Influencing factors for early postoperative kinesiophobia in school-aged children after limb fracture surgery:a qualitative study
10.13406/j.cnki.cyxb.003860
- VernacularTitle: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
- Author:
Dan XIAO
1
;
Lanxing LI
;
Xin LIN
;
Haisu LI
;
Xiaoping JIANG
Author Information
1. 重庆医科大学附属儿童医院骨科/国家儿童健康与疾病临床医学研究中心/儿童发育疾病研究教育部重点实验室/儿童代谢与炎症性疾病重庆市重点实验室,重庆 400014
- Keywords:
child;
fracture surgery;
postoperative period;
kinesiophobia;
influencing factors;
qualitative study
- From:
Journal of Chongqing Medical University
2025;50(8):1127-1132
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the real experience of early postoperative kinesiophobia in school-aged children after limb frac-ture surgery.Methods:A descriptive qualitative research method was used to conduct semi-structured interviews with sixteen children with limb fractures and their families in the ward of pediatric orthopedics in a grade A tertiary hospital in Chongqing,China,and a con-tent analysis was used to summarize and extract key themes from the interview data.Results:Three main themes and ten subthemes were extracted.The theme of pain cognition and catastrophic thinking included the subthemes of children's pain perception and activ-ity restriction,parents'pain perception and catastrophic reactions,and the interactive influence of pain cognition among different indi-viduals;the theme of medical education and risk perception included the subthemes of fear and concerns about refracture,the relation-ship between personality traits,help-seeking behavior,and internal-ized anxiety,and the impact of medical education on risk percep-tion;the theme of psychosocial stress and self-motivation included the subthemes of family members'attitudes toward academic inter-ruption,children's social disruption and compensatory media use,the mutual influence of compensatory indulgence and reinforced sick role behavior,and positive reinforcement enhancing children's self-driven recovery.Conclusion:Healthcare providers should closely monitor the recovery of limb motor function in the early stage af-ter surgery in children with fractures and provide personalized medical services and rehabilitation guidance to children and their fami-lies based on the pain perception,personality traits,and rehabilitation needs of children.
