推进围手术期护理:引入以患者为中心的舒适管理。

IF 1.6 3区 医学 Q3 SURGERY
Gland surgery Pub Date : 2025-07-31 Epub Date: 2025-07-28 DOI:10.21037/gs-2025-79
Jun Wang, Zhiwei Xu, Fen Chen, Xiaoyan Wei, Baiyong Shen, Xiaxing Deng
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引用次数: 0

摘要

围手术期以患者为中心的舒适管理(2P2CM)模式引入了一种革命性的手术护理方法,优先考虑患者的舒适度、心理健康和整个围手术期的满意度。与主要关注临床结果的传统模型不同,2P2CM模型强调一个综合术前、术中和术后干预措施的整体框架,以满足患者的个性化需求。本综述综合了支持2P2CM模型的新证据,该模型旨在减轻术前焦虑,优化术后疼痛管理,并根据患者个体需求定制护理。该模型整合了多个学科的贡献,利用多模式镇痛、个性化疼痛管理策略和非药物干预来提高患者的预后并减少对阿片类药物的依赖。2P2CM模式的一个关键优势在于其跨学科的方法,结合了麻醉学、护理学、心理学和物理治疗的见解,以增强康复并最大限度地减少阿片类药物依赖。通过强调共同决策和患者报告的结果,2P2CM模型解决了手术患者从术前焦虑到术后恢复的整体需求。该综述强调了该模式在提高患者满意度、减少术后并发症和建立以患者为中心的围手术期护理新标准方面的潜力。未来的研究需要进一步完善2P2CM模型的组成部分,并评估其在各种手术环境下的长期疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Advancing perioperative care: introducing patient-centered comfort management.

Advancing perioperative care: introducing patient-centered comfort management.

The perioperative patient-centered comfort management (2P2CM) model introduces a transformative approach to surgical care, prioritizing patient comfort, psychological well-being, and satisfaction across the perioperative continuum. Unlike traditional models that focus primarily on clinical outcomes, the 2P2CM model emphasizes a holistic framework that integrates preoperative, intraoperative, and postoperative interventions tailored to individual patient needs. This review synthesizes the emerging evidence supporting the 2P2CM model, which aims to alleviate preoperative anxiety, optimize postoperative pain management, and tailor care to individual patient needs. The model integrates contributions from multiple disciplines, leveraging multimodal analgesia, personalized pain management strategies, and nonpharmacological interventions to enhance patient outcomes and reduce reliance on opioids. A key strength of the 2P2CM model lies in its interdisciplinary approach, incorporating insights from anesthesiology, nursing, psychology, and physical therapy to enhance recovery and minimize opioid dependence. By emphasizing shared decision-making and patient-reported outcomes, the 2P2CM model addresses the holistic needs of surgical patients, from preoperative anxiety to postoperative recovery. The review highlights the potential of this model to improve patient satisfaction, reduce postoperative complications, and establish a new standard for patient-centered perioperative care. Future research is necessary to further refine the components of the 2P2CM model and assess its long-term efficacy across a variety of surgical contexts.

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来源期刊
Gland surgery
Gland surgery Medicine-Surgery
CiteScore
3.60
自引率
0.00%
发文量
113
期刊介绍: Gland Surgery (Gland Surg; GS, Print ISSN 2227-684X; Online ISSN 2227-8575) being indexed by PubMed/PubMed Central, is an open access, peer-review journal launched at May of 2012, published bio-monthly since February 2015.
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