Interdisciplinary treatment of patients with fibromyalgia: improvement of their health-related quality of life.

Autor: Martín J; Research Unit, Galdakao-Usansolo Hospital, Galdakao, Bizkaia, Spain., Torre F, Padierna A, Aguirre U, González N, Matellanes B, Quintana JM
Jazyk: angličtina
Zdroj: Pain practice : the official journal of World Institute of Pain [Pain Pract] 2014 Nov; Vol. 14 (8), pp. 721-31. Date of Electronic Publication: 2013 Nov 27.
DOI: 10.1111/papr.12134
Abstrakt: Objective: To assess whether an interdisciplinary intervention is more effective than usual care for improving the health-related quality of life (HRQoL) among patients with fibromyalgia (FM), and to identify variables that were predictors of improvement in HRQoL.
Methods: In a randomized controlled clinical trial carried out on an outpatient basis in a hospital pain management unit, 153 patients with FM were randomly allocated to an experimental group (EG) or a control group (CG). Participants completed the Fibromyalgia Impact Questionnaire (FIQ) at baseline and 6 months after the intervention. The EG received an interdisciplinary treatment (12 sessions for 6 weeks) which consisted of coordinated psychological, medical, educational, and physiotherapeutic interventions while the CG received standard-of-care pharmacologic treatment. Descriptive statistics, ANOVA, Chi square and Fisher tests and generalized linear models were used for data analysis.
Results: Six months after the intervention, statistically significant improvements in HRQoL were observed in physical functioning (P = 0.01), pain (P = 0.03) and total FIQ score (P = 0.04) in the EG compared to the CG. The number of physical illnesses was identified as a predictor for improvement.
Conclusions: This interdisciplinary intervention has shown effectiveness in improving the HRQoL of this sample of patients with FM. The number of physical illnesses was identified as a predictor of that improvement.
(© 2013 World Institute of Pain.)
Databáze: MEDLINE
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