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目的:系统评价腹膜透析患者自我管理过程中的体验。方法:计算机检索PubMed、Embase、Web of Science、The Cochrane Library、PsycInfo、Scopus、CNKI、万方、维普、中国生物医学文献数据库、谷歌学术等数据库建库至2020年4月6日的关于腹膜透析患者自我管理体验的质性研究。采用澳大利亚JBI循证卫生保健中心(2008)质性研究质量评价标准对文章质量进行评价,汇集结果进行Meta整合。结果:本研究共纳入8项研究,提炼26个完整的研究结果,归纳出10个新的类别,得到3个整合结果。整合结果1:患者认知及行为管理。患者试图通过直面肾功能衰竭和适应透析治疗,努力维持腹膜透析管理的独立性和信心。整合结果2:并发症等危机识别及管理。患者通过不断学习透析治疗相关知识、技能和识别及处理恶化症状等,以提高危机识别及管理能力。整合结果3:患者角色及社会关系管理。患者不断进行个人角色和情绪的调整来适应日常生活变化和保持社会功能,并努力加强与医护、家庭和社会等沟通交流以获得社会关系支持,增加对自我管理的信心。结论:腹膜透析患者的自我管理涉及多个方面,医护人员应联合家庭和社会等针对患者自我管理、自我护理过程中的不足和欠缺,给予理解、指导和支持,帮助患者更好地进行自我管理,提高其生活质量。“,”Objective:To systematically evaluate the experience of self-management in peritoneal dialysis patients.Methods:Databases including PubMed, Embase, Web of Science, the Cochrane Library, PsycInfo, Scopus and CNKI, Wanfang, VIP, CBM and Google Scholar were searched and relevant qualitative research on self-management experience of peritoneal dialysis patients was retrieved with a time limitation from the establishment of the databases to April 6, 2020. The quality of articles was evaluated by the quality evaluation standard of qualitative research of JBI evidence-based health care center (2008) , and the results were Meta integrated.Results:A total of 8 studies were included, and 26 complete research results were extracted. We summed up 10 new categories, and obtained 3 integrated results. Integration result 1: cognitive and behavioral management. Patients try to maintain the independence and confidence of peritoneal dialysis management through facing renal failure and adapting to dialysis treatment. Integration result 2: crisis identification and management of complications. Through continuous learning of knowledge and skills related to dialysis treatment, as well as identification and treatment of worsening symptoms, patients can improve their ability of crisis identification and management. Integration result 3: role and social relationship management. Patients constantly adjust their roles and emotions to adapt to changes in daily life and maintain social functions and strive to strengthen communication with medical care, family and society to obtain social relationship support, and increase patients' confidence in self-management.Conclusions:The self-management of peritoneal dialysis patients involves many aspects. The medical staff should give understanding, guidance, and support to the patients' self-management and self-care process in combination with family and society, to help them with better self-management and improve their quality of life.