关键词: 骨搬运术, 家庭复原力, 社会生态系统理论, 质性研究, 护理

Abstract:

Objective To understand the subjective perception of family resilience in patients after bone transport surgery，and to provide a reference for clinical targeted nursing interventions. Methods A phenome-nological research method was used. By purposive sampling，16 patients who underwent bone transport surgery in the Department of Orthopedic Trauma of a tertiary hospital in Guangdong Province from January to February 2026 were selected as the interview subjects. Semi-structured interviews were conducted，and the data were analyzed using Colaizzi’s seven-step analysis method. Results A total of 3 themes and 10 sub-themes were extracted，including individual-level adversity challenges and protective resources（physiological burden caused by external fixator，psychological impact of repeated surgeries，and active self-regulation），pressure load and supportive resources from family and social networks（increased family economic and caregiving burden，loss and interruption of family roles，and activation of family cohesion），and constraints and supportive resources from the social culture and policy environment（insufficient supply of professional medical rehabilitation services，inadequate medical insurance policy support，stigma caused by social prejudice，and positive motivation of cultural concepts）. Conclusion Family resilience in patients after bone transport surgery is the result of multi-level systemic interactions，involving both multiple challenges and abundant resources. Medical staff should focus on patients’ individual psychological resources，strengthen family support networks，and promote macro-policy optimization to enhance family resilience and promote patient recovery.

Key words: Bone Transport Surgery, Family Resilience, Social Ecological Systems Theory, Qualitative Research, Nursing Care