Pain Management Nursing最新文献

{"title":"Development and Effects of an Online Pain Self-management Program for Knee Osteoarthritis.","authors":"Eun Kyung Kim, Heeok Park","doi":"10.1016/j.pmn.2026.06.007","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.06.007","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to develop an online pain self-management program (OPaSeMP) and evaluate its effects on home-dwelling patients with knee osteoarthritis.</p><p><strong>Design: </strong>This study was designed with a non-equivalent control group pretest-posttest.</p><p><strong>Methods: </strong>The program was implemented from October 21, 2024, to December 2, 2024. Participants from two senior welfare centers in D city participated in this study. Data were analyzed using SPSS/WIN 27.0. Hypotheses were tested using the independent t-test, Wilcoxon signed-rank test, and Mann-Whitney U test. OPaSeMP was implemented over a 6-week period for the experimental group, with weekly themes tailored to pain management. Based on Bandura's social cognitive theory (1986), the OPaSeMP incorporates personal, behavioral, and environmental factors.</p><p><strong>Results: </strong>There were significant differences in the severity of knee pain within a week (U = 101.50, p = .004), Knee Injury Osteoarthritis Outcome Score: symptoms (t = 2.35, p = .024), pain (t = 2.31, p = .026), function in daily living (U = 61.50, p < .001), function in sport and recreation (U = 307.00, p = .003), lower extremity muscle strength (t = 2.19, p = .035), and quality of life (t = 2.72, p = .010) between the two groups.</p><p><strong>Conclusions: </strong>Based on these findings, the OPaSeMP was validated as an effective intervention for pain management in patients with knee osteoarthritis.</p><p><strong>Clinical implication: </strong>Future replication studies should be conducted to standardize the OPaSeMP and facilitate its implementation in various clinical settings.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148397227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I Didn't Know What to Expect\": Hmong American Women's Childbirth Pain Experiences.","authors":"Maichou Lor, Shoua Xiong, Zhiyuan Yu","doi":"10.1016/j.pmn.2026.06.006","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.06.006","url":null,"abstract":"<p><strong>Purpose: </strong>Despite recognized disparities in childbirth pain, Hmong Americans remain underrepresented in research. This gap is particularly important given the Hmong community's distinct cultural beliefs, historical experiences, and potential barriers to culturally responsive care, all of which may shape pain perception, communication, and management during labor. This study examined Hmong American women's childbirth pain experiences.</p><p><strong>Design: </strong>This study used a descriptive qualitative design.</p><p><strong>Methods: </strong>Participants were recruited through purposive sampling using social media and word of mouth. Semi-structured interviews were conducted, audio-recorded, transcribed, and analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Twenty-five participants participated in this study. Participants reported three themes related to their childbirth pain: (1) anticipating childbirth pain, (2) experiencing childbirth pain, and (3) managing childbirth pain. Specifically, participants reported limited anticipatory preparation and few pain management strategies. Cultural expectations and family influence decisions about pain management. During labor, some participants ultimately elected to use epidural analgesia when pain became severe or when clinical concerns arose, reporting varied experiences with pain relief, while others remained committed to nonpharmacologic approaches.</p><p><strong>Conclusions: </strong>Hmong American women's childbirth pain experiences are shaped by uncertainty, strong cultural preferences and family influence for unmedicated birth, and limited formal preparation for pain management.</p><p><strong>Clinical implications: </strong>Culturally responsive, evidence-based prenatal education is needed to enhance anticipatory guidance and informed decision-making regarding childbirth pain management. Nurses should provide balanced counseling about pharmacologic and nonpharmacologic options, proactively address culturally related concerns about medicated childbirth, and engage family members in early discussions to support culturally responsive, patient-centered care.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Reiki on Pain Severity and Quality of Life in Hemodialysis Patients.","authors":"Sultan Çeçen, Sultan Taşcı, Murat Doğan","doi":"10.1016/j.pmn.2026.06.004","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.06.004","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine the effects of Reiki on pain severity and quality of life in individuals receiving hemodialysis (HD) treatment.