Kong Kyoung Ran, Lee Eun Nam
College of Nursing, Ulsan College, Ulsan, Korea.
College of Nursing, Dong-A University, Busan, Korea.
J Korean Acad Nurs. 2021 Jun;51(3):347-362. doi: 10.4040/jkan.21025.
This study developed a cognitive behavioral therapy program aimed at altering the physical condition, emotions, and behaviors of fibromyalgia patients, and confirmed the program's clinical applicability. The program was developed by analyzing previous studies conducting in-depth interviews with fibromyalgia patients, drawing on cognitive behavior theory to establish the program contents, recruiting experts to test its validity, and conducting a preliminary survey.
To confirm the program's effect, this study used a randomized controlled trial design. The participants were outpatients diagnosed with fibromyalgia in Dong-A University Hospital, Busan. The 30 patients in the experimental group took part in the program, which comprised 8 sessions (90 to 120 minutes) based on cognitive behavior theory, delivered over 8 weeks. Hypothesis testing was carried out using the repeated measures ANOVA.
The analysis revealed significant differences between the experimental and control groups in positive automatic thoughts, pain, fatigue, depression, and interpersonal relationships. However, there was no significant difference between the groups in terms of sleep disorders and negative automatic thoughts.
This program is a positive effect on physical condition, emotions, and behaviors. It is thus expected to be used to help fibromyalgia patients improve their disease conditions.
本研究开发了一项认知行为疗法计划，旨在改变纤维肌痛患者的身体状况、情绪和行为，并证实该计划的临床适用性。该计划是通过分析先前对纤维肌痛患者进行深入访谈的研究、借鉴认知行为理论确定计划内容、招募专家检验其有效性以及进行初步调查而制定的。
为证实该计划的效果，本研究采用随机对照试验设计。参与者为釜山东亚大学医院诊断为纤维肌痛的门诊患者。实验组的30名患者参加了该计划，该计划基于认知行为理论，包括8次课程（90至120分钟），在8周内完成。使用重复测量方差分析进行假设检验。
分析显示，实验组和对照组在积极自动思维、疼痛、疲劳、抑郁和人际关系方面存在显著差异。然而，两组在睡眠障碍和消极自动思维方面没有显著差异。
该计划对身体状况、情绪和行为有积极影响。因此，有望用于帮助纤维肌痛患者改善病情。
