Factors Associated With Physical Function in Adults With Fibromyalgia

IF 2.1 4区 医学 Q2 NURSING Pain Management Nursing Pub Date : 2025-03-28 DOI:10.1016/j.pmn.2025.01.041
Heather Lashley RN, BS
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Abstract

Background

Fibromyalgia is a chronic pain condition that impacts 10 million people across the United States. While chronic pain is central in fibromyalgia, individuals with fibromyalgia also experience poor sleep quality, frequent headaches, fatigue, decreased physical function, increased anxiety and depression, and report a higher level of comorbid health conditions compared to individuals with other types of chronic pain.

Purpose/Aim

To identify variables that are associated with physical function and furthermore determine if these variables have an impact on physical function.

Methods/Design

An observational study was conducted, distributing surveys asking questions about age, race, sex, work status, education level, psychological resilience, comorbidities, pain intensity, depression, and physical function. Bivariate correlations were determined and a linear regression run utilizing SPSS version 29.

Results

Age, race, psychological resilience, pain intensity, comorbidities, and employment status all significantly correlate with physical function. The linear regression suggests psychological resilience, comorbidities, and employment status have significant effects on physical function.

Conclusion

Age, race, psychological resilience, pain intensity, comorbidities, and employment status all significantly correlate with physical function. The linear regression suggests psychological resilience, comorbidities, and employment status have significant effects on physical function

Implications for Nursing Profession

Nurses should pay attention to patient comorbidities, pain intensity, age, and race when determining how best to support the patient with fibromyalgia. Identifying interventions that concentrate on supporting psychological resilience could have a positive impact on overall physical function. Nurses need to see beyond the immediate pain the patient presents with and look at the individual's holistic wellbeing.

Implications for future research

More research is needed into variables that impact physical function in individuals with fibromyalgia. Pain intensity, and therefore medication to treat pain intensity, are only one facet of a comprehensive care plan. A better look at sociodemographic factors and at support systems are essential to the care and wellbeing of a patient with fibromyalgia.
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成人纤维肌痛患者身体功能的相关因素
背景:纤维肌痛是一种慢性疼痛,影响着美国1000万人。虽然慢性疼痛是纤维肌痛的核心,但与其他类型的慢性疼痛患者相比,纤维肌痛患者也会经历睡眠质量差、经常头痛、疲劳、身体机能下降、焦虑和抑郁增加,并报告有更高水平的共病健康状况。目的/目的识别与身体机能相关的变量,并进一步确定这些变量是否对身体机能有影响。方法/设计采用观察性研究,对年龄、种族、性别、工作状态、受教育程度、心理弹性、合并症、疼痛强度、抑郁和身体功能进行问卷调查。确定双变量相关性,并利用SPSS 29版进行线性回归。结果年龄、种族、心理弹性、疼痛强度、合并症、就业状况与身体机能均有显著相关。线性回归表明心理弹性、共病和就业状况对身体功能有显著影响。结论年龄、种族、心理弹性、疼痛强度、合并症、就业状况与身体机能均有显著相关。线性回归表明心理弹性、共病和就业状况对身体功能有显著影响护理专业的意义护士在决定如何最好地支持纤维肌痛患者时应注意患者的共病、疼痛强度、年龄和种族。确定专注于支持心理弹性的干预措施可能对整体身体功能产生积极影响。护士需要超越病人眼前的痛苦,关注病人的整体健康。对未来研究的启示需要对影响纤维肌痛患者身体功能的变量进行更多的研究。疼痛强度,以及治疗疼痛强度的药物,只是综合护理计划的一个方面。更好地了解社会人口因素和支持系统对纤维肌痛患者的护理和健康至关重要。
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来源期刊
Pain Management Nursing
Pain Management Nursing 医学-护理
CiteScore
3.00
自引率
5.90%
发文量
187
审稿时长
>12 weeks
期刊介绍: This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.
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