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.
摘要：
我们定性地探讨了术前正念减压（MBSR）对全膝关节置换术（TKA）经验的影响。在TKA之前接受MBSR的参与者（n=10）参加了半结构化访谈，内容涉及他们使用MBSR的经历及其对手术的影响。我们根据反身性主题分析对访谈进行了分析，并将数据编码为三个主要主题：1）MBSR对手术经验的影响；2）变革的贡献者；3）参与动机。参与者注意到他们能够放松，感到更加自信，在术前更有效地应对，生活中的其他人在参加MBSR后注意到了积极的变化。参与者对正念和健康相关信念的开放性，可能有助于他们从MBSR中获得积极影响。参与者描述了参与MBSR的动机，以帮助他们为手术做准备并学习新的应对策略。与会者描述了对干预的强烈承诺。随着进一步的研究,将MBSR整合到TKA的康复治疗中可能是合适的。
