Newshan G
St. Vincent's Hospital, Section of HIV Medicine, New York, USA.
J Assoc Nurses AIDS Care. 1998 Mar-Apr;9(2):57-67. doi: 10.1016/S1055-3290(98)80061-7.
Pain is a common problem among hospitalized persons with AIDS (PWAs), yet it has not been well studied. The purpose of this study was to understand, using the phenomenological method, the experience of pain in hospitalized PWAs. Multiple sources of data, including interviews with 11 hospitalized PWAs, literature, poetry, and film, were used to investigate the phenomenon. Five broad themes emerged: knowing pain, battling pain, having AIDS, pain's influence, and being a drug user. Multiple barriers to effective pain management were identified. Although there were commonalities in the experience of pain in chemically dependent and nonchemically dependent PWAs, unique challenges for the chemically dependent PWAs were identified. The findings indicate the importance of listening to and believing reports of pain. In addition, the findings underscore the delicate balance that exists between pain relief and relapse in PWAs with a history of chemical dependency.
疼痛是艾滋病住院患者（PWAs）中常见的问题，但尚未得到充分研究。本研究的目的是采用现象学方法了解艾滋病住院患者的疼痛体验。研究使用了多种数据来源，包括对11名艾滋病住院患者的访谈、文献、诗歌和电影，以调查这一现象。出现了五个广泛的主题：知晓疼痛、与疼痛作斗争、患有艾滋病、疼痛的影响以及吸毒者身份。研究确定了有效疼痛管理的多个障碍。虽然在有药物依赖和无药物依赖的艾滋病住院患者的疼痛体验中存在共性，但也确定了有药物依赖的艾滋病住院患者面临的独特挑战。研究结果表明倾听和相信疼痛报告的重要性。此外，研究结果强调了有药物依赖史的艾滋病住院患者在疼痛缓解和复发之间存在的微妙平衡。
