Objective To investigate the effect of the ISBAR-CICARE communication mode on clinical outcomes in patients with lumbar disc herniation(LDH) undergoing three-dimensional balanced chiropractic treatment. Methods A total of 144 patients with lumbar disc herniation(LDH) who underwent three-dimensional balanced chiropractic treatment at the Affiliated, Shoulder, lumbar, and Leg Pain Hospital of to Shandong First Medical University from October 2024 to December 2025 were enrolled. Using a random number table method, they were divided into an observation group(ISBAR-CICARE communication mode group) and a control group(conventional communication group), with 72 patients in each group. Both groups received the same three-dimensional balanced chiropractic treatment. The control group adopted the department's routine health education and doctor-patient communication methods, without systematic application of a structured communication mode. Nurses in the observation group systematically applied the ISBAR-CICARE structured communication process before, during, and after treatment. Comparative analysis was conducted on the visual analog scale(VAS) pain scores, Hospital Anxiety and Depression Scale(HADS) scores, Japanese Orthopedic Association(JOA) assessment scores, and nursing satisfaction based on the Chinese version of the Nursing Presence Scale for Hospitalized Patieats (NPSHP) before and after intervention in both groups. Results No significant differences were found in baseline characteristics and outcome measures between the two groups before the intervention. After the intervention, the observation group demonstrated significantly lower scores than the control group on the VAS[(1.29±0.95) vs. (2.43±1.01)], HADS-Anxiety[(2.5±1.27) vs. (5.85±2.85)], and HADS-Depression[(1.5±0.93) vs. (3.56±1.63)](P<0.05). Furthermore, the observation group showed significantly greater improvement in JOA scores[(27.46±2.04) vs. (21.17±2.16),P<0.05]. The nursing satisfaction rate was significantly higher in the observation group than in the control group(94.44% vs. 79.17%, P<0.05). Conclusions Applying the ISBAR-CICARE communication mode to LDH patients undergoing three-dimensional balanced chiropractic treatment can enhance patient cooperation, relieve pain, reduce anxiety and depression, significantly improve service satisfaction, and promote the recovery of lumbar function. These findings support its broader implementation in clinical practice.