ABSTRACT
Objective:To investigate the effect of risk management in perioperative nursing of a patient undergoing total hip and knee replacement.Methods:The risk management method was used to identify, assess, nurse and evaluate the perioperative complications,such as hypertension, dislocation of hip prosthesis, gastroparesis and others of patients with total hip and knee replacement.Results:The nursing risks of the patient were accurately identified and effectively controlled, which ensured the safety and the smooth discharge of the patient. The perioperative blood pressure was controlled at about 150/80 mmHg (1 mmHg=0.133 kPa) . After operation, the position of the prosthesis was satisfied, patient could walk with the help of walker, the symptoms of gastroparetosis was alleviated, so that patient could eat well.At the time of discharge, the patient ′s albumin was 38 g/L, hemoglobin was 130 g/L and electrolyte levels were normal. The level of anxiety was alleviated, with the anxiety score dropping from 71 to 49, which means a mild level of anxiety. Conclusion:The perioperative nursing of elderly patients undergoing total hip and knee replacement surgery is difficult, and multiple risks co-exist. Clinical nurses should identify and manage the symptoms of high-risk patients early, accurately and effectively, so as to improve the nursing quality and ensure the safety of patients.