护理学报2025，Vol.32Issue(15)：1-6,6.DOI:10.16460/j.issn2097-6569.2025.15.001
医护人员实施骨质疏松性骨折后再骨折防治障碍因素的质性研究
Barriers to secondary fracture prevention in osteoporotic fractures in medical staff:a qualitative study
摘要
Abstract
Objective To explore the barriers to preventing and treating secondary fracture in patients with osteoporotic fractures in medical staff,and to provide reference for the implementation and promotion of expert consensus.Methods The interview outline was developed based on the Capability Opportunity Motivation and Behavior(COM-B)model and Theoretical Domains Framework,and a semi-structured interview was conducted in 14 orthopedic medical staff.The interview data were sorted out and analyzed by content analysis.Results Three main themes and ten sub-themes were identified,including limited implementation capacity(restricted pro-fessional knowledge and skills among respondents,and lower decision-making prioritization);insufficient external support(constraints in medical and human resources,absence of coordinated management mechanisms and quality supervision,barriers to multidisci-plinary collaboration,and lack of support from patients and their families),and inadequate motivation(negative attitudes among respon-dents,variations in professional identity,lack of self-confidence,and absence of reward mechanisms).Conclusion Hospital manag-ers should focus on three core elements-capability,opportunity,and motivation-that influence healthcare professionals'implementa-tion of secondary fracture prevention for osteoporotic fractures.To improve patient rehabilitation,targeted intervention strategies should be implemented to enhance professional competency and strengthen secondary fracture prevention literacy;create supportive environ-ment,and reinforce professional identity to boost motivation for secondary fracture prevention.关键词
COM-B模型/理论域框架/骨质疏松性骨折/再骨折防治/质性研究Key words
COM-B model/theoretical domain framework/osteoporotic fractures/prevention and treatment of secondary fracture/qualitative research分类
医药卫生引用本文复制引用
祁金梅,施慧,张静,夏丽莉,申才良..医护人员实施骨质疏松性骨折后再骨折防治障碍因素的质性研究[J].护理学报,2025,32(15):1-6,6.基金项目
国家重点研发计划课题(2022YFC2407504) （2022YFC2407504）
