Gao Yiqing, Pan Xinyu, Cao Xiaodong, Xue Mengting, Zhang Cen, Li Xiao, Zhou Yingxing, Zhang Yuan, Chen Xiaolei
Department of Nephrology, Wuxi People's Hospital, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi Medical Center, Nanjing Medical University, Wuxi, China.
Department of Nursing, Wuxi People's Hospital, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi Medical Center, Nanjing Medical University, Wuxi, China.
Ther Apher Dial. 2025 Aug;29(4):662-675. doi: 10.1111/1744-9987.70028. Epub 2025 Apr 22.
This article aimed to explore the needs status of patients undergoing automated peritoneal dialysis (APD) based on the behavior change wheel (BCW) theory (and associated improvement strategies) to clarify the obstacles that affect patients' behavior choices. Furthermore, it aimed to explore practical countermeasures to improve the quality of life of patients undergoing APD.
Eleven patients undergoing APD were selected for a semi-structured in-depth interview using the purposive sampling method, and the phenomenological qualitative research method was used to organize and analyze the content of the interviews and to consider reasonable interventions under the guidance of the BCW theory.
The study identified three themes and six sub-themes that guide patients on peritoneal dialysis to choose APD as a behavior change: opportunity needs (a desire to diversify access to information and patients' desire to try APD if physically possible); motivation needs (a desire to better fulfill family responsibilities and a desire to return to society); and capability needs (a desire to have some social skills and a desire to have self-management capability).
Medical staff should design personalized intervention strategies according to patients' abilities, opportunities and motivation needs, including optimizing information transmission, improving technical support, promoting patient health management efficiency and improving the acceptance of APD through social support and publicity, to improve patients' quality of life.
本文旨在基于行为改变轮（BCW）理论（及相关改进策略）探索接受自动化腹膜透析（APD）患者的需求状况，以阐明影响患者行为选择的障碍。此外，旨在探索提高接受APD治疗患者生活质量的切实对策。
采用目的抽样法选取11例接受APD治疗的患者进行半结构式深入访谈，运用现象学定性研究方法对访谈内容进行整理分析，并在BCW理论指导下思考合理的干预措施。
该研究确定了三个主题和六个子主题，这些主题指导腹膜透析患者选择APD作为行为改变：机会需求（渴望多样化获取信息以及患者在身体条件允许时尝试APD的愿望）；动机需求（渴望更好地履行家庭责任以及渴望回归社会）；能力需求（渴望具备一定社交技能以及渴望具备自我管理能力）。
医务人员应根据患者的能力、机会和动机需求设计个性化干预策略，包括优化信息传递、改善技术支持、提高患者健康管理效率以及通过社会支持和宣传提高对APD的接受度，以提高患者的生活质量。
