Introduction: The literature supports cognitive and psychological therapies as part of the treatment of fibromyalgia syndrome (FMS). An empowerment intervention is a patient-centered, collaborative approach that aims to enhance patients' capacity to manage their disease. This study aimed to evaluate the effectiveness of an empowerment intervention in female patients with FMS, which has not been previously examined.
Methods: In this randomized controlled trial, female patients diagnosed with FMS were randomly assigned to two groups. Both groups followed a home-based exercise program and continued their routine medications. In addition, the intervention group participated in a seven-session, group-based psychosocial empowerment program. The Visual Analog Scale, Fibromyalgia Impact Questionnaire (FIQ), Self-Efficacy Scale, Fatigue Severity Scale, Hospital Anxiety and Depression Scale, and Short Form-12 (SF-12) were administered to both groups at baseline and after the intervention.
Results: Twenty-two patients in the intervention group (mean age: 47±6.73 years) and 22 patients in the control group (45.86±8.5 years) completed the study. In the postintervention evaluation, the intervention group demonstrated significantly greater improvements than the control group. Large effect sizes were observed for self-efficacy (p = .001, ηp²=0.242), depression (p < .001, ηp²=0.291), anxiety (p = .007, ηp²=0.163), fatigue (p = .008, ηp² = 0.160), and the mental component of the SF-12 (p = .002, ηp² = 0.207), while moderate effect sizes were found for pain intensity (p = .027, ηp² = 0.114), and FIQ scores (p = .032, ηp² = 0.108).
Conclusion: These findings suggest that empowerment intervention may be considered an effective component of treatment in female patients with FMS. Future studies should be conducted with larger sample sizes and long-term follow-up.
Background: Recent advancements in the treatment of rheumatological diseases have been significant. However, patients with rheumatoid arthritis (RA) continue to struggle with symptom management. Given the critical role of nursing in providing personalized care, integrating theoretical frameworks can be highly beneficial. These frameworks allow nurses to effectively guide patients' health behaviors and improve their self-management skills.
Aim: The aim of this study was to investigate the effects of nursing counseling based on the Theory of Planned Behavior on pain, fatigue, and functional status in RA patients.
Design: This is a randomized controlled trial.
Method: Between January and July 2022, a randomized controlled trial was conducted at a university hospital's rheumatology outpatient clinic in southern Turkey. The study included 90 RA patients (45 in the intervention group and 45 in the control group). However, 82 patients completed the study. The intervention group received education based on the Theory of Planned Behavior and three months of telephone nursing counseling. The control group received routine follow-up. The study included pre-test, post-test, and three-month follow-up assessments.
Results: After analyzing the data, significant improvements were found in the pain (11.49 ± 6.76) fatigue (19.63 ± 11.39), and functional status (0.82 ± 0.44) of patients in the intervention group (p = .001). Compared to the control group, Theory of planned behavior-based nursing counseling was found to have positive effects on these parameters. Additionally, it was reported that the intervention group patients showed improved adherence to treatment and better overall health status.
Conclusions: Nurse counseling based on the Theory of Planned Behavior has been found effective in improving pain, fatigue, and functional status management, as well as adaptation to the disease in patients with rheumatoid arthritis.
Background: Traditional Chinese medicine (TCM) nursing appropriate techniques are increasingly applied in cancer pain management, yet a comprehensive synthesis of current evidence is lacking.
Aims: To systematically map the distribution and quality of evidence regarding the application of TCM nursing appropriate techniques for cancer pain.
Design: Evidence mapping.
Methods: Seven databases (including PubMed, Web of Science, and CNKI) were searched for RCTs and systematic reviews published within the last five years. Methodological quality was assessed using Cochrane tools and AMSTAR. Evidence maps were utilized for analysis.