</p><p><strong>Design: </strong>This study used a mixed-methods design, including a randomized, sham-controlled trial with participant and outcome assessor blinding and individual in-depth interviews.</p><p><strong>Methods: </strong>A mixed-method design was used, including a randomized controlled trial with participant and outcome assessor blinding and individual in-depth interviews. Patients in the Reiki group received Reiki therapy three times per week for 4 weeks, for 30 minutes per session. The comparison group received sham Reiki administered by practitioners without Reiki training following the same schedule. Pain severity, quality of life, and psychological reactions were assessed using the Patient Information Form, Visual Analog Scale (VAS-Pain), Kidney Disease Quality of Life Short Form (KDQOL™-36), and the List of Psychodynamic Reactions Experienced During Reiki/Sham Reiki Application. Patient experiences were also explored through semi-structured interviews.</p><p><strong>Results: </strong>The study included 80 participants. Pain scores decreased significantly more in the Reiki group compared to the control group (p < .001). Although quality of life scores did not differ significantly between groups, mental health and symptom-related improvements were observed in the Reiki group.</p><p><strong>Conclusions: </strong>Reiki therapy reduced pain and had a positive impact on mental well-being and daily functioning in patients undergoing HD. These findings suggest that Reiki may be a helpful supportive approach in managing pain and improving the quality of life in this population.</p><p><strong>Clinical implications: </strong>Reiki may be considered a safe, feasible, and non-pharmacological supportive nursing intervention for pain management in patients receiving HD.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148376670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Activation, Disease Burden, and Quality of Life in Women With Fibromyalgia.","authors":"Rachel Shvartsur, Mirel Spektorman, Dafna Grossberg, Irene Rudyk, Racheli Magnezi","doi":"10.1016/j.pmn.2026.05.026","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.026","url":null,"abstract":"<p><strong>Background: </strong>Patient activation (understood as the individual's knowledge, skills, and confidence in managing their health) is increasingly recognized in chronic illness care. However, to date, its role in fibromyalgia has not been systematically examined using validated quantitative measures.</p><p><strong>Aim: </strong>To examine the associations between patient activation, perceived disease burden, and health-related quality of life (HRQoL) in women with fibromyalgia.</p><p><strong>Methods: </strong>A cross-sectional study among 123 Israeli women with self-reported fibromyalgia. Participants completed the Patient Activation Measure (PAM-13), the Revised Fibromyalgia Impact Questionnaire (FIQR), and the Short Form-12 (SF-12), yielding physical (PCS-12) and mental (MCS-12) HRQoL scores. Associations were examined using Pearson correlations and multivariate linear regression analyses, adjusting for sociodemographic factors. Bootstrap mediation analysis (10,000 samples) assessed whether FIQR statistically accounted for the association between PAM and MCS-12.</p><p><strong>Results: </strong>Higher PAM scores were significantly associated with lower FIQR and higher MCS-12 scores, but not with PCS-12 (p < .001). In multivariable analyses, PAM remained independently associated with both FIQR (β = -0.29, p = .005) and MCS-12 (β = 0.17, p = .001). Mediation analysis indicated that FIQR partially accounted for the association between PAM and MCS-12 (indirect effect = 0.078, 95% CI [0.016, 0.150]), while the direct effect remained statistically significant.</p><p><strong>Conclusions: </strong>Higher patient activation in women with fibromyalgia was associated with lower perceived disease burden and better mental HRQoL, but not with physical HRQoL. Perceived disease burden may partially account for the association between PAM and MCS-12.</p><p><strong>Implications: </strong>These findings suggest the potential value of activation-informed interventions in improving mental well-being in fibromyalgia patients.