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Effectiveness of a Mindfulness-Based Intervention in the Management of Musculoskeletal Pain in Nursing Workers.

Pain management nursing : official journal of the American Society of Pain Management Nurses
February 1, 2019
Shirlene Aparecida Lopes et al. (5 authors)
Clinical TrialJournal ArticleResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to quantify the effectiveness of an adapted mindfulness program (AMP) in managing musculoskeletal pain (MSP) among nursing technicians with chronic pain.

Results Summary

AMP significantly reduced musculoskeletal symptoms, anxiety, depression, and pain catastrophizing while increasing self-compassion and quality of life perceptions, with effects lasting until the 20th week of follow-up.

Population

64 female nursing technicians (mean age 47.01 years) with chronic pain symptoms at a Brazilian university hospital.

Effective Dosage

Weekly 60-minute AMP sessions.

Duration

8 weeks (intervention), with follow-up at 12 and 20 weeks.

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
adapted mindfulness program (AMP)
decrease
scores of musculoskeletal symptoms
female nursing technicians with chronic pain symptoms
-
reduced
#1
adapted mindfulness program (AMP)
decrease
scores of anxiety
female nursing technicians with chronic pain symptoms
-
reduced
#2
adapted mindfulness program (AMP)
decrease
scores of depression
female nursing technicians with chronic pain symptoms
-
reduced
#3
adapted mindfulness program (AMP)
decrease
scores of pain catastrophizing
female nursing technicians with chronic pain symptoms
-
reduced
#4
adapted mindfulness program (AMP)
increase
self-compassion scores
female nursing technicians with chronic pain symptoms
-
significant increase
#5
adapted mindfulness program (AMP)
increase
perception of quality of life in the physical assessment
female nursing technicians with chronic pain symptoms
-
significant increase
#6
adapted mindfulness program (AMP)
increase
perception of quality of life in the psychological assessment
female nursing technicians with chronic pain symptoms
-
significant increase
#7
adapted mindfulness program (AMP)
increase
perception of quality of life in the overall assessment
female nursing technicians with chronic pain symptoms
-
significant increase
#8
adapted mindfulness program (AMP)
decrease
painful symptoms
nursing workers
-
contributed to a reduction
#9
adapted mindfulness program (AMP)
increase
quality of life
nursing workers
-
improved
#10
Abstract

BACKGROUND: Chronic pain is a prevalent disorder in nursing workers worldwide. Several studies have proposed measures to mitigate this critical scenario. Mindfulness-based interventions (MBI) have been found to have promising results in the treatment of this disorder. AIMS: To quantify the effectiveness of an adapted mindfulness program (AMP) in the management of musculoskeletal pain (MSP) in nursing technicians of a Brazilian university hospital. DESIGN: This study was a clinical, prospective, open, repeated measures trial, with data collection between January and July 2015. SETTINGS: Brazilian university hospital. PARTICIPANTS/SUBJECTS: Sixty-four female nursing technicians with a mean age of 47.01 years (standard deviation = 9.50) with chronic pain symptoms. METHODS: Sixty-four female nursing technicians with a mean age of 47.01 years (standard deviation = 9.50) and MSP participated in this prospective study. Before the intervention (T0), scores of anxiety, depression, mindfulness, musculoskeletal complaints, pain catastrophizing, self-compassion, and perception of quality of life were quantified. These scores were reevaluated after 8 weeks (T1) and 12 weeks (T2) of weekly AMP sessions (60 minutes each). The variables were evaluated by analysis of variance for repeated measures, followed by the Bonferroni test. RESULTS: AMP reduced the scores of musculoskeletal symptoms, anxiety, depression, and pain catastrophizing (p < .001). A significant increase was identified in self-compassion scores and perception of quality of life in the physical, psychological, and overall assessment (p ≤ .04). Positive effects of AMP occurred at T1 and remained unchanged at T2. CONCLUSION: AMP contributed to a reduction in painful symptoms and improved the quality of life of nursing workers, with a lasting effect until the 20th week of follow-up, indicating utility as an effective strategy for the management of MSP in the group studied.

Medical Subject Headings (MeSH)
AdultAgedBrazilChronic PainFemaleHumansMaleMiddle AgedMindfulnessMusculoskeletal PainNursesQuality of LifeSurveys and QuestionnairesTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations16
Citations/Year2.7
Relative Citation Ratio1.58
NIH Percentile67%
Research Impact Scores
APT Score0.25
Weight Score2.15
Normalized Score0.69
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