Pain Management for Persons Living With HIV Disease: Experience With Interprofessional Education in Nigeria

被引：5

作者：

Alexander, Carla S. ^{[1
]}

Pappas, Gregory ^{[2
]}

Henley, Yvonne ^{[3
]}

Kangalawe, Angela Kaiza ^{[4
]}

Oyebola, Folaju Olusegun ^{[5
]}

Obiefune, Michael ^{[1
]}

Nwene, Ejike ^{[6
]}

Stanis-Ezeobi, Winifred ^{[6
]}

Enejoh, Victor ^{[6
]}

Nwizu, Chidi ^{[1
]}

Nwandu, Anthea Nwandu ^{[1
]}

Memiah, Peter ^{[1
]}

Etienne-Mesubi, Martine ^{[1
]}

Oni, Babatunji ^{[1
]}

Amoroso, Anthony ^{[1
]}

Redfield, Robert R. ^{[1
]}

机构：

[1] Univ Maryland, Sch Med, Inst Human Virol, Baltimore, MD 21201 USA

[2] George Washington Univ, Sch Publ Hlth, Washington, DC USA

[3] Maryland Dept Hlth & Mental Hyg, Catonsville, MD USA

[4] Maryland Global Initiat Corp Tanzania, Dar Es Salaam, Tanzania

[5] Govt Nigeria, Fed Med Ctr, Idi Aba, Abeokuta, Nigeria

[6] Maryland Global Initiat Corp Nigeria, Abuja, Nigeria

来源：

AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2015年 / 32卷 / 05期

关键词：

pain management; HIV; multidisciplinary; education; Nigeria; QUALITY-OF-LIFE; HEALTH-CARE; AFRICA; SEVERITY; HIV/AIDS;

D O I：

10.1177/1049909114527153

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Context: Pain management (PM) has not been routinely incorporated into HIV/AIDS care and treatment in resource-constrained settings. Objectives: We describe training for multidisciplinary teams tasked with integrating care management into HIV clinics to address pain for persons living with HIV in Nigeria. Methods: Education on PM was provided to mixed-disciplinary teams including didactic and iterative sessions following home and hospital visits. Participants identified challenges and performed group problem solving. Results: HIV trainers identified barriers to introducing PM reflecting views of the patient, providers, culture, and the health environment. Implementation strategies included (1) building upon existing relationships; (2) preliminary advocacy; (3) attention to staff needs; and (4) structured data review. Conclusion: Implementing PM in Nigerian HIV clinics requires recognition of cultural beliefs.

引用

页码：555 / 562

页数：8

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