{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:52:46Z","timestamp":1765828366983,"version":"build-2065373602"},"reference-count":24,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2023,12,30]],"date-time":"2023-12-30T00:00:00Z","timestamp":1703894400000},"content-version":"unspecified","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,12,8]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>This study aimed to investigate the knowledge, attitudes and practical experiences of cardiac surgery nurses regarding kinesiophobia management during early mobilisation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Using a descriptive qualitative research method, 21 cardiac surgery nurses participated in this study from October 2022 to January 2023, and the interview data were analysed using the Colaizzi 7-step analysis method.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Data were collected through in-depth face-to-face or online interviews in a tertiary hospital located in Nanjing, China.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>21 cardiac surgery nurses were interviewed from October 2022 to January 2023.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Two themes were summarised: knowledge, attitude and practice of nurses (high recognition and low participation; low knowledge reserve; low willingness); the promotion and essential elements of kinesiophobia management (efficient health education model; stable medical staff\u2013family caregiver collaboration; simplified clinical protocol; specialist nursing team; clarify the multidisciplinary division of labour).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The management of kinesiophobia in patients undergoing cardiac surgery is currently in the developmental phase. It is advisable to give due consideration to emotional support and cognitive training for medical staff. In addition, a workable management plan, consistent with clinical practice, should be formulated through multidisciplinary and medical staff\u2013family caregiver collaboration to optimise patient outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-074438","type":"journal-article","created":{"date-parts":[[2023,12,30]],"date-time":"2023-12-30T08:50:53Z","timestamp":1703926253000},"page":"e074438","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Attitude of cardiac surgery nurses on kinesiophobia management: a qualitative study"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1711-5444","authenticated-orcid":false,"given":"YuChen","family":"Wang","sequence":"first","affiliation":[{"name":"The Third School of Clinical Medicine, Nanjing Medical University, Nanjing, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"YuHong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nursing, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"XiaoMin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SiYu","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,30]]},"reference":[{"key":"2025101814174997000_13.12.e074438.1","article-title":"Exercise-based cardiac rehabilitation for adults after heart valve surgery","volume":"5","author":"Abraham","year":"2021","journal-title":"Cochrane Database Syst Rev"},{"key":"2025101814174997000_13.12.e074438.2","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2018-314206"},{"key":"2025101814174997000_13.12.e074438.3","doi-asserted-by":"crossref","first-page":"227","DOI":"10.21470\/1678-9741-2021-0140","article-title":"Early mobilization prescription in patients undergoing cardiac surgery: systematic review","volume":"37","author":"Borges","year":"2022","journal-title":"Braz J Cardiovasc Surg"},{"key":"2025101814174997000_13.12.e074438.4","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/j.tcm.2017.02.005","article-title":"The role of cardiac rehabilitation in patients with heart disease","volume":"27","author":"McMahon","year":"2017","journal-title":"Trends Cardiovasc Med"},{"key":"2025101814174997000_13.12.e074438.5","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph17197091","article-title":"Effect of early mobilization on physical function in patients after cardiac surgery: a systematic review and meta-analysis","volume":"17","author":"Kanejima","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"2025101814174997000_13.12.e074438.6","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1093\/ejcts\/ezy100","article-title":"Enhanced recovery after surgery pathway for patients undergoing cardiac surgery: a randomized clinical trial","volume":"54","author":"Li","year":"2018","journal-title":"Eur J Cardiothorac Surg"},{"key":"2025101814174997000_13.12.e074438.7","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1002\/clc.24147","article-title":"Mediation analysis of activities of daily living and Kinesiophobia in association between cardiac function and health status of patients with chronic heart failure","volume":"46","author":"Yifan","year":"2023","journal-title":"Clin Cardiol"},{"key":"2025101814174997000_13.12.e074438.8","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1186\/s12874-019-0707-y","article-title":"Attempting rigour and replicability in thematic analysis of qualitative research data; 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