Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa; and Ukwanda Centre for Rural Health, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; and Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town.
Afr J Prim Health Care Fam Med. 2023 May 9;15(1):e1-e11. doi: 10.4102/phcfm.v15i1.3678.
Pain remains a prevalent and burdensome complaint for people living with human immunodeficiency virus and/or aquired immunodeficiency syndrome (LWHA). Positive Living (PL), a multimodal pain intervention, reduced pain in female South Africans LWHA. We investigated the efficacy of the PL programme in South African males living with human immunodeficiency virus and/or acquired immunodeficiency syndrome (MLWA) in a rural community.
To determine the effects of a multimodal pain intervention in MLWHA.
Various primary care clinics in Manguzi, Kwa-Zulu Natal, South Africa.
Therapeutic relationship (TR) intervention alone or in combination with the PL programme were allocated to HIV-positive men between the ages of 18-40. Pain intensity and interference were the primary outcome measures. Secondary outcome measures included physical function, health-related quality of life, depressive symptoms and self-efficacy.
Forty-seven men (mean age 35 ± 3 years) were recruited with baseline mean pain severity of 5.02 (± 3.01) and pain interference of 4.6 (± 3.18). Nineteen men were allocated to the TR intervention alone, 28 were allocated to the TR intervention and PL programme. Attendance at the intervention sessions varied from 10% to 36%. No changes in any outcomes were recorded.
Poor attendance at the intervention and follow-up sessions make these results an unreliable reflection of the intervention. Contextual factors including internal migration and issues around employment were identified. These may influence healthcare utilisation for MLWHA living in rural settings.Contribution: Unmet healthcare needs of MLWHA in a rural community have been identified. If we are to 'leave no one behind', healthcare interventions should account for context and be 'rural-proofed'.
疼痛仍然是艾滋病毒感染者和/或获得性免疫缺陷综合征（LWHA）患者普遍存在且负担沉重的问题。积极生活（PL）是一种多模式疼痛干预措施，可减轻南非女性 LWHA 的疼痛。我们在一个农村社区中调查了 PL 计划对南非男性艾滋病毒感染者和/或获得性免疫缺陷综合征（MLWA）的疗效。
确定多模式疼痛干预对 MLWHA 的影响。
南非夸祖鲁-纳塔尔省曼古兹的各种初级保健诊所。
单独或与 PL 计划一起将治疗性关系（TR）干预分配给年龄在 18-40 岁之间的 HIV 阳性男性。疼痛强度和干扰是主要的结果测量指标。次要结果指标包括身体功能、健康相关生活质量、抑郁症状和自我效能。
招募了 47 名男性（平均年龄 35 ± 3 岁），基线平均疼痛严重程度为 5.02（± 3.01），疼痛干扰为 4.6（± 3.18）。19 名男性被分配到单独的 TR 干预组，28 名男性被分配到 TR 干预和 PL 计划组。干预课程的出勤率从 10%到 36%不等。没有记录到任何结果的变化。
对干预和随访课程的出勤率低使得这些结果无法可靠地反映干预措施。确定了包括内部迁移和就业问题在内的农村环境下 MLWHA 的未满足的医疗保健需求。这些因素可能会影响生活在农村环境中的 MLWHA 的医疗保健利用。
确定了农村社区中 MLWHA 的未满足的医疗保健需求。如果我们要“不落下任何人”，医疗保健干预措施应该考虑到背景并“适应农村”。
