Keywords
Lung cancer
Symptom management education
Fatigue
Pain
Sleep disturbances
Symptom cluster
Submitted : 2025-12-16
Accepted : 2025-12-31
Published : 2026-01-15
Abstract
Abstract: Objective: To investigate the intervention effect of symptom management education based on the Knowledge-Attitude-Practice (KAP) theory on the symptom cluster of fatigue, pain, and sleep disturbances in lung cancer patients. Methods: A total of 232 lung cancer patients treated in the oncology department from October 2024 to October 2025 were included and randomly divided into an experimental group and a control group, with 116 cases in each group. The control group received routine nursing care for lung cancer, while the experimental group received additional symptom management education intervention based on the KAP theory. Fatigue, pain, and sleep conditions were quantified at the 4th and 8th weeks after the intervention. Results: After 4 and 8 weeks of intervention, the RPFS scores, VAS scores, and PSQI scores in the experimental group were lower than those in the control group at the same time points (p < 0.05); moreover, the scores in the experimental group at each time point were lower than those before the intervention (p < 0.05). Conclusion: Symptom management education based on the KAP theory can effectively improve the symptom cluster of fatigue, pain, and sleep disturbances in lung cancer patients, enhance their quality of life, and has clinical promotion value.
References
References
Zhang X, Shao J, Liu D, et al., 2023, Observation on the Effect of Pain Nursing Strategies Based on Symptom Management Theory in Lung Cancer Patients. China Pharmacy, 32(S01): 268–270.
Zhang H, Zhang N, Liu Y, 2025, Longitudinal Investigation of Symptom Clusters in Lung Cancer Patients During the Perioperative Period. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 32(04): 508–514.
Sun X, Wang Y, Lv W, et al., 2025, Application Study of Narrative Nursing in Symptom Cluster Management and Post-Traumatic Growth of Lung Cancer Surgery Patients. Chinese Journal of Lung Cancer, 28(1): 40–46.
Wang J, He J, Lung Cancer Quality Control Expert Committee of the National Cancer Quality Control Center, et al., 2024, Chinese Guidelines for the Standardized Application of Chemotherapy in Primary Lung Cancer (2024 Edition). Chinese Journal of Clinical Oncology and Rehabilitation, 31(9): 525–548.
Qu L, 2024, The Impact of Health Education Based on the Knowledge-Attitude-Behavior Theory on the Quality of Life of Lung Cancer Patients. Heilongjiang Medical Journal, 48(10): 1228–1231.
Zhang Y, Cao Y, Chen X, et al., 2023, Evaluation of the Effect of Nursing Intervention Based on Health Education Tools for Patients Taking Oral Antineoplastic Drugs on the Improvement of Chemotherapy Symptom Clusters in Lung Cancer Patients. Contemporary Medicine, 29(21): 174–176.
Liu Y, Zhong X, Yao Y, et al., 2023, The Impact of Empowerment Health Education on Disease Uncertainty and Self-Management Efficacy in Lung Cancer Patients Undergoing Radiotherapy and Chemotherapy. Nursing Practice and Research, 20(3): 413–417.
Zhou N, Ji X, 2024, Evaluation of the Effect of Group Management Education Based on the Knowledge-Attitude-Practice Theory on Symptom Clusters in Postoperative Patients with Non-Small Cell Lung Cancer. Contemporary Nurse (Mid-Issue), 31(10): 103–107.