Merlin Jessica S, Walcott Melonie, Kerns Robert, Bair Matthew J, Burgio Kathryn L, Turan Janet M
Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama; Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Pain Med. 2015 Apr;16(4):706-14. doi: 10.1111/pme.12701. Epub 2015 Feb 3.
Chronic pain in individuals with HIV is a common, impairing condition. Behavioral interventions for chronic pain specifically tailored to this population have yet to be developed. We assert that understanding self-management strategies already used by persons living with these conditions is an essential first step, and is the objective of this investigation.
We conducted a thematic analysis of qualitative data from 25 in-depth interviews with individuals with HIV and chronic pain.
The primary pain self-management strategies articulated by participants were: physical activity; cognitive and spiritual strategies; spending time with family and friends and social support; avoidance of physical/social activity; medication-centric pain management; and substance use.
Some of these strategies may be viewed as beneficial and overlap with known HIV self-management strategies (cognitive strategies), whereas others may have negative health consequences (substance use). Interventions that incorporate healthy self-management strategies may be particularly effective in improving both HIV and pain outcomes.
感染艾滋病毒个体的慢性疼痛是一种常见的致残状况。专门针对这一人群的慢性疼痛行为干预措施尚未开发出来。我们认为，了解患有这些疾病的人已经采用的自我管理策略是至关重要的第一步，也是本调查的目标。
我们对25名感染艾滋病毒且患有慢性疼痛的个体进行深入访谈所获得的定性数据进行了主题分析。
参与者阐述的主要疼痛自我管理策略有：体育活动；认知和精神策略；与家人和朋友共度时光及社会支持；避免身体/社交活动；以药物为中心的疼痛管理；以及物质使用。
其中一些策略可能被视为有益的，并且与已知的艾滋病毒自我管理策略（认知策略）重叠，而其他一些策略可能会对健康产生负面影响（物质使用）。纳入健康自我管理策略的干预措施可能在改善艾滋病毒和疼痛结局方面特别有效。
