Impact of a Nurse-Led Cancer Pain Management Model on Breakthrough Pain and Patient Satisfaction: A...

IntroductionCancer pain is one of the most debilitating sequelae of cancer, and reducing this symptom burden benefits patients, nurses, and the nursing profession, especially in the care of breakthrough cancer pain (BTCP). This study aimed to assess the clinical application effectiveness of advanced nursing practices in a nurse-led cancer pain management model.MethodsThis was a non-randomized before-after quasi-experimental study. Using the convenience sampling method, 116 patients experiencing cancer pain who were admitted to tertiary comprehensive hospitals in the southern Hubei region from 2020 to 2021 were selected as the control group, and 104 patients experiencing cancer pain who were admitted from 2022 to 2025 were selected as the intervention group. A full process management model for cancer pain was implemented in the intervention group, whereas the control group did not receive the intervention. Both groups were followed-up for 6 months to compare the average pain score, incidence of BTCP, and satisfaction with pain control.ResultsThe incidence of BTCP in patients with cancer decreased from 42% to 23% (19% reduction), the accuracy of the pain score evaluation increased from 84% to 95% (11% increase), and satisfaction with pain control increased from 80% to 94% (14% increase). The average pain and BTCP scores of patients with cancer pain significantly improved (P<0.05).ConclusionsThe nurse-led cancer pain management model may play a positive role, suggesting potential benefits in reducing the incidence of BTCP, effectively controlling the average pain score, and enhancing patient satisfaction with pain management.