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Published on: September 7, 2022
Preoperative prehabilitation in adults: A concept analysis
Gongjie Shi1, Hongxia Xu1, Xinye Tang1
1Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
International Journal of Nursing Studies Advances
|May 29, 2026
Summary
Preoperative prehabilitation lacks a clear definition, hindering its widespread clinical use. This analysis clarifies its components, paving the way for standardized patient care and improved outcomes.
Area of Science:
- Healthcare Research
- Clinical Practice Improvement
- Patient Outcomes
Background:
- Preoperative prehabilitation is gaining traction across medical fields.
- A lack of consensus on its definition and core elements impedes standardization and clinical implementation.
Purpose of the Study:
- To systematically analyze preoperative prehabilitation using Rodgers' evolutionary framework.
- To clarify its definition, antecedents, attributes, and consequences.
Main Methods:
- Systematic literature search across five major databases (PubMed, CINAHL, Scopus, Web of Science, Embase) up to September 2024.
- Concept analysis utilizing Rodgers' evolutionary framework.
Main Results:
- Analysis of 65 articles identified key antecedents (patient factors, healthcare systems, social support, time), attributes (timing, duration, components, goals), and consequences (self-efficacy, perioperative outcomes, economics, behavior change, safety).
Conclusions:
- This concept analysis provides a foundation for achieving consensus and standardizing preoperative prehabilitation practices.
- Informs future research to optimize implementation and enhance patient welfare.
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