【摘要】 目的 探讨医护人员实施骨质疏松性骨折后再骨折防治临床实践的障碍因素，为专家共识的实施及推进提供参考。方法 采取描述性质性研究方法，基于能力、机会、动机-行为模型及理论域框架设置访谈提纲，对安徽省2所三级甲等综合医院14名骨科医护人员进行半结构访谈，采用内容分析法对访谈资料进行整理和分析。结果 共提炼出3个主题及10个亚主题，包括受访者实施骨质疏松性骨折后再骨折防治行为的能力有限（专业知识、技能缺乏、决策优先级较后），缺乏外部支持（医疗和人力资源受限、协同管理机制及质量监管缺失、多学科合作存在壁垒、患者及其家庭支持欠缺），动力不足（受访者态度消极、职业认同差异、自信心不足、奖励机制缺失）。结论 管理者应当聚焦于影响医护人员实施骨质疏松性骨折后再骨折防治的能力、机会及动机三大核心要素，设计并实施针对性的干预策略，以提升岗位胜任力，强化实施再骨折防治素养；营造外部支持环境，创造实施再骨折防治的机会；增强职业认同感，强化实施再骨折防治的动机，最终促进患者的康复。更多还原

【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 professional 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 multidisciplinary collaboration, and lack of support from patients and their families), and inadequate motivation(negative attitudes among respondents, variations in professional identity, lack of self-confidence, and absence of reward mechanisms).Conclusion Hospital managers should focus on three core elements-capability, opportunity, and motivation-that influence healthcare professionals’ implementation 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 environment, and reinforce professional identity to boost motivation for secondary fracture prevention.更多还原