学龄期儿童四肢骨折术后早期运动恐惧影响因素的质性研究

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【中图分类号】R726.8【文献标志码】A【收稿日期】2025-03-22

【Abstract】Objective：Toinvestigatetheralexperieneofarlypostoperativekinesiophbiainshol-agedchdrenafterbfracturesurgery.Methods：Adescriptivequalitativeresearchmethodwasusedtoconductsemi-structuredinterviewswithsixteenchildren withlimbfracturesandteirfmiliesinteardofpediatricorthopedicsingradeAertiaryospitalinCongqing，Chinadacon tentanalysiswasusedtosummarizeandextractkeythemesfromtheinterviewdata.Results：Threemainthemesandtensubthemes wereextracted.Thetemeofpaincognitionandcatastrophicthinkingincludedthesubthemesofchildren’spainperceptionandactivityrestrictionents’pipeptdatastroicctio，ndteiteractiefucefiogiomongdi viduals；thethemeofmedicaleducationandriskperceptionincludedthesubthemesoffearandconcesaboutrefracture，therelation shipbetweenpersonalitytraits，help-seekingbehavior，and internalized anxiety，and the impact of medical education on risk perception；the theme of psychosocial stress and self-motivation included thesubthemesoffamilymembers’attitudestowardacademicinterruption，children’s social disruption and compensatorymedia use， themutualinfluenceofcompensatoryindulgenceandreinforcedsickrolebhavior，andpositivereinforcementenhancingchildren's self-drivenrecoeryConclusion：Heathcaeprovidersshouldcloselymonitortherecoveryoflimbotorfunctioninthearlystageaftersurgeryinchildrenwithfracturesandprovidepersonalizedmedicalservicesandrehabilitationguidancetochildrenandtheiramilies based on the pain perception，personality traits，and rehabilitation needs of children.

【Key wordsIchild;fracture surgery;postoperative period;kinesiophobia;influencing factors;qualitative study

骨折是学龄期儿童常见的意外伤害之一，约占儿童意外伤害的 10%～25%[1] 。（剩余11666字）