基于KANO-AHP模型设计肝细胞癌介入治疗患者出院管理小程序研究

肝癌电子杂志 ›› 2026, Vol. 13 ›› Issue (1): 39-45.

基于KANO-AHP模型设计肝细胞癌介入治疗患者出院管理小程序研究

张毅¹, 杨滢², 李因茵³, 朱娇娇³, 佐国琴⁴, 唐炜^1,*

1.贵州医科大学护理学院,贵州贵阳 550025;
2.解放军总医院第五医学中心护理部,北京 100039;
3.解放军总医院第五医学中心肝病医学部,北京 100039;
4.解放军总医院第二医学中心保健五科,北京 100853

收稿日期:2025-03-06 出版日期:2026-03-30 发布日期:2026-05-21
通讯作者: ^* 唐炜,E-mail: 411176975@qq.com
基金资助:
国家自然科学基金面上项目（82272956）

Design of a mini program for discharge management of patients with hepatocellular carcinoma under interventional therapy based on KANO-AHP model

Zhang Yi¹, Yang Ying², Li Yinyin³, Zhu Jiaojiao³, Zuo Guoqin⁴, Tang Wei^1,*

1. School of Nursing, Guizhou Medical University, Guiyang 550025, Guizhou, China;
2. Department of Nursing, Fifth Medical Center PLA General Hospital, Beijing 100039, China;
3. Department of Hepatology, Fifth Medical Center PLA General Hospital, Beijing 100039, China;
4. Department of Preventive Medicine V, Second Medical Center PLA General Hospital, Beijing 100853, China

Received:2025-03-06 Online:2026-03-30 Published:2026-05-21
Contact: ^* Tang Wei, E-mail: 411176975@qq.com

摘要/Abstract

摘要： 目的：分析肝细胞癌（HCC）介入治疗患者的出院管理需求属性与优先序,为小程序的功能模块设计提供参考。
方法：运用KANO模型问卷调研患者,以界定需求属性并计算其敏感度系数;其次采用层次分析处理（AHP）法获取医护专家对各项需求的权重评价,最终进行综合重要度排序。采用便利抽样法选取2024年3—6月解放军总医院第五医学中心和解放军总医院第二医学中心HCC介入治疗患者203例。
结果：研究基于KANO模型识别出15项需求条目,并归类为必备、期望与魅力属性。通过综合患者敏感度系数与医护AHP权重,确定了需求的最终优先级,并以此为依据进行了小程序的系统架构与功能模块设计。
结论：将KANO模型与AHP方法相结合,在需求分析阶段融合了患者视角（KANO属性与敏感度）与医护专业视角（AHP权重）,使小程序的功能设计更具科学性和临床实用性,为开发以用户为中心的数字化出院管理工具提供了一种定性与定量相结合的方法学参考。

关键词: KANO模型, 层次分析处理, 肝细胞癌, 出院管理, 移动医疗

Abstract: Objective: To analyze the attributes and priority of discharge management needs among patients undergoing interventional therapy for hepatocellular carcinoma, providing reference for designing functional modules of a mini-program.
Methods: The KANO model questionnaire was employed to survey patients, defining demand attributes and calculating their sensitivity coefficients. Subsequently, the analytic hierarchy process (AHP) was used to obtain weight evaluations of each demand from medical experts, culminating in a comprehensive importance ranking. Convenience sampling was employed to select 203 patients undergoing HCC interventional therapy from the Fifth Medical Center of the PLA General Hospital and the Second Medical Center of the PLA General Hospital during March-June 2024.
Results: The KANO model identified 15 demand items categorized as must-have, expected, and delight attributes. Final priority levels were determined by integrating patient sensitivity coefficients with healthcare professional AHP weights. This framework guided the system architecture and functional module design of the mini-program.
Conclusions: This study integrates the KANO model with the AHP method, combining the patient perspective (KANO attributes and sensitivity) with the healthcare professional perspective (AHP weights) during the requirements analysis phase. This approach enhances the scientific rigor and clinical utility of the mini-program's functional design, providing a methodological reference that combines qualitative and quantitative approaches for developing user-centered digital discharge management tools.

Key words: KANO model, Analytic hierarchy process, Hepatocellular carcinoma, Discharge Management, mHealth

张毅, 杨滢, 李因茵, 朱娇娇, 佐国琴, 唐炜. 基于KANO-AHP模型设计肝细胞癌介入治疗患者出院管理小程序研究[J]. 肝癌电子杂志, 2026, 13(1): 39-45.

Zhang Yi, Yang Ying, Li Yinyin, Zhu Jiaojiao, Zuo Guoqin, Tang Wei. Design of a mini program for discharge management of patients with hepatocellular carcinoma under interventional therapy based on KANO-AHP model[J]. Electronic Journal of Liver Tumor, 2026, 13(1): 39-45.

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