A Qualitative Analysis of the Impact of Preoperative Mindfulness-Based Stress Reduction on Total Knee Arthroplasty Surgical Experiences

IF 1.6 4区医学 Q2 NURSING Pain Management Nursing Pub Date : 2024-08-01 DOI:10.1016/j.pmn.2024.04.002

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Abstract

We qualitatively explored the impact of preoperative mindfulness-based stress reduction (MBSR) on total knee arthroplasty (TKA) experiences. Participants (n = 10) who received MBSR prior to TKA participated in semi-structured interviews concerning their experiences with MBSR and its perceived impact on surgery. We analyzed interviews according to reflexive thematic analysis, and coded data into three main themes: 1) Impact of MBSR on surgery experiences; 2) Contributors to change; and 3) Motivations for participation. Participants noted they were able to relax, feel more confident, and cope more effectively during the preoperative period, and that others in their lives noticed positive changes following their participation in MBSR. Participants’ openness to mindfulness and health-related beliefs and may have contributed to the positive impacts they experienced from MBSR. Participants described being motivated to participate in MBSR to help them prepare for their surgery and to learn new coping strategies. Participants described a strong level of commitment to the intervention. With further research, integration of MBSR into prehabilitation for TKA may be appropriate.

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术前正念减压法对全膝关节置换术手术体验影响的定性分析。

我们对术前正念减压（MBSR）对全膝关节置换术（TKA）体验的影响进行了定性探讨。在 TKA 手术前接受 MBSR 的参与者（n = 10）参加了半结构式访谈，内容涉及他们的 MBSR 体验及其对手术的影响。我们根据反思性主题分析法对访谈进行了分析，并将数据编码为三大主题：1）MBSR 对手术经历的影响；2）改变的促成因素；3）参与动机。参与者指出，他们在术前能够放松、更自信、更有效地应对手术，而且他们生活中的其他人也注意到了他们参与 MBSR 后的积极变化。参与者对正念的开放态度和与健康相关的信念可能是他们从 MBSR 中获得积极影响的原因。参与者描述了他们参与 MBSR 的动机，以帮助他们为手术做好准备并学习新的应对策略。参与者对干预措施的承诺程度很高。随着研究的深入，将 MBSR 纳入 TKA 术前康复可能是合适的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pain Management Nursing 医学-护理

CiteScore

3.00

自引率

5.90%

发文量

187

审稿时长

>12 weeks

期刊介绍： This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.