A Study on the 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

Min Zhu

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¹ Yancheng No.1 People’s Hospital, Yancheng 224006, Jiangsu, China,

JCNR 2025 , 9(12), 420–426; https://doi.org/10.26689/jcnr.v9i12.13253

© 2025 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )

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.

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