Zhang Wenzhong, Ji Hong, Wu Yan, Xu Zhenzhen, Li Jing, Sun Qingxiang, Wang Chunlei, Zhao Fengyi
Department of Nursing, The First Affiliated Hospital of Shandong First Medical University, China.
Shandong University of Traditional Chinese Medicine, China.
J Health Psychol. 2025 Apr 14:13591053251328817. doi: 10.1177/13591053251328817.
Self-management during the rehabilitation of patients following total knee arthroplasty presents several challenges, with approximately 20% of patients failing to meet their recovery expectations due to inadequate self-management during the postoperative rehabilitation process. This study aimed to explore the experiences of patients with self-management during rehabilitation after total knee arthroplasty. Twenty-four participants who had undergone total knee arthroplasty in China participated in semi-structured interviews. Content analysis was used to analyze the interview data, revealing four themes: distress from postoperative complications, knowledge and guidance needs during the rehabilitation process, negative beliefs and attitudes, and fears and worries. The results indicated that participants' self-management during rehabilitation after surgery was hindered by postoperative complications. Additionally, the participants exhibited negative attitudes and experienced psychological issues related to self-management during rehabilitation. We recommend that future rehabilitation efforts for patients following total knee arthroplasty should emphasize enhanced guidance and supervision, while also addressing their psychological challenges.