对非侵入性手术内膀体积监测装置的临床需求评估:基于卡诺模型的横截面研究
Yanhua Guo1,2, Wenzhi Cai1,3, Ling Chen4,5
1Shenzhen Hospital, Southern Medical University, No. 1333, Xinhu Road, Baoan District, Shenzhen, China.
Scientific reports
|November 3, 2025
概括
这项研究确定了非侵入性膀监测设备的基本特征,这对于手术后增强恢复 (ERAS) 协议至关重要. 关键要求包括准确性,安全性和实时数据,以改善患者护理和外科工作流程.
科学领域:
- 医疗器械 医疗器械
- 手术技术 手术技术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 在手术期间评估流体平衡和功能时,手术内尿液输出至关重要.
- 手术后增强恢复 (ERAS) 协议需要非侵入性监测解决方案来取代传统的尿道导管.
- 导管带有风险,包括感染和尿道损伤,导致需要更安全的替代品.
研究的目的:
- 确定对非侵入性手术内膀体积监测装置的以用户为中心的要求.
- 应用Kano模型以根据用户需求和满意度优先考虑功能.
- 为支持ERAS协议的技术开发提供信息.
主要方法:
- 通过使用基于卡诺的问卷对388名外科专业人员进行了横截面调查.
- 该调查评估了24种非侵入性膀监测设备的特征,使用图像辅助原型以提高清晰度.
- 用Kano模型对特征进行分类,并通过更好-更差系数进行分析.
主要成果:
- 确定了七个"必备"功能:测量准确性,安全性和实时监控.
- 八个"一维"功能,如尿量报警器和人体工程学设计,提高了用户的满意度.
- 趋势分析和负担得起的价格等有吸引力的功能提供了高的满意度潜力;存在特定角色的偏好.
结论:
- 这项研究提供了首次基于Kano的评估,对手术内非侵入性尿液监测的需求.
- 这些发现突出了开发有效,以用户为中心的膀监测技术的关键用户要求.
- 结果支持创建ERAS兼容的设备,可以无地集成到多学科的外科工作流程中.
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