Effects of Multi-Role Collaborative Palliative Care on Anxiety, Cancer-Related Fatigue, and Quality of Life in Patients With Advanced Lung Cancer

Abstract

Background: This research aimed to examine the effects of multi-role collaborative palliative care on anxiety, cancer-related fatigue (CRF), psychological status, and quality of life in patients with advanced lung cancer, and to explore potential mechanisms using correlation analysis and structural equation modelling.

Methods: We conducted a retrospective study of the medical records of 200 patients with advanced lung cancer. Based on the care they received, patients were divided into two groups: a control group (n = 100) that received standard nursing care, and a combined nursing group (n = 100) that received multi-role collaborative palliative care. Anxiety, CRF, psychological status, and overall quality of life were compared between the two groups based on the record documented before and after nursing care. Adverse events recorded during the nursing period were also reviewed and analysed. Path analysis of variables was conducted using the AMOS module of SPSS.

Results: Following nursing care, the combined group showed significantly lower CRF and anxiety scores, and significantly higher psychological state and quality of life scores compared with both pre-nursing scores and the control group (all p < 0.05). There was no statistically significant difference in the rate of adverse event between the two groups (36.00% vs. 28.00%, p > 0.05). Path analysis indicates that multi-role collaborative palliative care is associated with lower levels of anxiety. This association has a direct relationship and indirect relationships through its connection with the reduction of CRF and the improvement of psychological condition. Path analysis shows that multirole collaborative palliative care not only directly alleviates patients’ inner anxiety, but also may indirectly reduce inner anxiety by lowering CRF and improving psychological conditions.

Conclusions: Implementing multi-role collaborative palliative care for patients with advanced lung cancer can help alleviate CRF, relieve anxiety, improve psychological state and enhance quality of life. Exploratory path analysis suggests that this nursing model has a significant direct statistical association with lower anxiety. This association may also involve indirect interrelations with lower CRF and a better psychological state.