Results: Eighty-four studies (76 RCTs, 5 retrospective analyses, 3 SRs) were included. Publication volume showed a downward trend. Twenty-seven techniques were identified, predominantly emotional nursing, acupoint massage, and auricular acupressure. Evidence suggests these techniques, alone or combined with WHO three-step analgesia, effectively reduce pain and improve quality of life. Research focused primarily on lung, gastric, and breast cancers, with limited reporting on TCM-specific indicators (e.g., syndromes).
Conclusion: TCM nursing appropriate techniques demonstrate potential benefits in alleviating cancer pain. However, given the scarcity of high-quality evidence, rigorous, large-scale, multi-center RCTs and standardized systematic reviews are urgently needed.
Relevance to clinical practice: These techniques offer valuable, integrative strategies for cancer pain management and possess significant clinical utility for broader implementation.
No patient or public contribution: This study is an evidence map based on secondary data analysis.
Purpose: This study aimed to evaluate healthcare professionals' beliefs about pain and their attitudes toward patients with chronic pain.
Design: This study was conducted using a descriptive cross-sectional design.
Methods: The sample consisted of 191 healthcare professionals working in various healthcare institutions. Data were collected using the Healthcare Professionals' Attitudes Toward Patients with Chronic Pain Scale and the Pain Beliefs Questionnaire. Descriptive statistics, group comparisons, and correlation analyses were performed.
Results: The mean scores for the sensitivity orientation and misconception subscales of the Attitudes Toward Patients with Chronic Pain Scale were 4.1 ± 0.7 and 3.4 ± 0.8, respectively. Regarding the Pain Beliefs Questionnaire, the mean scores for the organic and psychological beliefs subscales were 4.3 ± 0.9 and 4.8 ± 1.0, respectively. Attitudes toward patients with chronic pain significantly differed according to gender, profession, and clinical department, with nurses and surgical unit staff demonstrating higher sensitivity orientation scores (p < .05). Additionally, a weak negative correlation was found between weekly working hours and organic pain beliefs (r = -0.170, p = .05).
Conclusions: Healthcare professionals' beliefs and attitudes toward chronic pain are influenced by gender, profession, and clinical work area. Variations across professional groups and departments suggest the presence of contextual and educational factors affecting pain perception and patient approach.
Clinical implications: These findings highlight the need to strengthen pain management education programs and promote multidisciplinary approaches in clinical settings to improve attitudes toward patients with chronic pain and ensure more holistic pain management.
Purpose: To investigate the prevalence and determinants of frailty, including pain, in patients with osteoporotic vertebral compression fracture (OVCF) and to elucidate the interrelationships among these factors using a structural equation modeling (SEM) approach.
Design: Cross-sectional correlational study.
Methods: From October 2024 to May 2025, 400 patients with OVCF were recruited from two tertiary hospitals in Zhejiang Province, China. Data were collected through self-administered questionnaires, including the visual analog scale (VAS) for pain, Tampa scale for kinesiophobia (TSK), self-rating scale of sleep (SRSS), and Tilburg Frailty Indicator (TFI). Descriptive statistics and SEM were used to examine relationships among variables.
Results: A total of 368 participants were included. The prevalence of frailty was 68.2%. The SEM demonstrated good model fit (χ²/df = 1.802, RMSEA = 0.047). Pain had both direct effects on frailty (β = 0.321, p < .001) and indirect effects through kinesiophobia and sleep quality (β = 0.359, p < .001), yielding a total effect of 0.679. Kinesiophobia showed direct (β = 0.267, p < .001) and indirect (β = 0.072, p < .001) effects on frailty, with a total effect of 0.338. Poor sleep quality was also directly associated with frailty (β = 0.283, p < .001).
Conclusion: This study demonstrated that the incidence of frailty among patients with OVCF is relatively high and clarified the chain pathway "pain → fear of movement → sleep quality → frailty," highlighting mediating roles that provide a theoretical basis for targeted interventions to reduce frailty risk and promote recovery.
Aim: This study was conducted to evaluate the effect of Transcutaneous Electrical Nerve Stimulation (TENS) on patient outcomes during the first 24 hours following total knee arthroplasty (TKA).
