| dc.contributor.advisor |
Carter , Patricia A . |
|
| dc.contributor.committeeMember |
Acton , Gayle |
|
| dc.contributor.committeeMember |
Fredholm , Leigh |
|
| dc.contributor.committeeMember |
Garcia , Alexandra |
|
| dc.contributor.committeeMember |
Volker , Deborah |
|
| dc.creator |
Mikan , Sabrina Quintanilla |
|
| dc.date.accessioned |
2011 -10 -31T21 :29 :04Z |
|
| dc.date.available |
2011 -10 -31T21 :29 :04Z |
|
| dc.date.created |
2011 -08 |
|
| dc.date.issued |
2011 -10 -31 |
|
| dc.date.submitted |
August 2011 |
|
| dc.identifier.uri |
http : / /hdl .handle .net /2152 /ETD -UT -2011 -08 -3864 |
|
| dc.description.abstract |
Even though pain is common and often chronic in people living with HIV /AIDS (PLWHA ) , the management of pain is complicated and frequently woefully inadequate . Many factors influence the way PLWHA experience and communicate their pain . These factors can be categorized as both physiological and emotional . PLWHA often resort to self -care activities to control their pain because of the pervasive lack of adequate pain management by health care providers . The purposes of this study were to increase understanding of the pain management experiences in people living with HIV /AIDS (PLWHA ) who report chronic pain and to elucidate the factors that influence this experience . Recruitment was conducted at 3 locations in Central Texas , USA ; serving over 3 ,000 clients /year . A cross -sectional descriptive design and open -ended questions were used to explore PLWHA experiences in reporting chronic pain needs for at least 3 months and to describe pain management choices (self -care and /or seeking care activities ) and communication with health care providers . Variables of interest were assessed with paper -pencil surveys (HIV -Self Efficacy Questionnaire , Coping Inventory for Pain in Persons Living with HIV /AIDS and Pain Self -Efficacy Questionnaire ) and open -ended questions . Interviews ranged from 7 -35 minutes each . One hundred PLWHA participated in the study , 53 % African -American , 21 % Hispanic and 25 % Caucasian . They were primarily male (66 % ) , 34 % female , reported a mean age of 48 years and a mean of 13 years living with HIV . 83 % of the participants rated their pain as consistently moderate to high levels ; 82 % rated they are likely to “tolerate the pain .” A majority of the participants (63 % ) reported they exercise or walk as a way of self -managing their pain . There was a significant association between use of pain management choices (self -care and /or seeking care activities ) and confidence in performing life activities (r= 0 .344 , p <0 .05 ) . These findings indicate a need for health care providers to move beyond quantitative measures for this complex problem . Clinicians can use this information to understand the coping strategies used by PLWHA to manage pain . Future implications will be to develop appropriate pain management approaches (behavioral and pharmacological ) for health care providers to improve control of chronic pain in PLWHA . Longitudinal studies are needed to explore the causative relationships between pain management choices (self -care and /or seeking care activities ) and functional outcomes in PLWHA . |
|
| dc.format.mimetype |
application /pdf |
|
| dc.language.iso |
eng |
|
| dc.subject |
HIV /AIDS |
|
| dc.subject |
Pain management |
|
| dc.subject |
Coping |
|
| dc.subject |
Self -efficacy |
|
| dc.title |
Pain management experiences in adults living with HIV /AIDS |
|
| dc.description.department |
Nursing |
|
| dc.type.genre |
thesis |
* |
| dc.type.material |
text |
* |
| thesis.degree.name |
Doctor of Philosophy |
|
| thesis.degree.level |
Doctoral |
|
| thesis.degree.discipline |
Nursing |
|
| thesis.degree.grantor |
University of Texas at Austin |
|
| thesis.degree.department |
Nursing |
|
| dc.date.updated |
2011 -10 -31T21 :29 :18Z |
|
| dc.identifier.slug |
2152 /ETD -UT -2011 -08 -3864 |
|