Balfour Medical Clinic, 1496 Balfour St, Penticton, BC, Canada V2A 4Z1.
Penticton Regional Hospital, 550 Carmi Avenue, Penticton, BC, Canada V2A 3G6.
Pain Res Manag. 2017;2017:4521389. doi: 10.1155/2017/4521389. Epub 2017 Jul 16.
Fibromyalgia (FM) is a complex disease posing challenges for primary care providers and specialists in its management.
To evaluate the development and implementation of a comprehensive, integrated, community-based model of care for FM.
A mixed methods feasibility study was completed in a small urban centre in southern British Columbia, Canada. Eleven adults with FM and a team of seven health care providers (HCPs) participated in a 10-week intervention involving education, exercise, and sleep management. Monthly "team-huddle" sessions with HCPs facilitated the integration of care. Data included health questionnaires, patient interviews, provider focus group/interviews, and provider surveys.
Both patients and HCPs valued the interprofessional team approach to care. Other key aspects included the benefits of the group, exercise, and the positive focus of the program. Effectiveness of the model showed promising results: quality of care for chronic illness, quality of life, and sleep showed significant ( < 0.05) differences from baseline to follow-up.
Our community-based model of care for FM was successfully implemented. Further testing of the model will be required with a larger sample to determine its effectiveness, although promising results were apparent in our feasibility study.
纤维肌痛（FM）是一种复杂的疾病，给初级保健提供者和专家在其管理方面带来挑战。
评估一种全面、综合、以社区为基础的纤维肌痛护理模式的发展和实施。
在加拿大不列颠哥伦比亚省南部的一个小型城市中心进行了一项混合方法可行性研究。11 名纤维肌痛患者和一个由 7 名医疗保健提供者（HCPs）组成的团队参加了一项为期 10 周的干预计划，包括教育、锻炼和睡眠管理。每月与 HCPs 举行的“团队会议”促进了护理的整合。数据包括健康问卷、患者访谈、提供者焦点小组/访谈和提供者调查。
患者和 HCPs 都重视多专业团队的护理方法。其他关键方面包括小组的益处、锻炼和该计划的积极重点。该模型的有效性显示出有希望的结果：慢性病护理质量、生活质量和睡眠质量从基线到随访均有显著（<0.05）差异。
我们的纤维肌痛以社区为基础的护理模式已成功实施。需要进一步用更大的样本量来测试该模型的有效性，尽管我们的可行性研究显示出了有希望的结果。