Methods: This randomized controlled trial recruited patients from the Orthopedics and Traumatology Department of a Training and Research Hospital between November 2024 and July 2025, according to the inclusion criteria. Data were collected using a Personal Information Form and the Turkish Version of Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R-TR). For statistical analyses, the descriptive statistics, Student's t, Mann-Whitney U, Kruskal-Wallis, Pearson chi-square, and Fisher's exact tests were used.
Results: A total of 44 patients participated in the study (TENS group n = 22, control group n = 22). The mean age was 69.68 ± 6.49 in the TENS group and 65.36 ± 8.67 in the control group; females comprised 81.28% of the TENS group and 90.9% of the control group. Pain intensity, nausea, vomiting, anxiety, fear, hopelessness levels were significantly lower in the TENS group, while sleep quality and satisfaction with pain treatment were significantly higher, compared to the control group (p < .05). Praying and cold compress were preferred as nonpharmacological analgesia methods in both groups.
Conclusions: These findings indicate that TENS is an effective method for postoperative pain management in patients undergoing TKA, reducing complications and improving patient satisfaction.
Clinical implications: TENS may enhance postoperative pain management in patients with TKA. Nurses may develop protocols to guide clinical practice and support nursing education on the safe and effective use of TENS in postoperative care.
Purpose: This study aimed to evaluate the impact of immersive virtual reality (IVR) interventions on enhancing mobilization in patients undergoing total knee arthroplasty.
Design: A randomized, single-blinded, two-arm, parallel-group controlled trial.
Methods: A randomized controlled trial was conducted on 30 patients who underwent total knee arthroplasty for the first time. Participants were divided into two groups: the intervention and control groups. The primary outcome, mobilization distance, was measured at the first postoperative mobilization using validated scales. Before mobilization, patients in the intervention group experienced a simulated walk through a tranquil forest accompanied by birdsong and meditation music via IVR goggles.
Results: All surgeries were performed by the same surgeon, and postoperative medical care was standardized across both groups. The intervention group demonstrated significantly greater mobilization distances and shorter initial walking times than the control group. Moreover, patients in the intervention group reported reduced postmobilization pain and expressed high satisfaction with the IVR experience.
Conclusions: The findings indicate that patients who experienced IVR intervention exhibited reduced postmobilization pain, increased mobilization distance, and higher satisfaction. This innovative technique has the potential to serve as a practical solution to enhance clinical improvement in various healthcare settings.
Clinical implications: This study demonstrated the effectiveness of IVR-assisted mobilization in enhancing walking distance among patients undergoing knee surgery. The use of IVR presents an innovative and engaging approach to support postoperative mobilization in this patient population. Further research in this area may contribute to the development of more comprehensive and effective IVR interventions.
Background: Nursing home (NH) residents living with dementia experience pain that is often sub-optimally managed. There is a known relationship between NH organizational factors, such as profit status, and quality of care. However, little attention has been paid to understanding the relationship between NH ownership profit status and pain among residents living with dementia.
Aim: To examine the relationship between NH ownership profit status and pain among residents living with dementia.
Design: This cross-sectional secondary data analysis of the Evidence Integration Triangle for Behavioral and Psychological Symptoms of Dementia (EIT-4-BPSD) study included 553 NH residents living with dementia residing in 55 NHs in the United States.
Methods: Descriptive statistics were used to summarize the sample, and generalized linear mixed models were used to examine the relationship between NH ownership profit status and pain, controlling for resident comorbidities, cognition, and NH quality rating.
Results: NH communities were mostly owned by for-profit entities (61.8%, n = 34), and less than one quarter of residents had pain (23.3%, n = 125). NH ownership profit status was not significantly associated with pain (OR = -0.88, 95% CI = -1.86 to 0.10; p = .08).
Conclusions: Given the complexity of assessing and treating pain in this population, there is a need for increased attention to improving pain management. Future studies should examine other NH organizational factors, such as for-profit entity subtype and its relationship with pain among residents living with dementia.
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：