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

摘要：

目的 了解骨搬运术后患者面临运动恐惧的真实体验，为采取针对性护理干预措施减轻患者运动恐惧提供参考。方法 采用目的抽样法，选取2023年10月—12月广东省某三级甲等医院创伤骨科行骨搬运术的15例患者作为研究对象，采用现象学研究方法，对其进行半结构式访谈，运用Colaizzi 7步分析法进行资料分析并提炼主题。结果 共提炼出3个主题和11个亚主题，包括存在负性心理体验（对运动的恐惧与担忧、对疼痛的过度警觉、对生活改变的无奈与悲伤、对既往经历的反刍沉思、对未来的焦虑与迷茫）、面临生理症状困扰（疼痛不适、疲乏与睡眠紊乱）、采取多样化应对方法（选择回避策略、进行自我调适、寻求运动恐惧相关知识及运动指导、获取社会支持）。结论 骨搬运术后患者的运动恐惧体验复杂多样，医护人员应重视对骨搬运术后患者进行心理疏导，关注运动恐惧相关症状评估与管理，提供专业指导并协助实现多方面支持，帮助减轻运动恐惧体验，促进患者康复。

关键词: 骨搬运术, 运动恐惧, 体验, 质性研究, 护理