印度南部某邦HIV/AIDS患者的疼痛患病率：一项横断面调查
Prevalence of Pain in Patients with HIV/AIDS: A Cross-sectional Survey in a South Indian State.
作者信息
Nair Shoba N, Mary Theophin Regina, Prarthana S, Harrison Preethy
机构信息
Department of Pain and Palliative Care, St. John's Medical College and Hospital, Bangalore - 560 034, India.
出版信息
Indian J Palliat Care. 2009 Jan;15(1):67-70. doi: 10.4103/0973-1075.53550.
OBJECTIVES
Primary - To measure the prevalence of pain in HIV/AIDS with patients. Secondary - To assess the type, site, severity, management of pain and impact of pain on quality of life in these patients.
DESIGN
Multicentre cross-sectional survey (This paper is a pilot study).
SETTINGS
ART centre at St. John's Medical College Hospital, Bangalore and Snehadan, A supportive and care centre for HIV/ AIDS patients at Bangalore.
MATERIALS AND METHODS
Data sheet, Brief pain inventory and Short - Form McGill pain questionnaire.
SUBJECTS
This is an ongoing study and the pilot study includes 140 HIV/AIDS patients in different stages of the disease.
RESULTS
About 66.7% (28/42) in-patients and 24.5% (24/98) out-patients complained of pain. Of the 52 patients who reported pain, 32% (14/52) reported neuropathic pain and 68% (38/52) reported noci-ceptive pain. Headache was most common followed by pain in the soles of feet and low back. Only 26.9% (17/52) received any form of analgesic. Pain severity significantly affects the quality of life.
CONCLUSIONS
Pain is a common and debilitating symptom of HIV/AIDS. It is however, under-estimated and under treated.
目的
主要目的——测量HIV/AIDS患者的疼痛患病率。次要目的——评估这些患者的疼痛类型、部位、严重程度、疼痛管理以及疼痛对生活质量的影响。
设计
多中心横断面调查（本文为一项试点研究）。
地点
班加罗尔圣约翰医学院医院的抗逆转录病毒治疗中心以及班加罗尔的Snehadan，一家HIV/AIDS患者支持与护理中心。
材料与方法
数据表、简明疼痛量表和简式麦吉尔疼痛问卷。
研究对象
这是一项正在进行的研究，试点研究纳入了140名处于疾病不同阶段的HIV/AIDS患者。
结果
约66.7%（28/42）的住院患者和24.5%（24/98）的门诊患者主诉疼痛。在报告疼痛的52名患者中，32%（14/52）报告为神经性疼痛，68%（38/52）报告为伤害感受性疼痛。头痛最为常见，其次是脚底疼痛和下背部疼痛。只有26.9%（17/52）的患者接受了任何形式的镇痛治疗。疼痛严重程度显著影响生活质量。
结论
疼痛是HIV/AIDS常见且使人衰弱的症状。然而，它被低估且治疗不足。
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