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148318659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal Practices for Managing Infants' Pain at Home in Brazil.","authors":"Amanda Aidar Consani, Paulo de Melo Guimarães, Isadora Trinquinato Rosa, Ana Paula Scoleze Ferrer, Lisabelle Mariano Rossato, Danton Matheus de Souza","doi":"10.1016/j.pmn.2026.05.022","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.022","url":null,"abstract":"<p><strong>Background: </strong>Pain in infants is a frequent phenomenon, mainly experienced at home, highlighting the need to examine family practices used to assess and relieve this symptom.</p><p><strong>Objective: </strong>To evaluate the practices of mothers regarding the assessment, intervention, and reassessment of pain in infants at home, as well as the associated factors.</p><p><strong>Method: </strong>A prospective cross-sectional study conducted online with 385 mothers of Brazilian infants in their first year of life who had previously experienced their infant's pain at home. Data collection occurred between March and July 2024 using a snowball sampling strategy. Mothers completed an online questionnaire including maternal and infants' characteristics, pain characteristics, and practices related to pain assessment, intervention, and reassessment. Data were analyzed using descriptive and inferential statistics.</p><p><strong>Results: </strong>Mothers reported using, on average, three parameters to assess their infant's pain, with crying being the most prevalent indicator. An average of six nonpharmacological interventions were used, with holding the infant, breastfeeding, and massage being the most common. Pharmacological interventions were also prevalent, particularly paracetamol, and most medications were prescribed by health professionals. Pain reassessment was frequent, although it commonly occurred within 15 minutes. Pain assessment was associated with maternal age, maternal education, seeking health services, and region of Brazil. Nonpharmacological interventions were associated with maternal age, maternal education, and infant age. Pharmacological interventions were associated with infant age and pain frequency.</p><p><strong>Conclusion: </strong>Maternal practices for pain management in infants at home involve multiple assessment parameters and interventions, influenced by maternal and infant characteristics.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148331908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' Attitudes and Beliefs About Opioid Use in Pain Management: A Scoping Review.","authors":"Sevda Suçeken, Seçil Taylan, Fatma Eti Aslan","doi":"10.1016/j.pmn.2026.05.024","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.024","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to present nurses' attitudes and beliefs regarding opioid analgesic use and the barriers encountered in clinical practice within a systematic framework consistent with the existing literature.</p><p><strong>Design: </strong>This study is a scoping review.</p><p><strong>Data sources: </strong>A comprehensive literature search was conducted in PubMed/MEDLINE, Cochrane Library, Web of Science, Scopus, EBSCO, Springer Nature, and Google Scholar between September 22 and September 26, 2025.</p><p><strong>Review/analysis methods: </strong>Following independent title/abstract and full-text screening by two reviewers, data were charted using a standardized data extraction form. Extracted data included study design, sample characteristics, clinical context, the focus of opioid-related attitudes and practices, key findings, and authors' recommendations. Findings were synthesized using a descriptive and thematic approach to identify recurring patterns, contextual differences, and gaps in the literature.</p><p><strong>Results: </strong>This scoping review shows that nurses' attitudes and practices regarding opioid analgesic use in pain management are influenced by multidimensional factors beyond individual knowledge and beliefs, including interprofessional interactions, institutional practices, regulatory frameworks, and sociocultural contexts. The use of evidence-based guidelines and structured pain assessment tools is associated with more positive clinical approaches, whereas fear of addiction, punitive organizational culture, role ambiguity, and institutional constraints represent major barriers to effective opioid use.</p><p><strong>Conclusions: </strong>The findings inform clinical practice and indicate that future research should focus on intervention-based approaches addressing individual, organizational, and system-level factors. Evidence-based strategies developed within this framework may support sustainable pain management and enhance patient safety.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SCD Medications Use and Pain Events Among SCD Patients in a Nigerian Hospital.","authors":"Ogochukwu Izuegbuna, Israel Kolawole, Musa Sani, Olawale Olakulehin","doi":"10.1016/j.pmn.2026.05.028","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.028","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the relationship between analgesic use/ disease-modifying medications and the frequency of painful crises among sickle cell disease (SCD) patients in Nigeria.