腹膜透析相关性腹膜炎患者居家自我管理障碍的质性研究
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女,硕士,护士

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广东省中医药局面上项目(20241254)


Self-management obstacles in home-dwelling in patients with peritoneal dialysis-associated peritonitis:a qualitative study
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    摘要:

    目的 探讨腹膜透析相关性腹膜炎患者居家自我管障碍的影响因素,为提高腹膜透析患者居家自我管理水平,降低腹膜透析相关性腹膜炎发生率提供依据。方法 采用描述性现象学研究方法,对2024年5-9月就诊于深圳市中医院肾内科的14例腹膜透析相关性腹膜炎患者进行半结构式访谈,运用定向内容分析法剖析和提炼主题。结果 参照计划行为理论,共提炼出3个类别7个主题:行为态度(认知偏差、负性情绪);主观规范(家庭支持有限、病友不良习惯影响);知觉行为控制(多病共存状态、自护能力欠缺、经济条件限制)。结论 腹膜透析相关性腹膜炎患者居家自我管理行为的维持受诸多因素影响,医务人员应根据不同患者制订个性化的管理方案,以提高患者的居家自我管理能力,从而降低腹膜透析相关性腹膜炎的发生率。

    Abstract:

    Objective To explore the influencing factors of self-management obstacles in home-dwelling in patients with peritoneal dialysis-associated peritonitis (PDAP), and to provide a basis for improving self-management level in home-dwelling of peritoneal dialysis patients and reducing the incidence of PDAP. Methods A descriptive phenomenological research method was used to conduct semi-structured interviews with 14 PDAP patients who were admitted to the department of nephrology of Shenzhen traditional chinese medicine hospital from May 2024 to September 2024. Directed content analysis was used to dissect and refine themes. Results Based on the theory of planned behavior (TPB), a total of 3 categories and 7 themes were extracted: behavioral attitude(cognitivedeviation, negativeemotion), subjective norms (limited family support, the impact of peers′ unhealthy habits), perceptual behavior control(multi-disease coexistence state, lack of self-care ability, heavy economic burden). Conclusion The maintenance of home self-management behavior of PDAP patientsis affected by manyfactors. Medical staff should formulate personalized management plan according to different patients to improve their home-dwelling self-management ability, so as to reduce the incidence of PADP.

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蔡慧芳,徐洁玲,吴宗壁,王玲,梁慧,姚宇童,伍若影,齐士坤,王太芬.腹膜透析相关性腹膜炎患者居家自我管理障碍的质性研究[J].护理学杂志,2025,(12):109-112

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  • 收稿日期:2025-01-12
  • 最后修改日期:2025-03-15
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  • 在线发布日期: 2025-07-18