title: [Self-efficacy and self management of healthy habits in fibromyalgia].
abstract: Fibromyalgia is a disorder characterized by general chronic pain, together with other symptoms such as fatigue, sleep disorders, anxiety and depression.
  
  
  OBJECTIVE
  To analyze, in FM patients, the effects of a multi-component intervention program (nursing+cognitive-behavioural therapy, focused on improving resting habits, physical exercise, and family relationships, working simultaneously on empowerment and patient self-efficacy.
  
  
  METHODS
  A quasi-experimental design was used following-up 5 women diagnosed with fibromyalgia. An analysis was performed on their daily habits, self-efficacy for chronic pain, pain perception, functional limitation, and affect. The intervention was composed by 8 group sessions: Six of them aimed at health education and self-management of healthy habits (nursing), and two sessions dedicated to increasing self-efficacy (cognitive-behavioural therapy). Follow-up consisted of five individual sessions (nursing) so as to consolidate the newly acquired habits, maintain self-management and self-efficacy based on observing compliance.
  
  
  RESULTS
  Statistically significant improvements were observed (pre-, pos-) in habit modification and in self-efficacy, as well as for positive and negative affect. Also, statistically significant differences were found pre-follow up for functional limitation.
  
  
  CONCLUSIONS
  The role of nursing has to be considered within multi-component programs, in particular during follow-up, for changing habits and for self-efficacy, in response to some of the current limitations of interventions with these patients.
authors.affiliation: Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid España. Electronic address: mariaperezvelasco@gmail.com.
authors.forename: María
authors.initials: M
authors.lastname: Pérez-Velasco
authors.affiliation: Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid España.
authors.forename: Cecilia
authors.initials: C
authors.lastname: Peñacoba-Puente
mesh_terms: D005260:Female; D005356:Fibromyalgia / Q000523:psychology* / Q000628:therapy*; D006184:Habits; D015438:Health Behavior; D006801:Humans; D008875:Middle Aged; D012648:Self Care; D020377:Self Efficacy
keywords: Autoeficacia; Educación para la salud; Enfermería; Fibromialgia; Fibromyalgia; Health education; Nursing; Self-efficacy