Открытая коммуникация в паллиативной помощи снижает тревожность и боль у пациентов с раком легких

Guided open communication in the palliative care setting had beneficial effects on patients with advanced lung cancer, according to findings published in Frontiers in Public Health. The nursing strategy of guided open communication prioritizes honest, open communication between health care providers (HCPs), patients, and their families, so that patients feel empowered to express their inner feelings. A total of 276 patients were evaluated for outcomes using a battery of validated instruments. The observed patients included those who were diagnosed with advanced lung cancer at The First Affiliated Hospital of Jinan University in China from April 2023 to June 2025 and who received guided open communication (n=138) or usual care (n=138) in the palliative care setting. The intervention and control cohorts comprised 60.14% and 62.32% men. The mean ages were 63.84 and 64.15 years, 78.99% and 76.81% of patients had non-small cell lung cancer, and 52.17% and 51.45% had moderate pain at baseline, respectively. The results revealed that guided open communication was associated with significant decreases to anxiety, depression, stress, pain intensity, pain interference, pain belief, physical sensation fatigue, affective fatigue, behavioral fatigue, and cognitive fatigue scores (t range, –5.581 to –4.506; all P <.001) coupled with increases to pain control satisfaction, physical functioning, role functioning, cognitive functioning, emotional functioning, social functioning, and global health scores (t range, 4.618-5.268; all P <.001) relative to control. Patients who received guided open communication were more likely to be satisfied with nursing (odds ratio, 2.874; 95% CI, 1.416-5.835; P =.003). Furthermore, overall nursing satisfaction was superior in the experimental group (94.2% vs 80.4%). The study investigators concluded, “[I]ntegrating guided honesty intervention and palliative care into a comprehensive nursing model can significantly alleviate negative emotions such as depression, anxiety, and stress in patients with advanced lung cancer, effectively reduce cancer pain and cancer-related fatigue, and significantly improve nursing satisfaction while enhancing patients’ quality of life in multiple dimensions.” This Shanghai Anti-Cancer Association provided funding for this research. The authors disclosed no conflicts of interest. Please see the original reference for full disclosures. References: Huo J, Wei J, Zhang X, Li Y, Zhu X, Liu Y. Integrated approach of guided honest disclosure and palliative care for advanced lung cancer: impacts on emotional distress, symptom burden, and patient satisfaction. Front Public Health. 2026:14:1865705. doi:10.3389/fpubh.2026.1865705