基于扎根理论的膝关节置换术围术期风险分析

Perioperative risk analysis of knee replacement based on grounded theory

目的了解行膝关节置换术患者围术期的风险因素,探索患者围术期心理活动,为围术期护理提供依据。方法运用扎根理论的方法,通过访谈2018年12月至2019年12月广州中医药大学第三附属医院膝关节置换术后患者23例,并进一步整理分析访谈资料,提炼出其围术期风险构成因素。结果共提炼了20个与膝关节置换术后患者围术期风险的初始概念,发展了6个主要范畴,构建患者、护士、管理、环境4因素模型。结论膝关节置换术患者围术期风险因素较多,为提高膝关节置换术患者围术期护理质量,要特别关注患者的生理需求、心理护理。

Objective To understand the risk factors of perioperative period in patients undergoing knee arthroplasty,and to explore the perioperative psychological activities of patients,and to provide evidence for perioperative nursing.Methods With the method of grounded theory,23 patients after knee replacement from December 2018 to December 2019 were interviewed,and the interview data were further collated and analyzed to extract the risk factors during the perioperative period.Results A total of 20 initial concepts of perioperative risk in patients after knee arthroplasty were refined,and six main categories were developed to construct a four-factor model of patients,nurses,management and environment.Conclusions There are many risk factors in perioperative period in patients with knee arthroplasty.In order to improve the quality of perioperative nursing care of patients undergoing knee arthroplasty,special attention should be paid to the physiological needs and psychological care of patients.