Effectiveness of health education in patients with fibromyalgia: A systematic review


Por: García-Ríos M.C., Navarro-Ledesma S., Tapia-Haro R.M., Toledano-Moreno S., Casas-Barragán A., Correa-Rodríguez M., Aguilar-Ferrándiz M.E.

Publicada: 1 ene 2019
Resumen:
INTRODUCTION Fibromyalgia (FM) is a chronic illness characterized by the presence of generalised musculoskeletal pain among other symptoms, which reduce the quality of life of the patient. Clinical interventions such as patient education on central pain management could lead to promising results. The aim of this study is to evaluate the effectiveness of education techniques on the main symptoms such as pain, quality of life, anxiety, functionality or catastrophization in the treatment of FM. EVIDENCE ACQUISITION The bibliographic search was carried out on PubMed, Web of Science, Scopus, CINAHL, EMBASE, Medline, ProQuest, Cochrane Plus and PEDro databases. The quality assessment of the selected studies was carried out by means of the PEDro scale, obtaining external and internal validity scores to evaluate the generalizability and the appropriateness of design, conduction, and reporting. EVIDENCE SYNTHESIS The electronic search produced 2,050 articles up to February 2018. After applying the inclusion criteria, 12 articles were identified, without the presence of any RCT of high methodological quality (PEDro=8; Internal Validity Score [PVI] =4). Despite the heterogeneity of the interventions, a significant reduction in the perception of the disease, the catastrophization, pain intensity and anxiety was observed. CONCLUSIONS Patient education is considered to be the first step in self-management for a patient with FM, but the scientific evidence that supports the effectiveness of education in the reduction of the main symptoms is limited. Future research designed on more solid and homogeneous interventions is required. © 2019 EDIZIONI MINERVA MEDICA

Filiaciones:
García-Ríos M.C.:
 Department of Physical Therapy, Instituto de Investigación Biosanitaria Granada (IBIS.Granada), University of Granada (UGR), Granada, Spain

Navarro-Ledesma S.:
 Department of Physical Therapy, University of Granada (UGR), Granada, Spain

Tapia-Haro R.M.:
 Faculty of Health Science, University of Granada (UGR), Granada, Spain

Toledano-Moreno S.:
 Faculty of Health Science, University of Granada (UGR), Granada, Spain

 Biomedicina Program of the University of Granada, Department of Physical Therapy, Faculty of Health Science, University of Granada (UGR), Granada, Spain

Casas-Barragán A.:
 Department of Physical Therapy, University of Granada (UGR), Granada, Spain

Correa-Rodríguez M.:
 Department of Nursing, Instituto de Investigación Biosanitaria Granada (IBIS.Granada), Faculty of Health Sciences, University of Granada (UGR), Granada, Spain

Aguilar-Ferrándiz M.E.:
 Department of Physical Therapy, Instituto de Investigación Biosanitaria Granada (IBIS.Granada), University of Granada (UGR), Granada, Spain
ISSN: 19739087
Editorial
Edizioni Minerva Medica, Italia
Tipo de documento: Review
Volumen: 55 Número: 2
Páginas: 301-313
WOS Id: 000467458000020
ID de PubMed: 30698402

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