目的 了解儿童青少年髌骨脱位术后以运动处方为基础的康复训练体验和需求，为制订相关康复护理策略提供参考。方法 采用现象学研究方法，以目的抽样法选取 2023年7- 9月安徽省某儿童专科医院骨科髌骨脱位手术治疗出院的13例儿童青少年（10~16岁）进行半结构式访谈，根据 Colaizzi 7步分析法对资料整理分析。结果 康复训练体验的可归纳为 3个主题，即肯定以运动处方为基础的康复训练的益处（强化训练动机、降低锻炼不舒适感的自我预期、肯定康复训练效果）、训练期间面临多种挑战（康复效果低于自我康复期望、训练中的枯燥乏味、训练与学习的时间冲突）、康复训练的需求（趣味运动处方的需求、远程智能康复的需求）。结论 康复护理团队应该根据儿童青少年个体现状和成长阶段，调动外界支持，整合人工智能和信息化，提供智能康复终端系统，满足全周期康复训练管理需求，促进康复。

Objective To explore the rehabilitation training experience and needs based on exercise prescription in children after patella dislocation surgery，and to provide reference for formulating related rehabilitation nursing strategies.Methods The phenomenological research method was used，and 13 children and adolescents (10-16 years old) who were discharged from the orthopedic department of a children’s specialty hospital in Anhui Province from July to September 2023 were selected by the purposive sampling method.Semi-structured interviews were conducted and the data was analyzed by Colaizzi 7-step analysis method.Results The rehabilitation training experience can be summarized into three themes,namely,the benefits of rehabilitation training based on exercise prescription (strengthening the motivation of training，reducing the self-expectation of exercise discomfort，affirming the effect of rehabilitation training)，multiple challenges during training (rehabilitation effect is lower than the expectation of self-rehabilitation，boredom in training，time conflict between training and learning)，and needs of rehabilitation training (demand for fun exercise prescription and remote intelligent rehabilitation).Conclusions The rehabilitation nursing team should mobilize external support according to the individual status quo and growth stage of children and adolescents，integrate artificial intelligence and information technology，provide intelligent rehabilitation terminal system，meet the needs of full cycle rehabilitation training management，and promote fast and optimal rehabilitation.

R473.72

安徽省社会科学创新发展研究课题(2022KY003)；安徽省高等学校科学研究项目(2022AH040091)；安徽省护理学会科研课题(AHHLb202138)