</p><p><strong>Methods: </strong>A single-center, cross-sectional study was conducted among 85 SCD patients at a teaching hospital in Nigeria. Socio-demographic data, clinical parameters and the use of pain medications were obtained using a structured questionnaire through an interview process and case file review.</p><p><strong>Results: </strong>The mean age of the subjects was 28.8 ± 10.9 years. About 57.6% of the subjects were on hydroxyurea. None of the subjects were on crinzalizumab and l-glutamine. About 36.5% have more than three painful crises in a year. There was significant association between hydroxyurea (p = .005), ciklavit (p < .001), weak opiates [tramadol/codeine] (p = .027), and pentazocine (p = .019) utilization and painful crises. Among the signs and symptoms of neuropathic pain, neuralgic pain (p = .009), tingling (0.034), and hyperesthesia (0.013) were also all significantly associated with painful crises. In the multivariate analysis, hydroxyurea (OR; 3.98), ciklavit (OR; 6.29), pentazocine (3.57) use, evidence of neuralgic pain (OR; 3.35), tingling (OR; 2.64) and hyperesthesia (OR; 10.19) were associated with painful crisis.</p><p><strong>Conclusion: </strong>While the use of hydroxyurea is relatively acceptable, the non-use of newer therapies like l-glutamine represents low accessibility for sickle cell disease patients. Neuropathic pain can be associated with a painful crisis and should be managed too during a crisis. With Ciklavit, newer pain medications should be explored.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Virtual Reality Interventions on Pain and Anxiety in Burn Care.","authors":"Martin Zielina, Daniel Dostál, Jaroslava Raudenská, Jan Šmahaj, Robert Zajíček, Daniel Doležal, Alena Javůrková","doi":"10.1016/j.pmn.2026.05.029","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.029","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the effects of high-immersion versus low-immersion virtual reality (VR) on pain, anxiety, and sense of presence during burn dressing changes in adult patients.</p><p><strong>Design: </strong>A quasi-experimental, non-randomized crossover study.</p><p><strong>Methods: </strong>The study was conducted in an inpatient burn center between September 2021 and August 2023. Adult patients undergoing routine nurse-led burn dressing changes experienced both high-immersion and low-immersion VR during two consecutive sessions, alongside standard care without VR. Pain intensity, anxiety, and sense of presence were assessed using validated self-report measures. Linear mixed-effects models were applied to analyze differences across conditions while accounting for repeated measurements and session-related factors.</p><p><strong>Results: </strong>Sixty-seven patients completed both VR conditions. Use of VR during dressing changes was associated with significantly lower pain and anxiety compared with standard care. No statistically significant differences were found between high- and low-immersion VR for pain or anxiety outcomes. High-immersion VR, however, resulted in significantly higher levels of perceived presence.</p><p><strong>Conclusions: </strong>Virtual reality is an effective nonpharmacological adjunct for reducing pain and anxiety during burn dressing changes. In this clinical context, increased immersion enhanced subjective presence but did not produce additional analgesic or anxiolytic benefits.</p><p><strong>Clinical implications: </strong>Burn dressing changes are predominantly nurse-led procedures, placing nurses in a central role in procedural pain and anxiety management. These findings suggest that VR interventions, including low-immersion systems, can be feasibly implemented by nursing staff as part of routine care, indicating clinically relevant reductions in pain and anxiety without substantially increasing technical or workflow demands.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Pain Care Quality After Abdominal Surgery: Fear and Postoperative Pain.","authors":"Şeyma Yurtseven, Sevgi Deniz Doğan, Uğur Topal","doi":"10.1016/j.pmn.2026.05.023","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.023","url":null,"abstract":"<p><strong>Background: </strong>Postoperative pain management is a core indicator of care quality after abdominal surgery and is influenced by both clinical and psychological factors.