中国血液净化

中国血液净化 ›› 2025, Vol. 24 ›› Issue (12): 1041-1044.doi: 10.3969/j.issn.1671-4091.2025.12.016

• 护理研究 • 上一篇    下一篇

居家腹膜透析患者症状体验的质性研究

刘 颖    韩 琳   李小绒    王 婷   

  1. 712046 咸阳，1陕西中医药大学护理学院
    712000 咸阳，陕西中医药大学附属医院2感染管理办公室 3肾病内科
  • 收稿日期:2025-05-13 修回日期:2025-10-10 出版日期:2025-12-12 发布日期:2025-12-12
  • 通讯作者: 韩琳 E-mail:786894316@qq.com
  • 基金资助:
    陕西省科技厅项目(2024SF-YBXM516)

A qualitative study of symptom experience in patients on peritoneal dialysis at home

LIU Ying, HAN Lin, LI Xiao-rong, WANG Ting   

  1. School of Nursing, Shanaxi University of Traditional Chinese Medicine, Xianyang 712046, China; 2Infection Management Office and 3Department of Nephrology, The Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, Xianyang 712000, China
  • Received:2025-05-13 Revised:2025-10-10 Online:2025-12-12 Published:2025-12-12
  • Contact: 712000 咸阳，陕西中医药大学附属医院2感染管理办公室 E-mail:786894316@qq.com

摘要： 目的 探讨居家腹膜透析(peritoneal dialysis，PD)患者的症状体验，为完善症状管理干预奠定基础。 方法 采用现象学研究，对11例PD患者进行半结构式访谈，采用Colaizzi 7步法进行资料分析、提炼主题。 结果 居家PD患者的症状体验归纳为3个主题、7个亚主题[多方面症状感知(生理、心理、社会)；症状评价(对症状出现的原因、症状的识别与评估缺乏正确认知；在用药、饮食、容量与运动方面的自我管理能力存在不足)；症状应对(以问题为导向、回避型)]。 结论 护理团队应关注PD患者的症状体验，以目标为导向，实施精准护理，改善患者的症状负担与生活质量。

关键词: 腹膜透析, 症状体验, 症状管理, 居家护理

Abstract: Objective  To explore the symptom experiences in patients undergoing peritoneal dialysis (PD) at home in order to provide the bases for improvement of symptomatic management.    Methods  Phenomenological study was conducted, involving semi-structured interviews with 11 PD patients. The Colaizzi's 7-step method was used for data analysis and theme extraction.  Results  The symptom experiences of home-based PD patients are summarized into 3 themes and 7 sub-themes: multi-faceted symptom perception (physiological, psychological, social); symptom evaluation (inadequate understanding of symptom causes, identification and assessment; insufficient self-management in medication, diet, fluid volume and exercise); symptom coping (problem-oriented coping, avoidant coping).  Conclusion  The dialysis care team should pay attention to the symptom experiences of PD patients, implement targeted and precise nursing care, and improve patients' symptom burden and quality of life.

Key words: Peritoneal dialysis, Symptomatic experience, Symptom management, Home care

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