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关于太极拳在感染艾滋病毒成年人疼痛管理中的应用的定性见解。

Qualitative Insights Regarding the Use of Tai Chi for Pain Management Among Adults With HIV.

作者信息

Dunne Eugene M, Mitchell Christina, McTigue Georgiana, Rosen Rochelle K, Yeh Gloria Y, Carey Michael P

机构信息

Department of Oral Health Sciences, Temple University, Philadelphia, PA, USA.

Center for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI, USA.

出版信息

Glob Adv Integr Med Health. 2024 Aug 16;13:27536130241277561. doi: 10.1177/27536130241277561. eCollection 2024 Jan-Dec.

DOI:10.1177/27536130241277561
PMID:39157777
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11329898/
Abstract

BACKGROUND

Approximately one-half of all adults with HIV experience chronic pain. Needed are nonpharmacological approaches to improve pain management in this population.

METHODS

For this study, we conducted in-depth qualitative interviews (n = 20) with thirteen adults with HIV and 7 HIV care providers regarding their perceptions of Tai Chi for chronic pain management. The interviews were audio recorded, transcribed, double-coded, and analyzed using applied thematic analysis.

RESULTS

HIV patients had limited prior exposure to Tai Chi and had not previously considered this practice for pain management. However, after viewing a brief video demonstration of Tai Chi, patients recognized potential benefits, including relaxation, stress reduction, and pain lessening. Patients were surprised by the gentle nature of Tai Chi and expressed enthusiasm to learn more about Tai Chi. HIV healthcare providers similarly had limited knowledge of Tai Chi for pain management. HIV care providers shared several helpful insights on the potential implementation of Tai Chi with this population.

CONCLUSIONS

Adults with HIV and healthcare providers were optimistic that Tai Chi would reduce stress and ease chronic pain. These data suggest that Tai Chi would be of interest to HIV patients and care providers as a novel pain management strategy.

摘要

背景

约一半感染艾滋病毒的成年人患有慢性疼痛。需要采用非药物方法来改善该人群的疼痛管理。

方法

在本研究中,我们对13名感染艾滋病毒的成年人和7名艾滋病毒护理提供者进行了深入的定性访谈(n = 20),了解他们对太极拳用于慢性疼痛管理的看法。访谈进行了录音、转录、双重编码,并使用应用主题分析法进行分析。

结果

艾滋病毒患者以前对太极拳的接触有限,并且以前没有考虑过用这种方法来管理疼痛。然而,在观看了一段简短的太极拳视频演示后,患者认识到了潜在的益处,包括放松、减轻压力和缓解疼痛。患者对太极拳动作轻柔的特点感到惊讶,并表示有兴趣更多地了解太极拳。艾滋病毒医疗服务提供者对太极拳用于疼痛管理的了解同样有限。艾滋病毒护理提供者就太极拳在该人群中的潜在应用分享了一些有用的见解。

结论

感染艾滋病毒的成年人和医疗服务提供者都乐观地认为,太极拳将减轻压力并缓解慢性疼痛。这些数据表明,太极拳作为一种新颖的疼痛管理策略,会引起艾滋病毒患者和护理提供者的兴趣。

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本文引用的文献

1
The Lived Experience of Managing HIV and Chronic Pain: Qualitative Interviews with Patients and Healthcare Providers.管理 HIV 和慢性疼痛的体验:患者和医疗保健提供者的定性访谈。
AIDS Behav. 2022 Feb;26(2):496-511. doi: 10.1007/s10461-021-03406-6. Epub 2021 Aug 4.
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Mind-Body Interventions for Depressive Symptoms in Chronic Pain: A Systematic Review of Meta-Analyses.身心干预对慢性疼痛伴抑郁症状的效果:荟萃分析的系统评价。
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Qigong and Tai-Chi for Mood Regulation.用于情绪调节的气功与太极拳
Focus (Am Psychiatr Publ). 2018 Jan;16(1):40-47. doi: 10.1176/appi.focus.20170042. Epub 2018 Jan 24.
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An Exploratory Study of Correlates of Allostatic Load in Older People Living With HIV.老年人 HIV 感染者的应激负荷相关因素的探索性研究。
J Acquir Immune Defic Syndr. 2020 Apr 15;83(5):441-449. doi: 10.1097/QAI.0000000000002293.
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A Narrative Review of Movement-Based Mind-Body Interventions: Effects of Yoga, Tai Chi, and Qigong for Back Pain Patients.基于运动的身心干预的叙述性综述:瑜伽、太极拳和气功对背痛患者的影响
Holist Nurs Pract. 2020 Jan/Feb;34(1):3-23. doi: 10.1097/HNP.0000000000000360.
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Effects of Tai Chi on beta endorphin and inflammatory markers in older adults with chronic pain: an exploratory study.太极拳对慢性疼痛老年患者β-内啡肽和炎症标志物的影响:一项探索性研究。
Aging Clin Exp Res. 2020 Jul;32(7):1389-1392. doi: 10.1007/s40520-019-01316-1. Epub 2019 Aug 20.
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Effects of Meditative Movements on Major Depressive Disorder: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.冥想运动对重度抑郁症的影响:随机对照试验的系统评价和荟萃分析
J Clin Med. 2018 Aug 1;7(8):195. doi: 10.3390/jcm7080195.
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Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial.太极拳与有氧运动对纤维肌痛的影响:比较效果随机对照试验。
BMJ. 2018 Mar 21;360:k851. doi: 10.1136/bmj.k851.
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Cost-effectiveness of a chronic pain intervention for people living with HIV (PLWH).针对人类免疫缺陷病毒感染者(PLWH)的慢性疼痛干预措施的成本效益。
J Med Econ. 2018 Feb;21(2):122-126. doi: 10.1080/13696998.2017.1377719. Epub 2017 Sep 18.
10
Attitudes towards exercise among substance using older adults living with HIV and chronic pain.感染艾滋病毒且患有慢性疼痛的老年吸毒者对运动的态度。
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