</p><p><strong>Purpose: </strong>This study aimed to identify determinants of postoperative pain care quality in patients undergoing abdominal surgery and to examine the effects of preoperative fear of pain and postoperative pain intensity on perceived pain care quality.</p><p><strong>Design: </strong>This single-center descriptive and correlational study included 102 patients undergoing laparoscopic abdominal surgery.</p><p><strong>Settings: </strong>A university hospital located in the south of Turkey.</p><p><strong>Methods: </strong>Data were collected using a Patient Information Form, the Strategic and Clinical Quality Indicators in Postoperative Pain Management questionnaire, the Fear of Pain Questionnaire-III, and the Visual Analog Scale. Descriptive statistics, correlation analyses, and multiple linear regression were performed with a significance level of 0.05.</p><p><strong>Results: </strong>The mean pain care quality (strategic and clinical quality indicators in postoperative pain management questionnaire) score of the patients was 58.74 ± 8.31. The findings indicated that as preoperative fear of pain and postoperative pain intensity increased, patients' perceived quality of pain care decreased significantly. Examination of the determinants of pain care quality showed that ASA score, postoperative pain intensity, and fear of pain together accounted for approximately 21% of the variance in perceived pain care quality and were identified as significant predictors.</p><p><strong>Conclusions: </strong>In this study, the perceived level of postoperative pain management quality was found to be moderate, and preoperative fear of pain, postoperative pain intensity, and ASA score were identified as significant predictors of perceived pain care quality.</p><p><strong>Clinical implications: </strong>Assessing pain-related fear and optimizing postoperative pain control may improve nursing pain management quality.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a Self-Management Program for Temporomandibular Myalgia in Patients With Fibromyalgia: A Single-Arm Study.","authors":"José Edgar Ferrández-Gómez, Aitor Baño-Alcaraz, Mariano Gacto-Sanchez","doi":"10.1016/j.pmn.2026.05.021","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.021","url":null,"abstract":"<p><strong>Purpose: </strong>Myogenic temporomandibular disorder frequently co-occurs with fibromyalgia and is associated with pain, disability, and maladaptive pain cognitions. This study evaluated the short- and long-term effects of an online Pain Neuroscience Education-informed self-management program in individuals with fibromyalgia and myogenic temporomandibular disorder.</p><p><strong>Design: </strong>Prospective single-arm clinical study.</p><p><strong>Methods: </strong>Adults with fibromyalgia and myogenic temporomandibular disorder participated in a therapist-led online group self-management program consisting of three sessions integrating Pain Neuroscience Education, temporomandibular exercises, self-care strategies, and mindfulness. Assessments were conducted at baseline, post-treatment (4 weeks), and 12-month follow-up. Pain intensity at rest and during maximum mouth opening were predefined as primary outcomes. Secondary outcomes included pain-related cognitions, pain neurophysiology knowledge, psychological symptoms, central sensitization, jaw function, oral health-related quality of life, and oral habits. Changes over time were analysed using repeated-measures analysis of variance.</p><p><strong>Results: </strong>A total of 107 participants were enrolled. Significant and sustained reductions were observed in temporomandibular pain during maximum mouth opening, whereas pain at rest did not change significantly. Significant, large, and sustained improvements were found in kinesiophobia, pain catastrophizing, and pain neurophysiology knowledge. Moderate short-term reductions were observed in anxiety, depression, and insomnia, but these were not maintained at 12 months. No significant changes were found in central sensitization, jaw functional limitation, oral health-related quality of life, or oral habits.</p><p><strong>Conclusions: </strong>A brief online Pain Neuroscience Education-informed self-management program was associated with durable improvements in movement-evoked temporomandibular pain and pain-related cognitions in individuals with fibromyalgia and myogenic temporomandibular disorder.</p><p><strong>Clinical implications: </strong>A brief online self-management program incorporating Pain Neuroscience Education appears feasible for this population and may contribute to improvements in movement-evoked pain and pain-related cognitions. Controlled studies are needed to determine its clinical effectiveness.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148278343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}