Princess Salma Faculty of Nursing, Al-AlBayt University, Mafraq, Jordan.
Faculty of Health Sciences, American University of Madaba, Amman, Jordan.
J Psychiatr Ment Health Nurs. 2021 Aug;28(4):738-747. doi: 10.1111/jpm.12732. Epub 2021 Jan 25.
WHAT IS KNOWN ON THE SUBJECT?: Fibromyalgia (FM) is a syndrome of chronic widespread pain, typically associated with fatigue, sleep, cognitive dysfunction and disordered mood. FM may limit an individual's ability to participate in everyday work and social activities, thereby making it difficult to maintain normal relationships with other individuals. While it has been studied in different populations and settings, the impact of FM and associated psychological factors has not been previously studied among female war refugees. WHAT DOES THE PAPER ADD TO EXISTING KNOWLEDGE?: The study showed the high impact of FM on female refugees in Jordan; approximately three quarters of the participants had a moderate to severe FM impact. Refugees settled in Irbid city, Iraq, showed increased age, anxiety and post-traumatic stress disorder correlated with a higher FM impact. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The study recommends evaluation of the impact of FM among all female refugees living in Jordan, along with its neighbouring countries hosting refugees. Healthcare providers, including mental health nurses, should be aware of the role of PTSD and anxiety on the impact of FM. Accordingly, healthcare workers should design appropriate mental health treatment plans to help to decrease the impact of FM. Mental health nurses should evaluate FM impact among all refugees worldwide. Nurses in Jordan are recommended to share their experience with nurses outside of Jordan as this may help with funds being obtained and the implementation of advanced psychological interventions.
INTRODUCTION: Fibromyalgia (FM) is a syndrome of chronic widespread pain. While it has been studied in different populations and settings, the impact of FM and its associated psychological factors has not been previously studied among female war refugees.
To assess the impact of FM and its associated factors in female refugees.
A cross-sectional study was conducted. The impact of FM, anxiety, post-traumatic stress (PTSD) and insomnia was investigated.
288 refugees previously diagnosed with FM were recruited. The results showed that 73.62% of the participants had a moderate to severe FM impact. Refugees settled in Irbid city were six times more likely to have a higher FM impact than refugees settled in Zarqa, and Iraqi refugees were more likely to have a higher impact than Syrian. Increased age, anxiety and PTSD were correlated with a greater impact.
Mental health nursing services should be directed towards female refugees, particularly those with increased age, anxiety and PTSD.
Mental health nurses should evaluate the FM impact among all refugees worldwide. Furthermore, nurses in Jordan are recommended to share their experiences with nurses outside of Jordan, as this may help to raise funds and implement advanced psychological interventions.
纤维肌痛（FM）是一种慢性广泛性疼痛综合征，通常伴有疲劳、睡眠、认知功能障碍和情绪紊乱。FM 可能会限制个体参与日常工作和社会活动的能力，从而难以与其他人保持正常关系。虽然已经在不同人群和环境中对其进行了研究，但 FM 及其相关心理因素对女性战争难民的影响尚未得到研究。
本研究的目的是评估纤维肌痛（FM）及其相关因素对女性难民的影响。
本研究采用横断面研究。调查了 FM 的影响、焦虑、创伤后应激障碍（PTSD）和失眠。
共招募了 288 名先前被诊断为 FM 的难民。结果显示，73.62%的参与者存在中度至重度 FM 影响。与扎尔卡的难民相比，居住在伊尔比德市的难民发生更高 FM 影响的可能性高 6 倍，而伊拉克难民发生更高 FM 影响的可能性高于叙利亚难民。年龄增长、焦虑和 PTSD 与更大的影响相关。
应将心理健康护理服务针对女性难民，尤其是年龄较大、焦虑和 PTSD 的难民。
心理健康护士应评估全球所有难民的 FM 影响。此外，建议约旦的护士与约旦以外的护士分享经验，因为这可能有助于筹集资金和实施先进的心理干预措施。
