Antunes Mateus Dias, Couto Letícia Assis, Gomes Bertolini Sonia Maria Marques, da Rocha Loures Felipe Cayres Nogueira, Basso Schmitt Ana Carolina, Marques Amélia Pasqual
Department of Physiotherapy, Speech Therapy and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Health Promotion Graduate Program and Cesumar Institute of Science, Technology and Innovation, Cesumar University, Maringá, Paraná, Brazil.
J Educ Health Promot. 2021 Feb 27;10:64. doi: 10.4103/jehp.jehp_592_20. eCollection 2021.
Fibromyalgia has been increasing worldwide and is considered a public health problem. Nonpharmacological treatment through exercise and education is recommended for fibromyalgia management. In this sense, there is a need for interdisciplinary programs to promote health and improve symptoms in fibromyalgia. The purpose of this study was to verify the effectiveness of interdisciplinary health education programs for individuals with fibromyalgia. This is a systematic review that followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations and was registered at Prospective Register of Systematic Reviews (CRD4201913228). A search was conducted in the following databases: Scientific Electronic Library Online, Lilacs, Medical Literature Analysis and Retrieval System Online, Scopus, Web of Knowledge ISI, Physiotherapy Evidence Database, Excerpta Medica Database, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, and SPORTDiscus. The descriptors used were "Fibromyalgia" and "Health Education." Clinical trials published between 1990 and 2019 were selected. The Jadad Quality Scale and the Cochrane Risk-of-Bias Tool were used to evaluate the risk of bias and the methodological quality of the clinical trials. The search found 2887 articles, and only two studies were included in the analysis. Both studies conducted the interventions through lectures and group activities. In particular, the topics most frequently approached at the interdisciplinary health education programs were general information about fibromyalgia, body practices, physical activities, and pharmacological approaches. An interdisciplinary health education program can improve pain and quality of life in people with fibromyalgia; however, evidence shows low methodological quality. This systematic review indicates that studies are of low quality, interfering with the effectiveness of interdisciplinary health education programs.
纤维肌痛在全球范围内呈上升趋势，被视为一个公共卫生问题。建议通过运动和教育进行非药物治疗来管理纤维肌痛。从这个意义上说，需要跨学科项目来促进健康并改善纤维肌痛的症状。本研究的目的是验证跨学科健康教育项目对纤维肌痛患者的有效性。这是一项遵循系统评价和Meta分析的首选报告项目建议进行的系统评价，并已在系统评价前瞻性注册库（CRD4201913228）注册。在以下数据库中进行了检索：科学电子图书馆在线数据库、拉丁美洲和加勒比卫生科学文献数据库、医学文献分析和联机检索系统、Scopus数据库、科学网ISI数据库、物理治疗证据数据库、医学文摘数据库、护理及相关健康文献累积索引、考克兰图书馆和体育科学数据库。使用的描述词为“纤维肌痛”和“健康教育”。选取了1990年至2019年发表的临床试验。使用雅达质量量表和考克兰偏倚风险工具来评估临床试验中的偏倚风险和方法学质量。检索共找到2887篇文章，分析中仅纳入了两项研究。两项研究均通过讲座和小组活动进行干预。特别是，跨学科健康教育项目中最常涉及的主题是关于纤维肌痛的一般信息、身体练习、体育活动和药物治疗方法。跨学科健康教育项目可以改善纤维肌痛患者的疼痛和生活质量；然而，证据表明方法学质量较低。这项系统评价表明研究质量较低，这会影响跨学科健康教育项目的有效性。
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