Developing Kano’s model of customer satisfaction-driven intensive care unit end-of-life care strategies for gastrointestinal cancer patients

doi:10.4240/wjgs.v17.i12.111704

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Dec 27, 2025 (publication date) through Dec 25, 2025

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Dec 27, 2025; 17(12): 111704
Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.111704

Developing Kano’s model of customer satisfaction-driven intensive care unit end-of-life care strategies for gastrointestinal cancer patients

Peng Zhao, Li Miao, Guang-Jing Fu, Jia-Yuan Feng, Wei Deng, Hua-Ying Li

Peng Zhao, Li Miao, Guang-Jing Fu, Jia-Yuan Feng, Wei Deng, Hua-Ying Li, Intensive Care Unit, The Second Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China

Co-first authors: Peng Zhao and Li Miao.

Author contributions: Zhao P and Miao L contributed to the manuscript writing, data collection and analysis as co-first authors; Zhao P, Miao L, Fu GJ, Feng JY and Deng W collected data; Li HY was involved in the conceptualization and supervision of this manuscript; all authors approved the final manuscript.

Institutional review board statement: This study was approved by Ethic Committee of the Second Affiliated Hospital of Soochow University.

Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.

Conflict-of-interest statement: We have no financial relationships to disclose.

Data sharing statement: No additional data are available.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Hua-Ying Li, Head Nurse, Intensive Care Unit, The Second Affiliated Hospital of Soochow University, No. 1055 Sanxiang Road, Gusu District, Suzhou 215000, Jiangsu Province, China. 15306216185@163.com

Received: August 8, 2025
Revised: September 18, 2025
Accepted: November 10, 2025
Published online: December 27, 2025
Processing time: 138 Days and 17.9 Hours

Core Tip

Core Tip: Focused on end-stage gastrointestinal cancer patients in intensive care unit (ICU), this research centers on constructing a Kano model-driven ICU end-of-life care model and examining how it influences patients’ quality of death. Involving 115 patients, our multi-faceted analysis, which incorporated metrics on psychological wellbeing, life and death quality, death attitudes, and care satisfaction, demonstrated that the Kano model-driven nursing intervention is clinically more advantageous than standard nursing methods for this patient population.