Inclusion Criteria:  Those aged 65 and over, Having total knee replacement, The non-spiritual system (the peasant of the sick), A person who can read and write can cope at a level that prevents conversation, First time system add-on, They are viewed as agreeing to participate in the research.  Exclusion Criteria:  Neurological (such as dementia) and psychiatric (such as schizophrenia) medical diagnoses that affect cognitive status Patients who did not participate in the motivational interviews and who wanted to leave the study were determined.