目的了解老年全髋关节置换术后患者住院期间康复训练的体验，为制订规范化的院内外康复方案提供参考。方法采用现象学研究法，以目的抽样法选取2023年9-10月在上海市某三级甲等医院骨科行全髋关节置换术的患者（年龄≥65周岁）13例为研究对象，对其进行半结构式访谈，并运用Colaizzi 7步分析法进行资料分析。结果老年全髋关节置换术后患者住院期间康复训练体验可归纳为患者满意关节功能改善与运动恐惧并存、患者对康复训练的感知呈动态变化、患者呈现多样的康复训练支持需求等3个主题。结论老年全髋关节置换术后患者应尽早训练以改善关节功能；医护人员应注重患者院内到院外的过渡护理，加强患者负性情绪评估；管理者应根据实际情况提供科学安全的康复方案。

Objective To understand the experience of rehabilitation training during hospitalization among elderly patients after total hip arthroplasty (THA)，and to provide reference for the development of standardized in-hospital and out-of-hospital rehabilitation programs.Methods Using a phenomenological research method，patients (age≥65) who underwent THA in an Orthopedic Department of a tertiary A hospital in Shanghai from September to October 2023 were selected for semi-structured interviews，and the Colaizzi 7-step analysis was used to analyze the data.Results Patients’ experience of rehabilitation training after THA in hospital can be summarized into three themes，namely patients’ satisfaction with the improvement of joint function and fear of movement，patients’ perception of rehabilitation training showed dynamic changes，and patients’ diverse needs for rehabilitation training support.Conclusions Elderly patients after THA should be trained as early as possible to improve joint function.Medical staff should pay attention to the transitional nursing of patients both in and out of hospital and strengthen the assessment of patients’ negative emotions.Administrators should provide scientific and safe rehabilitation programs according to the actual situation.

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国家自然科学基金资助项目（72304210）；研究型医师创新转化能力培训项目（SHDC2023CRS024）；上海市第十人民医院护理部课题（SYHLKT-202303）