推进围手术期护理:引入以患者为中心的舒适管理。

Advancing perioperative care: introducing patient-centered comfort management.

作者信息

Wang Jun, Xu Zhiwei, Chen Fen, Wei Xiaoyan, Shen Baiyong, Deng Xiaxing

机构信息

Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Shanghai Key Laboratory of Pancreatic Neoplasms Translational Medicine, Shanghai, China.

出版信息

Gland Surg. 2025 Jul 31;14(7):1390-1398. doi: 10.21037/gs-2025-79. Epub 2025 Jul 28.

Abstract

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.

摘要

围手术期以患者为中心的舒适管理(2P2CM)模式引入了一种变革性的手术护理方法,在整个围手术期连续过程中优先考虑患者的舒适度、心理健康和满意度。与主要关注临床结果的传统模式不同,2P2CM模式强调一个整体框架,该框架整合了根据患者个体需求定制的术前、术中和术后干预措施。本综述综合了支持2P2CM模式的新证据,该模式旨在减轻术前焦虑、优化术后疼痛管理并根据患者个体需求定制护理。该模式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措施来改善患者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方法,融合了麻醉学、护理、心理学和物理治疗等方面的见解,以促进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模式满足了手术患者从术前焦虑到术后康复的整体需求。该综述强调了该模式在提高患者满意度、减少术后并发症以及建立以患者为中心的围手术期护理新标准方面的潜力。未来有必要进行进一步研究,以进一步完善2P2CM模式的组成部分,并评估其在各种手术环境中的长期疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/12322764/f99c9f9745d8/gs-14-07-1390-f1.jpg

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