction) ranged from 10.91 to 63.27%. There were no significant differences in any items of telenursing needs for between participants in Yangzhou and Nantong (all P > 0.05), and there were also no significant differences in all items between rural and urban communities (all P > 0.05).

Conclusion: Based on the Kano model, it was found that empty-nest elderly individuals with chronic diseases had a positive attitude toward telenursing and that they had different levels of need for different telenursing services. These findings provided a theoretical basis for medical decision-makers to formulate medical policies and provided a scientific foundation for nursing managers to improve telenursing services to meet the needs of the empty-nest elderly individuals with chronic diseases.

Keywords: Kano model; chronic diseases; elderly; empty-nest; telenursing.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
The Kano model.
Figure 2
Figure 2
Distribution of participants' chronic disease types.
Figure 3
Figure 3
Attributes on the better-worse plot.
See this image and copyright information in PMC

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