Perioperative psychological needs of 40 patients undertaking artificial total knee replacement

2018 
Objective To guide the perioperative qualified nursing care at operation room understanding the psychological needs before, during, and after operation of patients taking artificial total knee replacement. Methods 40 patients undertaking total knee arthroplasty at the second department of orthopedics at our hospital were selected as study objects. During preoperative visit, their psychological needs before, during, and after operation were investigated with self-designed questionnaire. Results The questionnaire recovery rate and effective rate both were 100.00%. A11 the 40 patients expected to be visited by the surgeon, anesthesiologist, and operating room nurses and wanted to know about the safety of the operation and the anesthesia before the operation; needed comfortable temperature, humidity, etc. and gentle operations by the doctors and nurses during the operation; and wanted to relieve their pain and discomfort in time and needed guidance in functional training and rehabilitation after the operation. In the 40 patients, the artificial total knee replacement surgery related knowledge demand score was (1.752 ± 0.596) and the score of psychological and emotional needs was (1.755 ± 0.603), with no statistical difference (t = 0.022 4, P > 0.05); but they were higher than the score of technology and environmental demands (1.468 ± 0.591) (t = 2.140 0 and 2.149 8, both P<0.05). Conclusions The patients have different needs in different stages of total knee arthroplasty surgery. The operation room nursing staff should pay attention to nursing care for patients’ perioperative psychological needs. According to the patients’ demands in different surgical stages, corresponding high-quality care should be taken. Key words: Artificial total knee replacement; Preoperative visit; Perioperative period; Psychological needs
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