{"id":"https://openalex.org/W7220413755","doi":"https://doi.org/10.1136/bmjopen-2026-122819","title":"Perceived factors shaping preoperative self-preparation among older patients undergoing total knee arthroplasty: a qualitative study","display_name":"Perceived factors shaping preoperative self-preparation among older patients undergoing total knee arthroplasty: a qualitative study","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7220413755","doi":"https://doi.org/10.1136/bmjopen-2026-122819","pmid":"https://pubmed.ncbi.nlm.nih.gov/42833713","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13646955"},"language":"en","primary_location":{"id":"doi:10.1136/bmjopen-2026-122819","doi":"https://doi.org/10.1136/bmjopen-2026-122819","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjopen-2026-122819","pdf_url":"https://bmjopen.bmj.com/content/bmjopen/16/10/e122819.full.pdf","source":{"id":"https://openalex.org/S79054089","display_name":"BMJ Open","issn_l":"2044-6055","issn":["2044-6055"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmjopen.bmj.com/content/bmjopen/16/10/e122819.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5157464591","display_name":"Jiawen Sun","orcid":"https://orcid.org/0009-0003-3678-8864","observed_orcids":["https://orcid.org/0009-0003-3678-8864"]},"institutions":[{"id":"https://openalex.org/I154093214","display_name":"Xinjiang Medical University","ror":"https://ror.org/01p455v08","country_code":"CN","type":"education","lineage":["https://openalex.org/I154093214"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jiawen Sun","raw_affiliation_strings":["School of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, China"],"raw_orcid":"https://orcid.org/0009-0003-3678-8864","affiliations":[{"raw_affiliation_string":"School of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, China","institution_ids":["https://openalex.org/I154093214"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108966670","display_name":"Yongle Pei","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I154093214","display_name":"Xinjiang Medical University","ror":"https://ror.org/01p455v08","country_code":"CN","type":"education","lineage":["https://openalex.org/I154093214"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yongle Pei","raw_affiliation_strings":["School of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, China","institution_ids":["https://openalex.org/I154093214"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5157408890","display_name":"Xiuhua Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802734952","display_name":"First Affiliated Hospital of Xinjiang Medical University","ror":"https://ror.org/02qx1ae98","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2802734952"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Xiuhua Zhang","raw_affiliation_strings":["Health Care Research Center for Xinjiang Regional population, Urumqi, Xinjiang, China","Operating Room, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Care Research Center for Xinjiang Regional population, Urumqi, Xinjiang, China","institution_ids":[]},{"raw_affiliation_string":"Operating Room, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China","institution_ids":["https://openalex.org/I2802734952"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5157408890"],"corresponding_institution_ids":["https://openalex.org/I2802734952"],"apc_list":{"value":1500,"currency":"GBP","value_usd":1839},"apc_paid":{"value":1500,"currency":"GBP","value_usd":1839},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.77278003,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"10","first_page":"e122819","last_page":"e122819"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12020","display_name":"Enhanced Recovery After Surgery","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/total-knee-arthroplasty","display_name":"total knee arthroplasty","score":0.9750000238418579},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.9629999995231628},{"id":"https://openalex.org/keywords/prehabilitation","display_name":"prehabilitation","score":0.8999999761581421},{"id":"https://openalex.org/keywords/com-b-model","display_name":"COM-B model","score":0.8669999837875366},{"id":"https://openalex.org/keywords/theoretical-domains-framework","display_name":"Theoretical Domains Framework","score":0.9959999918937683},{"id":"https://openalex.org/keywords/preoperative-patient-education","display_name":"preoperative patient education","score":0.7929999828338623},{"id":"https://openalex.org/keywords/multimorbidity","display_name":"multimorbidity","score":0.9380000233650208},{"id":"https://openalex.org/keywords/social-participation-health-and-rehabilitation","display_name":"social participation (health and rehabilitation)","score":0.6909999847412109},{"id":"https://openalex.org/keywords/emotional-problems","display_name":"emotional problems","score":0.7080000042915344},{"id":"https://openalex.org/keywords/external-support","display_name":"external support","score":0.574999988079071},{"id":"https://openalex.org/keywords/patient-motivation","display_name":"patient