关键词: 关节置换；康复锻炼；依从性；现象学研究

Abstract: Objective: To explore the factors affecting rehabilitation exercise behavior during postoperative hospitalization, in order to provide guidance for medical staff to formulate targeted intervention measures, improve patients' compliance with postoperative rehabilitation exercise. Methods: Using purposeful sampling, 25 patients after joint replacement were selected for a semi-structured interview, and the interview data were analyzed by Colaizzi seven-step analysis. Results: The factors that influenced the exercise behavior of rehabilitation during the postoperative hospitalization can be classified into 4 themes and 11 subthemes: physiopathological factors, psychological factors, social support factors and rehabilitation nursing factors. Conclusion: Physiopathological factors, psychological factors, social support factors and rehabilitation nursing factors affect joint replacement patients with postoperative rehabilitation behavior. Multiple measures can be taken to control pain and fatigue, enhance self-efficacy, utilize modern information means to meet the demand of patients rehabilitation knowledge, actualize ward flexible management to improve patients' compliance with rehabilitation exercise.

Key words: joint replacement; rehabilitation exercise; compliance; phenomenological research