ArticleWorld journal of gastrointestinal surgery2025
Developing Kano's model of customer satisfaction-driven intensive care unit end-of-life care strategies for gastrointestinal cancer patients.
Article in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIn 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.
aimTo 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).
methodsThis study enrolled 115 patients with end-stage GIC admitted to the ICU from June 2021 to June 2024. A Kano model-driven ICU-EOLC protocol was applied to the observation group (
resultsCompared 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.
conclusionKano 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.
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