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Nursing Education 2018 Journal of Nursing and Health Studies
ISSN: 2574-2825 Page 50
April 23-25, 2018
Rome, Italy
27th Edition of World Congress on
Nursing Education &
Research
Statement of the Problem: There is evidence that participation
in self-management programs is beneficial for patients
with musculoskeletal disorders and a large number of trials
have been performed; however, the conclusions are not
consistent with each other. The purpose of this review study
was to evaluate the impact of self-management interventions
in improving health outcomes/statues for patients with
musculoskeletal disorders.
Methodology & Theoretical Orientation: In this review study
PubMed, CINAHL, and EMBASE were searched for intervention
studies published between 2000 and 2015 with the following
Mesh terms: pain, disability, fatigue, quality of life, depression,
distress, health outcome, health statues, rheumatoid arthritis,
fibromyalgia, arthritis, neck/back pain and self-management or
self-care. We included randomized controlled trials (RCTs) of
self-management interventions that enrolled patients 18 years
of age or older who were diagnosed with musculoskeletal
disorders. Articles were limited to journals published in
English-language. Abstracts were identified against inclusion
criteria and appraised independently by two reviewers, using a
critical appraisal tool.
Findings: In this review, 21 studies which met the review criteria
were fully retrieved and appraised. Fourteen of 21 studies
with 6581 patients measured health outcomes. Outcomes
were grouped into clinical improvement, and improved health
status. Six out of 10 studies that measured pain intensity,
disability and fatigue reported significant reduction among
those receiving self-management programs. In 5 RCTs, there
were significant improvement in health distress, depression,
activity limitation, global health, and self-efficacy with long
term benefits for depression and quality of life subscales (to
12 months follow up). The findings of two study showed that
self-management programs have small to moderate effects
in improving pain and disability at the long-term level (16-18
weeks), but the medium-term (8 weeks) effect for disability is
not significant. Finally in one study, no significant reduction in
pain was recorded.
Conclusion & Significance: Our findings suggest that self-
management programs had a positive effect in reducing pain,
fatigue and in improving health outcomes/ statues.
Biography
Amir Hossein Hossein Pour is an Undergraduate Nursing Student. He works
as a Researcher at the School of Nursing and Midwifery of Lorestan Univer-
sity of Medical Sciences (Iran). He has research experience in cardiac and
chronic care.
Effects of self-management program on health outcomes/
statues in patients with musculoskeletal disorders
Amir Hossein Hossein Pour
Lorestan University of Medical Sciences, Iran
Amir Hossein Hossein Pour, J Nurs Health Stud 2018, Volume 3
DOI: 10.21767/2574-2825-C1-002