Vol. 2, Issue 2, Part A (2025)

Routine vital sign monitoring is an essential component of clinical assessment and early detection of physiological deterioration in hospitalized patients. However, repeated measurements—often conducted multiple times per day can cause discomfort, anxiety, sleep disruption, and procedural fatigue, particularly when performed without attention to patient-centered approaches. This cross-sectional research investigates the role of nurses in enhancing patient comfort during routine vital sign assessment, focusing on communication quality, environmental control, procedural gentleness, and respect for patient autonomy. A structured questionnaire was administered to 300 adult inpatients across medical-surgical units, evaluating their experiences with temperature, pulse, respiration, and blood pressure measurement procedures. Descriptive and inferential statistical analyses were used to determine associations between nursing practices and perceived comfort levels.
Findings reveal that 71.3% of patients experienced moderate discomfort during blood pressure measurement, primarily due to excessive cuff tightness, while 52.7% reported sleep disturbance from nighttime vital checks. Effective verbal communication, gentle handling of equipment, and allowing patient-preferred positioning were significantly associated with higher comfort scores (p<0.05). Moreover, nurses who offered procedure explanations reduced anxiety by 44%, demonstrating the strong influence of therapeutic communication on comfort. Results further showed that controlling room lighting and noise minimized procedural stress during nocturnal assessments.
The research underscores that patient comfort is not merely a courtesy but a determinant of trust, cooperation, and overall satisfaction with nursing care. Integrating patient-centered comfort measures into routine clinical practice can significantly improve patient experience without compromising vital sign accuracy. Training programs should emphasize communication skills, environmental modifications, and individualized care strategies to enhance comfort. The findings encourage healthcare organizations to adopt evidence-based nursing guidelines that prioritize comfort during routine assessments.