Inclusion Criteria:  Patients over 18 years Patients who had undergone total knee arthroplasty surgery for the first time Patients who did not have a history of psychiatric problems Patients who were literate Patients who agreed to participate for the study  Exclusion Criteria:  Patients not over 18 years Patients who hadn't undergone total knee arthroplasty surgery for the first time Patients who had a history of psychiatric problems Patients who weren't literate Patients who didn' t agree to participate for the study