Abstract
OBJECTIVE: To explore the quality attributes of nursing interventions for improving the quality of life of patients with gastric ulcers using the KANO model, and to design and implement targeted nursing measures and evaluate their effects. METHODS: Clinical data from 136 inpatients with gastric ulcers hospitalized between January 2022 and January 2024 were analyzed. Patients were divided into two groups based on the nursing approach: the experimental group (n=68), which received nursing care based on the KANO model, and the control group (n=68), which received routine care. The two groups were compared in terms of general clinical data, symptom improvement, health-promoting lifestyle scores, nursing satisfaction, emotional state, and quality of life assessed using the SF-36 questionnaire. RESULTS: Post-intervention, the experimental group demonstrated significantly lower Hamilton Anxiety and Depression Scale scores compared to the control group (both P<0.05). Scores for physical, psychological, social, and material functions in the SF-36 were also significantly higher in the experimental group (all P<0.05). Additionally, scores for health responsibility, nutrition, stress management, exercise, interpersonal support, self-actualization, and overall health-promoting lifestyle were significantly higher in the experimental group (all P<0.05). The incidence of acid reflux, abdominal pain, and burning sensation was lower in the experimental group than that in the control group after the intervention (P<0.05). CONCLUSIONS: Nursing interventions based on the KANO model effectively improve clinical symptoms, quality of life, and emotional well-being in patients with gastric ulcers. They also enhance nursing satisfaction, providing a superior approach to routine care.