The role of operating room nursing pathway in enhancing perioperative patient comfort
手术室护理路径在提升患者围手术期舒适度中的作用

摘要

目的 本研究旨在通过实施手术室护理路径，评估其在提升患者围手术期舒适度方面的效果。具体目标包括：1. 分析手术室护理路径的基本要素及其在围手术期护理中的应用。2. 评估实施手术室护理路径前后患者舒适度的变化。3. 探讨手术室护理路径对患者围手术期舒适度的影响因素。方法 根据相关指南和文献，结合医院实际情况，制定并实施手术室护理路径。护理路径包括术前准备、术中护理、术后护理及康复指导等环节。结果 实施手术室护理路径后，患者的疼痛评分显著降低，舒适度自评和他评均显著提高。具体数据，实施前后疼痛评分差异有统计学意义（P<0.05）。通过多元线性回归分析发现，术前心理疏导、术中保暖措施以及术后康复指导等因素对患者围手术期舒适度有显著影响。结论 本研究通过对手术室护理路径在提升患者围手术期舒适度中的作用进行研究，结果表明实施手术室护理路径能够显著提高患者的舒适度。其中，术前心理疏导、术中保暖措施以及术后康复指导等环节对提升患者舒适度具有重要作用。基于研究结果，建议医院在围手术期护理中积极推广手术室护理路径，优化护理流程，提高护理质量。同时，医护人员应关注患者的个体差异，制定个性化的护理方案，以满足不同患者的需求。

Abstract

Objective This study aims to assess the effectiveness of implementing an operating room nursing pathway in enhancing the comfort of patients during the perioperative period. The specific objectives include: 1. Analyzing the basic elements of the operating room nursing pathway and their application in perioperative nursing. 2. Evaluating changes in patient comfort before and after the implementation of the operating room nursing pathway. 3. Discussing the factors influencing patient perioperative comfort with the operating room nursing pathway.
Methods Based on relevant guidelines and literature, combined with the actual situation of the hospital, an operating room nursing pathway was developed and implemented. The nursing pathway includes preoperative preparation, intraoperative care, postoperative care, and rehabilitation guidance.
Results After implementing the operating room nursing pathway, there was a significant reduction in patients' pain scores, and both self-assessed and nurse-assessed comfort levels significantly improved. Specific data showed that the difference in pain scores before and after implementation was statistically significant (P<0.05). Through multiple linear regression analysis, it was found that factors such as preoperative psychological counseling, intraoperative warming measures, and postoperative rehabilitation guidance significantly affected patient perioperative comfort.
Conclusion   This study on the role of the operating room nursing pathway in enhancing patient perioperative comfort indicates that the implementation of the pathway can significantly improve patient comfort. Among them, preoperative psychological counseling, intraoperative warming measures, and postoperative rehabilitation guidance play important roles in enhancing patient comfort. Based on the study results, it is recommended that hospitals actively promote the operating room nursing pathway in perioperative nursing, optimize nursing processes, and improve the quality of nursing care. At the same time, medical staff should pay attention to the individual differences of patients and develop personalized nursing plans to meet the needs of different patients.