Integrated approach of guided honest disclosure and palliative care for advanced lung cancer: impacts on emotional distress, symptom burden, and patient satisfaction.
To explore the feasibility and clinical value of a comprehensive nursing model that integrates guided open communication strategies with the philosophy of palliative care in patients with advanced lung cancer, and to evaluate its impact on patients' negative emotions, pain response, cancer-related fatigue, quality of life, and nursing satisfaction.
A retrospective analysis was conducted on the clinical data of 276 patients with advanced lung cancer who received treatment in our hospital from April 2023 to June 2025. According to the different nursing protocols, patients were divided into two groups: the control group (n = 138) received routine nursing care, while the observation group (n = 138) received additional comprehensive measures combining guided open communication intervention with palliative care on top of routine nursing. The two groups were compared in terms of negative emotions [Depression-Anxiety-Stress Scale (DASS-21)], cancer pain response [American Pain Society Patient Outcome Questionnaire Revised Version (APS-POQ-Modified)], cancer-related fatigue [Piper Fatigue Scale (PFS)], quality of life [European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)], and nursing satisfaction [Newcastle Satisfaction with Nursing Scale (NSNS)].
After the intervention, anxiety score, depression score, stress score, pain intensity score, pain interference with daily life score, pain belief score, physical sensation fatigue score, affective fatigue score, behavioral fatigue score, and cognitive fatigue score in both groups decreased compared with pre-intervention; pain control satisfaction score, physical functioning score, role functioning score, cognitive functioning score, emotional functioning score, social functioning score, and global health status score increased compared with pre-intervention, with the magnitude of improvement being greater in the observation group than in the control group (p < 0.05). The overall nursing satisfaction in the observation group (94.20%) was higher than that in the control group (80.43%) (p < 0.05).
The integration of guided open communication and palliative care in the nursing of patients with advanced lung cancer can exert a synergistic effect, not only effectively alleviating anxiety, depression, and other negative emotions, but also reducing pain and cancer-related fatigue, improving quality of life, and enhancing nursing satisfaction, with high value for clinical promotion.
A retrospective analysis was conducted on the clinical data of 276 patients with advanced lung cancer who received treatment in our hospital from April 2023 to June 2025. According to the different nursing protocols, patients were divided into two groups: the control group (n = 138) received routine nursing care, while the observation group (n = 138) received additional comprehensive measures combining guided open communication intervention with palliative care on top of routine nursing. The two groups were compared in terms of negative emotions [Depression-Anxiety-Stress Scale (DASS-21)], cancer pain response [American Pain Society Patient Outcome Questionnaire Revised Version (APS-POQ-Modified)], cancer-related fatigue [Piper Fatigue Scale (PFS)], quality of life [European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)], and nursing satisfaction [Newcastle Satisfaction with Nursing Scale (NSNS)].
After the intervention, anxiety score, depression score, stress score, pain intensity score, pain interference with daily life score, pain belief score, physical sensation fatigue score, affective fatigue score, behavioral fatigue score, and cognitive fatigue score in both groups decreased compared with pre-intervention; pain control satisfaction score, physical functioning score, role functioning score, cognitive functioning score, emotional functioning score, social functioning score, and global health status score increased compared with pre-intervention, with the magnitude of improvement being greater in the observation group than in the control group (p < 0.05). The overall nursing satisfaction in the observation group (94.20%) was higher than that in the control group (80.43%) (p < 0.05).
The integration of guided open communication and palliative care in the nursing of patients with advanced lung cancer can exert a synergistic effect, not only effectively alleviating anxiety, depression, and other negative emotions, but also reducing pain and cancer-related fatigue, improving quality of life, and enhancing nursing satisfaction, with high value for clinical promotion.