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Classification and Prioritization of Health Education Needs Among HPV‑Infected Patients in Chengdu: A KANO
Yuying Zhang1, Li Luo1, Shuaihui Du1
1Department of VIP Clinic Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, 610041, People's Republic of China.
Purpose:
This cross-sectional study aimed to: (1) classify the health education demands of HPV-infected patients using the KANO model; (2) prioritize these demands to identify which quality attribute categories (must-be, one-dimensional, attractive, or indifferent) require the most urgent intervention; and (3) provide evidence-based recommendations for developing targeted health education programs.
Patients And Methods:
A cross‑sectional survey was conducted from June 1, 2024 to December 31, 2024 at West China Second University Hospital, Sichuan University, Chengdu, China. A convenience sample of HPV‑infected patients was recruited. Health education demands were assessed using a two‑dimensional KANO questionnaire (positive and negative items) with a 5‑point Likert scale. The questionnaire was developed based on literature review and validated by an expert panel; internal consistency was acceptable (Cronbach's α = 0.940). Each item was classified into one of four KANO quality attributes (must‑be M, one‑dimensional O, attractive A, or indifferent I) using the standard KANO evaluation table Prioritization was determined using the better‑worse coefficient method.
Results:
A total of 428 valid questionnaires were analyzed. Among the 28 health education demand items, 3 were classified as must‑be attributes, 9 as one‑dimensional attributes, 5 as attractive attributes, and 11 as indifferent attributes. The better‑worse coefficient analysis identified that one‑dimensional attributes had the highest impact on patient satisfaction, while must‑be attributes represented basic requirements whose absence would cause strong dissatisfaction.
Conclusion:
HPV-infected patients have diverse and prioritized health education needs. Must-be attributes represent non-negotiable minimum standards that must be addressed first. One-dimensional attributes directly influence patient satisfaction and should be prioritized in intervention design. Attractive attributes can be incorporated to exceed expectations when resources allow. These findings provide a scientific basis for nursing managers to develop tiered health education strategies.
