Contemporary Nursing

Objective To explore the effect of the extended care model based on "hospice care" on patients with end-stage cancer in the day ward. Methods Fifty-four patients with end-stage cancer admitted to the day ward of our hospital from October 2023 to October 2024 were divided into two groups according to odd-even method: control group (routine care, 27 cases) and observation group (extended care mode based on hospice, 27 cases). The acceptance attitude towards death (Attitude towards Death Scale /DAP-R), sleep status (Pittsburgh Sleep Index Scale /PSQI scale), quality of life (quality of life measurement scale /EORTC QLQ-C30) of the two groups were compared, and the nursing satisfaction of patients was compared. Results There was no significant difference in DAP-R, PSQI and EORTC QLQ-C30 scores between the two groups before nursing (P > 0.05). After nursing, the DAP-R (approach acceptance attitude and natural acceptance attitude) scores and EORTC QLQ-C30 scores in the observation group were higher than those in the control group, while the PSQI scores were lower than those in the control group, and the nursing satisfaction of patients was higher than that in the control group (P < 0.05). Conclusion The extended nursing service for end-stage cancer patients in day ward on the basis of hospice care can improve their psychological state and sleep quality, and has a significant effect on their quality of life and satisfaction, which is worth promoting.

Day ward; End-stage cancer; Hospice care; Extended care; Quality of life