motivation","score":0.6830000281333923}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9121999740600586},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.6581000089645386},{"id":"https://openalex.org/C2778632814","wikidata":"https://www.wikidata.org/wiki/Q7239919","display_name":"Prehabilitation","level":2,"score":0.6229000091552734},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.5174999833106995},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.5037000179290771},{"id":"https://openalex.org/C73282008","wikidata":"https://www.wikidata.org/wiki/Q1759895","display_name":"Coping (psychology)","level":2,"score":0.49559998512268066},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.44760000705718994},{"id":"https://openalex.org/C2777722626","wikidata":"https://www.wikidata.org/wiki/Q2902695","display_name":"Preoperative care","level":2,"score":0.435699999332428},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.412200003862381},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.3833000063896179},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.36959999799728394},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.3693999946117401},{"id":"https://openalex.org/C2777929519","wikidata":"https://www.wikidata.org/wiki/Q7144988","display_name":"Patient education","level":2,"score":0.36809998750686646},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.34459999203681946},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3441999852657318},{"id":"https://openalex.org/C2778843546","wikidata":"https://www.wikidata.org/wiki/Q3097973","display_name":"Health literacy","level":3,"score":0.34139999747276306},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.32739999890327454},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.3264000117778778},{"id":"https://openalex.org/C3017871827","wikidata":"https://www.wikidata.org/wiki/Q1693864","display_name":"Total knee arthroplasty","level":2,"score":0.32600000500679016},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.3199999928474426},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.31839999556541443},{"id":"https://openalex.org/C14564219","wikidata":"https://www.wikidata.org/wiki/Q383646","display_name":"Social cognitive theory","level":2,"score":0.29490000009536743},{"id":"https://openalex.org/C2776511598","wikidata":"https://www.wikidata.org/wiki/Q7144993","display_name":"Patient participation","level":3,"score":0.29339998960494995},{"id":"https://openalex.org/C13200473","wikidata":"https://www.wikidata.org/wiki/Q2747831","display_name":"Reflexivity","level":2,"score":0.28519999980926514},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.28360000252723694},{"id":"https://openalex.org/C2777896191","wikidata":"https://www.wikidata.org/wiki/Q22907655","display_name":"Patient experience","level":3,"score":0.28049999475479126},{"id":"https://openalex.org/C100363876","wikidata":"https://www.wikidata.org/wiki/Q690661","display_name":"Nonprobability sampling","level":3,"score":0.2791999876499176},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.27149999141693115},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.2671999931335449},{"id":"https://openalex.org/C2779758577","wikidata":"https://www.wikidata.org/wiki/Q1202615","display_name":"Middle age","level":2,"score":0.26429998874664307},{"id":"https://openalex.org/C3019221131","wikidata":"https://www.wikidata.org/wiki/Q55621107","display_name":"Lived experience","level":2,"score":0.26260000467300415},{"id":"https://openalex.org/C2776164576","wikidata":"https://www.wikidata.org/wiki/Q62736","display_name":"Osteoarthritis","level":3,"score":0.25839999318122864}],"mesh":[{"descriptor_ui":"D000223","descriptor_name":"Adaptation, Psychological","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002681","descriptor_name":"China","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009042","descriptor_name":"Motivation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011300","descriptor_name":"Preoperative Care","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D012648","descriptor_name":"Self Care","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D019645","descriptor_name":"Arthroplasty, Replacement, Knee","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057234","descriptor_name":"Preoperative Period","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1136/bmjopen-2026-122819","doi":"https://doi.org/10.1136/bmjopen-2026-122819","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjopen-2026-122819","pdf_url":"https://bmjopen.bmj.com/content/bmjopen/16/10/e122819.full.pdf","source":{"id":"https://openalex.org/S79054089","display_name":"BMJ Open","issn_l":"2044-6055","issn":["2044-6055"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13646955","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13646955/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13646955/pdf/bmjopen-16-10.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open","raw_type":"Text"},{"id":"pmid:42833713","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42833713","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ open","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:1d9f13e1362443e2837bef1159e03e60","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/1d9f13e1362443e2837bef1159e03e60","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMJ Open, Vol 16, Iss 10 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1136/bmjopen-2026-122819","doi":"https://doi.org/10.1136/bmjopen-2026-122819","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjopen-2026-122819","pdf_url":"https://bmjopen.bmj.com/content/bmjopen/16/10/e122819.full.pdf","source":{"id":"https://openalex.org/S79054089","display_name":"BMJ Open","issn_l":"2044-6055","issn":["2044-6055"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220413755.pdf","grobid_xml":"https://content.openalex.org/works/W7220413755.