探讨原发性下肢静脉曲张患者治疗意愿及影响因素。

运用质性研究中的描述性现象学，通过半结构式访谈收集资料，采用内容分析法进行分析，提炼主题。

共纳入16例下肢静脉曲张患者，提炼出5个主题：治疗意愿（积极主动、观念转变、被动驱使），疾病相关因素（早期症状隐匿、后期症状加重、治疗风险感知），个人因素（疾病知识、疾病态度、年龄、时间充裕、失败经历），家庭因素，社会因素（成功案例、媒体宣传、医疗保障）。

原发性下肢静脉曲张患者治疗意愿是一个动态变化、多种因素协商的过程，包括疾病、家庭、社会、医疗系统等因素。为干预患者治疗意愿、塑造健康行为，应从疾病、家庭、社会等维度进行干预，实现患者健康管理。

To explore the treatment willingness and influencing factors among patients with primary lower extremity varicose veins.

A descriptive phenomenological approach within qualitative research was employed. Data were collected through semi-structured interviews and analyzed using content analysis to extract themes.

A total of 16 patients with lower extremity varicose veins were included, and five themes were identified: treatment willingness (proactive attitude, change in perception, passive motivation), disease-related factors (early concealed symptoms, later symptom exacerbation, perceived treatment risk), individual-related factors (disease knowledge, attitude toward the disease, age, availability of time, past failure experiences), family-related factors, and social-related factors (successful cases, media influence, medical insurance).

The treatment willingness of patients with primary lower extremity varicose veins is a dynamic and multifaceted process influenced by disease, family, social, and healthcare system factors. To shape patients' treatment willingness and promote healthy behaviors, interventions should be implemented across disease, family, and social dimensions to achieve effective health management.