Manuscript Title: Analysis of the Present Status and Influencing Factors of Early Postoperative Kinesiophobia in Patients with Head and Neck Cancer: A Cross-Sectional Study

The proportion of head and neck cancer patients experiencing kinesiophobia in the early postoperative period is relatively high. Research has demonstrated that this phenomenon is closely associated with self-efficacy, fatigue levels, and the type of surgical procedure. Therefore, it is recommended that healthcare professionals should consider kinesiophobia as a core indicator in postoperative rehabilitation assessments, with particular attention to patients undergoing complex surgery or exhibiting low self-efficacy and high fatigue levels. Early identification of high-risk individuals and the implementation of multidimensional intervention strategies-including enhancing self-efficacy through cognitive behavioral therapy, implementing stepwise fatigue management programmes, and providing personalized rehabilitation guidance for patients undergoing specific surgeries-will ultimately reduce the incidence of kinesiophobia.