Abstract: Objective: To explore the perceived stress among young and middle-aged patients with end-stage renal disease undergoing peritoneal dialysis, providing a basis for targeted interventions by healthcare providers. Methods: A phenomenological approach was used to conduct semi-structured interviews with 19 young and middle-aged patients undergoing peritoneal dialysis. Colaizzi′s 7-step method and Nvivo 12.0 were applied to organize and analyze the interview data. Results: Nine themes were identified, including increased physical burden, diverse emotional changes, significant job changes, heightened economic burden, decreased quality of life, demanding and strict dialysis procedures, altered social interactions, diverse coping strategies, and increased need for social support. Conclusion: Young and middle-aged patients undergoing peritoneal dialysis face various stresses. Family, friends, healthcare providers, and society can offer support in areas such as physical, psychological, work, economic, and social aspects, and guide patients to adopt positive coping strategies to alleviate stress.

Key words: Young and middle-aged patients, Peritoneal dialysis, Stress perception, Qualitative research

摘要： 目的：探讨中青年终末期肾脏病患者腹膜透析期间的压力感知情况，为医护人员采取针对性干预措施提供依据。方法：采用现象学研究方法对19例中青年腹膜透析患者进行半结构式访谈， 运用Colaizzi7步分析法和Nvivo12.0对访谈资料进行整理分析。结果：共提炼出身体负担加重、情绪变化多样、工作变动巨大、经济负担加重、生活质量下降、操作繁重严格、社会交往改变、应对方式多样及社会支持需求增加9个主题。结论：中青年腹膜透析患者面临多种压力，家人朋友、医护人员和社会可以从身体、心理、工作、经济、社会交往等方面给予患者帮助，引导患者采取积极的压力应对方式，以缓解压力。

关键词: 中青年患者, 腹膜透析, 压力感知, 质性研究