关键词: 骨搬运术, 运动恐惧, 体验, 质性研究, 护理

Abstract:

Objective To understand the real experience of kinesiophobia in patients after bone transport technique，providing references for taking targeted nursing interventions to alleviate kinesiophobia of patients. Methods Purposive sampling method was employed to select 15 patients who underwent bone transport technique in the Department of Traumatic Orthopedics in a tertiary A hospital in Guangdong Province from October to December 2023 as the research subjects. Phenomenological research method was utilized to conduct semi-structured interviews with the patients，and Colaizzi 7-step analysis method was applied for data analysis and theme extraction. Results A total of 3 themes and 11 sub-themes were extracted，including the existence of negative psychological experience（fear and concern regarding exercise，excessive alarm in response to pain，helplessness and sadness about the change of life，persistent reflection on past experiences，anxiety and confusion about the future），facing the dilemma of physiological symptoms（pain and discomfort，fatigue and disturbed sleep），taking diversified coping approaches（selecting avoidance strategies，conducting self-adjustment，seeking kinesiophobia related knowledge and exercise guidance，acquiring social support）. Conclusion The experience of kinesiophobia in patients after bone transport technique is complex and varied. Medical and nursing staff should prioritize the psychological relief of patients after bone transport technique，pay attention to the assessment and management of kinesiophobia related symptom，provide professional guidance and assist with multi-dimensional support to help patients reduce the experience of kinesiophobia and promote recovery of patients.

Key words: Bone Transport Technique, Kinesiophobia, Experience, Qualitative Research, Nursing Care