International Journal of Nursing Research

bjective To study the application effect of the "hospital-community-home" palliative care service model under the perspective of medical alliances. Methods 124 patients with terminal illness who were treated in our hospital from September 2023 to May 2025 were divided into two groups. The observation group had 62 cases, and the control group had 62 cases. The control group received conventional care, while the observation group was provided with the "hospital-community-home" palliative care service under the perspective of medical alliances. After the care, the quality of life (physical condition, emotional status, functional status), pain mediator indicators (substance P, prostaglandin E₂, dopamine levels), family care burden (family/economic burden, treatment burden, care burden), and psychological state scores of the two groups were compared. Results After the care, the quality of life of the observation group, including physical condition, emotional status, and functional status, was higher than that of the control group (P < 0.05). The levels of substance P (SP), prostaglandin E₂ (PGE₂), and dopamine (DA) were more stable in the observation group than in the control group (P < 0.05). The family/economic burden, treatment burden, care burden, and psychological state scores of the observation group were all lower than those of the control group (P < 0.05). Conclusion The application of the "hospital-community-home" palliative care service model under the perspective of medical alliances for patients with terminal illness can effectively alleviate their physical and psychological difficulties, reduce the burden on their families, and improve their quality of life.

Medical alliance perspective; Hospital-community-home; Palliative care