Application of Individual Case Management Nursing Model in Symptom Management of Palliative Care for Patients Undergoing Chemotherapy

Abstract

Objective: To investigate the effect of symptom management strategies in palliative care for patients undergoing chemotherapy, analyze their impacts on symptom relief, quality of life and treatment adherence, and establish a nurse-led integrated intervention program. Methods: A total of 154 chemotherapy patients from a tertiary hospital were enrolled. A quantitative multi-method design was used, including questionnaire survey, Spearman correlation analysis and linear regression analysis to evaluate the current status and predictive effect of symptom management. Results: Symptom management in palliative care was generally effective: pain management (3.65), nausea and vomiting control (3.60), emotional and psychological support (3.62), spiritual care (3.60), fatigue management (3.55). Palliative care-enhanced components significantly improved symptom relief (3.63), quality of life (3.61) and treatment adherence (3.58). Symptom management strategies had a very strong positive correlation with palliative care outcomes (r=0.972, P<0.001) and significantly predicted patient outcomes (R²=0.953, P<0.001). Conclusion: Symptom management for chemotherapy patients in palliative care is generally effective but remains to be optimized. The quality of symptom management directly determines the effect of palliative care. A nurse-led integrated symptom management program is recommended to strengthen assessment, education, psychological support and spiritual care, so as to further improve patient prognosis and quality of life.