Abstract:

Objectives　To explore the life concerns of patients new to peritoneal dialysis based on need hierarchy theory, and to provide references for medical staff to formulate targeted intervention measures. Methods　Using the phenomenological method of qualitative research, a semi-structured interview was carried out on 10 patients new to peritoneal dialysis at Huadu District People's Hospital from October 2019 to February 2020. There were 8 females and 2 males; they were (48.9±12.83) years old. Results　The life concerns faced by the patients included five themes: lifestyle change, disease uncertainty and fear of complications, self-feeling burden, disease shame and low sense of self-worth identity, and helplessness to work and ideals. Conclusions　Medical staff should strengthen health education and provide various solutions. They should optimize the training content and methods and improve the adaptation of patients new to peritoneal dialysis caused by disease uncertainty. Multiple social relationship support should be established to reduce the patients' negative emotions.

Key words:

Peritoneal dialysis, Need hierarchy theory, Concerns, Qualitative study

摘要：

目的　基于需求层次理论，探讨初置管腹膜透析患者对透析后生活的顾虑，旨在为医护人员制订针对性的干预措施提供参考。方法　采用质性研究现象学方法，于2019年10月至2020年2月对广州市花都区人民医院10例初置管腹膜透析患者进行半结构式访谈。其中女性8例、男性2例，年龄（48.9±12.83）岁。结果　初置管腹透患者面临的生活顾虑归纳为5个主题：生活方式改变；疾病不确定感，担心并发症发生；自我感受负担；病耻感，自尊水平较低；对工作和理想的无奈。结论　医护人员应夯实健康宣教，提供多种解决途径；优化培训内容及方式，改善疾病不确定感带来的初置管腹透患者适应问题；建立多重社会关系支持，减轻患者负性情绪。

关键词:

腹膜透析, 需求层次理论, 顾虑, 质性研究