Work

Developing Kano’s model of customer satisfaction-driven intensive care unit end-of-life care strategies for gastrointestinal cancer patients

Year: 2025

Type: article

Abstract: BACKGROUND: In the intensive care unit (ICU) setting, patients with end-stage gastrointestinal cancer (GIC) frequently bear a heavier symptom burden, see faster functional regression, and struggle with eating impairments. These further increase the demands and complexities of nursing care. AIM: To discuss the development of Kano model-driven ICU end-of-life care (ICU-EOLC) strategies for patients with GIC and its implications for quality of death (QoD). METHODS: = 50). Pre-intervention and post-intervention comparisons were made in terms of psychological well-being [Hospital Anxiety and Depression Scale (HADS)], quality of life (QoL) [European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 Palliative Care Version (EORTC QLQ-C15-PAL)], QoD (Chinese version of the Quality of Dying and Death in the ICU Scale), death-related attitudes [Revised Death Attitude Profile (DAP-R)], and nursing care satisfaction. RESULTS: Compared with controls, patients in the observation group scored markedly lower on HADS (all domains), EORTC QLQ-C15-PAL (symptom domain), and DAP-R (escape acceptance, fear of death, and death avoidance), while achieving statistically higher scores on EORTC QLQ-C15-PAL (physical function and overall QoL dimensions), C-QDD-ICU, DAP-R (natural and approaching acceptance), and nursing care satisfaction measures. CONCLUSION: Kano model-driven ICU-EOLC interventions significantly reduced anxiety and depression in patients with end-stage GIC, and patients' quality of life, QoD, death-related attitudes, and nursing satisfaction were improved.

Source: World Journal of Gastrointestinal Surgery

DOI: 10.4240/wjgs.v17.i12.111704

Authors: Peng Zhao, Li Miao, Guang-Jing Fu, Jia-Yuan Feng, Wei Deng, Hua-Ying Li

Institution: Second Affiliated Hospital of Soochow University

Language: English

Topic: Palliative Care and End-of-Life Issues

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

Funders: Korea National Institute for Bioethics Policy, Chungnam National University, Chungnam National University Hospital