当前位置: X-MOL 学术AIDS Behav. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
The Lived Experience of Managing HIV and Chronic Pain: Qualitative Interviews with Patients and Healthcare Providers
AIDS and Behavior ( IF 4.852 ) Pub Date : 2021-08-04 , DOI: 10.1007/s10461-021-03406-6
Eugene M Dunne 1, 2, 3 , Rochelle K Rosen 1, 4 , Georgiana L McTigue 1 , Robert N Jamison 5 , Gloria Y Yeh 6 , Josiah D Rich 7 , Michael P Carey 1, 2, 4
Affiliation  

People living with HIV (PLWH) experience higher rates of comorbid chronic pain conditions compared to the general population. Managing HIV and chronic pain, two stigmatized health conditions, can exacerbate physical and psychological suffering. The current qualitative study was designed to increase our understanding of the experience of living with HIV and chronic pain. Twenty participants were recruited from a hospital-based immunology center to participate in individual in-depth qualitative interviews. The interviews focused on the experience of living with (or managing) chronic pain for PLWH. All interviews were audio recorded, transcribed and double-coded. Several themes emerged from our applied thematic analysis of the transcripts. The primary theme was that pain remained poorly managed among PLWH. Patients engaged in a variety of pain management strategies and described benefits from both traditional pain management interventions (e.g., pharmacology, physical therapy) as well as non-traditional approaches (e.g., medical marijuana, cannabidiol products, and spirituality). Other themes that emerged included barriers related to health insurance and the need to validate the patient pain experience. PLWH and chronic pain described compounding effects of managing two chronic health conditions, including perceived immune system over-activation, heightened awareness of illness, and negative mindset. More research is needed to improve care for those managing these often co-occurring health conditions.



中文翻译:

管理 HIV 和慢性疼痛的亲身经历:对患者和医疗保健提供者的定性访谈

与普通人群相比,艾滋病毒感染者 (PLWH) 的合并慢性疼痛发生率更高。管理艾滋病毒和慢性疼痛这两种被污名化的健康状况会加剧身体和心理上的痛苦。目前的定性研究旨在增加我们对艾滋病毒感染者和慢性疼痛体验的理解。从医院免疫学中心招募了 20 名参与者,以参加个人深入的定性访谈。访谈的重点是感染(或管理)感染者慢性疼痛的经历。所有采访都被录音、转录和双重编码。我们对成绩单的应用主题分析出现了几个主题。主要主题是 PLWH 中的疼痛仍然管理不善。患者参与了多种疼痛管理策略,并描述了传统疼痛管理干预措施(例如药理学、物理疗法)和非传统方法(例如医用大麻、大麻二酚产品和灵性)的益处。出现的其他主题包括与健康保险相关的障碍以及验证患者疼痛体验的需要。PLWH 和慢性疼痛描述了管理两种慢性健康状况的复合效应,包括感知免疫系统过度激活、提高对疾病的认识和消极心态。需要更多的研究来改善对那些管理这些经常同时发生的健康状况的人的护理。物理疗法)以及非传统方法(例如医用大麻、大麻二酚产品和灵性)。出现的其他主题包括与健康保险相关的障碍以及验证患者疼痛体验的需要。PLWH 和慢性疼痛描述了管理两种慢性健康状况的复合效应,包括感知免疫系统过度激活、提高对疾病的认识和消极心态。需要更多的研究来改善对那些管理这些经常同时发生的健康状况的人的护理。物理疗法)以及非传统方法(例如医用大麻、大麻二酚产品和灵性)。出现的其他主题包括与健康保险相关的障碍以及验证患者疼痛体验的需要。PLWH 和慢性疼痛描述了管理两种慢性健康状况的复合效应,包括感知免疫系统过度激活、提高对疾病的认识和消极心态。需要更多的研究来改善对那些管理这些经常同时发生的健康状况的人的护理。包括感知到的免疫系统过度激活、对疾病的高度认识和消极心态。需要更多的研究来改善对那些管理这些经常同时发生的健康状况的人的护理。包括感知到的免疫系统过度激活、对疾病的高度认识和消极心态。需要更多的研究来改善对那些管理这些经常同时发生的健康状况的人的护理。

更新日期:2021-08-10
down
wechat
bug