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W1979290264","https://openalex.org/W2077109464","https://openalex.org/W2136608905","https://openalex.org/W2305278139","https://openalex.org/W2396339611","https://openalex.org/W2605658063","https://openalex.org/W2767179520","https://openalex.org/W2770250256","https://openalex.org/W2782183369","https://openalex.org/W2807923412","https://openalex.org/W2892714955","https://openalex.org/W2950504429","https://openalex.org/W2996597775","https://openalex.org/W2998364781","https://openalex.org/W3005269784","https://openalex.org/W3009618779","https://openalex.org/W3087610828","https://openalex.org/W3121556767","https://openalex.org/W3176980310","https://openalex.org/W4285390610","https://openalex.org/W4288080914","https://openalex.org/W4311679890","https://openalex.org/W4323051411","https://openalex.org/W4362507474","https://openalex.org/W4367549454","https://openalex.org/W4387157612","https://openalex.org/W4389049475","https://openalex.org/W4392595485","https://openalex.org/W4392705437","https://openalex.org/W4396589683","https://openalex.org/W4399048806","https://openalex.org/W4403558249","https://openalex.org/W4404696953","https://openalex.org/W4409953543","https://openalex.org/W7138845190"],"related_works":["https://openalex.org/W7221488072","https://openalex.org/W3142029531","https://openalex.org/W6958058181","https://openalex.org/W1968281659","https://openalex.org/W4294147227","https://openalex.org/W6939482925","https://openalex.org/W6920942973","https://openalex.org/W7220904036","https://openalex.org/W6977179695","https://openalex.org/W6902260297"],"abstract_inverted_index":{"OBJECTIVES:":[0],"This":[1,47,98],"study":[2,48,99,113,129],"aimed":[3],"to":[4,36,159,183,215,246,251,265,277],"explore":[5],"perceived":[6],"factors":[7,69],"shaping":[8],"preoperative":[9,42,148,170,202,212,248,287],"self-preparation":[10,149,171,203,229],"among":[11],"older":[12,152,173,205,231],"patients":[13,153,174,206,232],"undergoing":[14],"total":[15,80],"knee":[16],"arthroplasty":[17],"(TKA),":[18],"drawing":[19],"on":[20],"the":[21,29,38,61,112,253,267,279],"Capability,":[22],"Opportunity":[23],"and":[24,28,76,107,167,185,194,197,224,259,272],"Motivation-Behaviour":[25],"(COM-B)":[26],"model":[27],"Theoretical":[30],"Domains":[31],"Framework,":[32],"with":[33,141,154,175,207,233],"a":[34,50,101,133,220,239],"view":[35],"informing":[37],"design":[39],"of":[40,63,81,103,211],"targeted":[41],"health":[43],"education":[44],"interventions.":[45],"DESIGN:":[46],"employed":[49,100],"descriptive":[51],"qualitative":[52],"research":[53],"design.":[54],"Purposive":[55],"sampling":[56],"was":[57,114,130],"used,":[58],"guided":[59,115],"by":[60,116,238],"principle":[62],"maximum":[64],"variation,":[65],"taking":[66],"into":[67],"account":[68],"such":[70],"as":[71,219],"age,":[72],"gender,":[73],"educational":[74],"background":[75],"disease":[77],"severity.":[78],"A":[79],"16":[82],"participants":[83],"were":[84,87,121,144],"enrolled.":[85],"Data":[86],"collected":[88],"through":[89],"semi-structured":[90],"in-depth":[91],"interviews":[92],"conducted":[93,131],"1":[94],"day":[95],"before":[96],"surgery.":[97],"strategy":[102],"concurrent":[104],"data":[105,110,120],"collection":[106],"analysis.":[108,126],"During":[109],"collection,":[111],"Information":[117],"Power.":[118],"The":[119,128],"analysed":[122],"using":[123],"reflexive":[124],"thematic":[125],"SETTING:":[127],"in":[132,136,151,172,178,192,204,230],"tertiary":[134],"hospital":[135],"China.":[137],"RESULTS:":[138],"Three":[139],"themes":[140],"nine":[142],"subthemes":[143],"generated:":[145],"(1)":[146],"limited":[147,181],"capability":[150],"TKA":[155,176,208,234],"(difficulty":[156],"coping":[157],"due":[158],"multimorbidity,":[160],"insufficient":[161,165],"cognitive":[162],"understanding);":[163],"(2)":[164],"opportunity":[166],"support":[168,263],"for":[169,201,256,270,282],"(disparities":[177],"external":[179,262,268],"support,":[180],"access":[182],"medical":[184],"nursing":[186],"care,":[187],"unmet":[188],"prehabilitation":[189],"needs,":[190],"difficulties":[191],"obtaining":[193],"identifying":[195],"information);":[196],"(3)":[198],"varied":[199],"motivation":[200,281],"(perceived":[209],"benefits":[210],"self-preparation,":[213,283],"desire":[214],"resume":[216],"social":[217],"participation":[218],"driver,":[221],"intertwined":[222],"positive":[223],"negative":[225],"emotions).":[226],"CONCLUSIONS:":[227],"Preoperative":[228],"is":[235],"not":[236],"determined":[237],"single":[240],"factor.":[241],"Healthcare":[242],"providers":[243],"should":[244],"attend":[245],"patients'":[247,274],"physiological":[249],"status":[250],"strengthen":[252],"foundational":[254],"capacity":[255],"self-preparation;":[257,271],"integrate":[258],"optimise":[260],"diverse":[261],"systems":[264],"enhance":[266],"impetus":[269],"address":[273],"emotional":[275],"concerns":[276],"stimulate":[278],"internal":[280],"thereby":[284],"facilitating":[285],"comprehensive":[286],"self-preparation.":[288]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-06T00:00:00"}
