Sandstrom M J, Keefe F J
Duke University Medical Center, Durham, North Carolina 27710, USA.
Arthritis Care Res. 1998 Dec;11(6):432-47. doi: 10.1002/art.1790110603.
There has been growing interest in the use of formal self-management training programs for people with fibromyalgia (FM). In these programs, health care professionals serve as trainers and provide education about FM and guided instruction in specific self-management strategies. A review of the literature on formal self-management training programs for FM suggests that they can be divided into groups: 1) those emphasizing training in coping skills (e.g., relaxation, activity pacing, and problem-solving techniques), and 2) those emphasizing training in physical exercise (e.g., cardiovascular fitness, strength, and endurance training). In this article, we review studies that have tested the efficacy of both types of programs. In addition, we identify key individual and contextual variables that are related to outcome and highlight future directions in the research and development of self-management programs.
对于纤维肌痛（FM）患者使用正式的自我管理培训项目的兴趣与日俱增。在这些项目中，医疗保健专业人员担任培训师，提供有关纤维肌痛的教育以及特定自我管理策略的指导。对纤维肌痛正式自我管理培训项目的文献综述表明，它们可分为两类：1）强调应对技能培训的项目（如放松、活动节奏安排和解决问题的技巧），以及2）强调体育锻炼培训的项目（如心血管健康、力量和耐力训练）。在本文中，我们回顾了测试这两类项目疗效的研究。此外，我们确定了与结果相关的关键个体和背景变量，并突出了自我管理项目研发的未来方向。
