Enhancing the Quality of Hospice Shared Care for End-Stage Malignant Tumor Patients: A Structure-process-outcome Three-Dimensional Quality Evaluation Model

Abstract

Background: The progression of end-stage malignant tumors in patients is irreversible, making high-quality hospice care especially critical. Objective: To evaluate the effectiveness of the hospice shared care guided by the structure-process-outcome three-dimensional quality evaluation model compared to the hospice shared care in patients with end-stage malignant tumors. Design: This study is a single-center, open-label, randomized controlled trial, conducted in the Department of Radiation Oncology at the Second People’s Hospital of Wuhu City. Methods: The control group adopted the standard hospice shared care, while the intervention group utilized the hospice shared care guided by the structure-process-outcome three-dimensional quality evaluation model. The quality of life, spiritual well-being, psychological distress, and satisfaction of patients were compared between the two groups. Results: After two and four weeks of intervention, there was a significant improvement in quality of life and spiritual health, along with a notable reduction in psychological distress (P < 0.05). Compared with the control group, patients in the intervention group exhibited significantly better quality of life and mental health status, along with lower psychological distress scores (P < 0.05). The satisfaction rate in the intervention group was significantly higher than that in the control group (97.80% vs 92.31%, P = 0.029). Conclusions: Guided by the three-dimensional quality evaluation model of structure-process-outcome, the hospice shared care can significantly improve the quality of life and spiritual health of patients with end-stage malignant tumors, alleviate psychological distress, and enhance patient satisfaction.