Abd El Kader Aziza Ibrahim, Ramadan El-Shaboury Rasha Hafez, Abd Elkodoos Rehab Fouad, Elkest Hend Reda Ali, Mohamed Nermen Abdelftah
Faculty of Nursing, Cairo University, Egypt.
Faculty of Nursing, Badr University in Cairo, Egypt.
SAGE Open Nurs. 2025 Jun 19;11:23779608251350912. doi: 10.1177/23779608251350912. eCollection 2025 Jan-Dec.
Fibromyalgia is a chronic condition causing widespread pain in the muscles and bones, frequently occurring alongside fatigue, sleep problems, cognitive difficulties, and mood disorders.
This study investigates the effectiveness of a nurse-led teaching program on sleep disturbances and pain experiences among patients with fibromyalgia.
A quasi-experimental with pretest and posttest measures was implemented in this study. Sixty patients with fibromyalgia were included in the sample, divided equally into a study group and a control group (30 patients each). The study took place at the rheumatology outpatient clinic of Mansoura University Hospital, Egypt from June 1, 2024, to December 31, 2024. The program consisted of 24 consecutive sessions, each lasting ∼20-30 min for 12 weeks. Researchers used three tools to collect data; Demographics Form, Visual Analogue Scale (VAS), and the Pittsburgh Sleep Quality Index (PSQI).
The two groups exhibited no statistically significant differences. across all demographic characteristics ( > .05), except for place of residence ( = .0383). Prior to the program, independent samples -tests revealed that there were no statistically significant differences in mean PSQI and VAS scores between the two groups. However, after the program, there was a statistically significant difference in mean PSQI scores ( = .009) and VAS scores ( = .05) between groups.
A nurse-led teaching program can be a valuable nonpharmacological intervention for managing sleep disturbances and pain in patients with fibromyalgia, highlighting the crucial role of nurses in empowering patients with self-management strategies.
纤维肌痛是一种慢性疾病，会导致肌肉和骨骼广泛疼痛，常伴有疲劳、睡眠问题、认知困难和情绪障碍。
本研究调查了由护士主导的教学计划对纤维肌痛患者睡眠障碍和疼痛体验的有效性。
本研究采用了带有前测和后测措施的准实验。样本包括60名纤维肌痛患者，平均分为研究组和对照组（每组30名患者）。该研究于2024年6月1日至2024年12月31日在埃及曼苏拉大学医院的风湿病门诊进行。该计划由连续24节课程组成，为期12周，每节课程持续约20 - 30分钟。研究人员使用三种工具收集数据；人口统计学表格、视觉模拟量表（VAS）和匹兹堡睡眠质量指数（PSQI）。
两组在所有人口统计学特征方面均无统计学显著差异（>0.05），但居住地除外（=0.0383）。在该计划之前，独立样本t检验显示两组之间的平均PSQI和VAS得分无统计学显著差异。然而，在该计划之后，两组之间的平均PSQI得分（=0.009）和VAS得分（=0.05）存在统计学显著差异。
由护士主导的教学计划可以成为管理纤维肌痛患者睡眠障碍和疼痛的有价值的非药物干预措施，突出了护士在赋予患者自我管理策略方面的关键作用。
