Effect of Community-Based Nursing Interventions on Quality of Life in Pregnant Women With Fibromyalgia: A Randomized Controlled Trial

Despite increased awareness of the challenges that fibromyalgia presents during pregnancy, evidence-based guidelines for optimal management remain limited, and the use of medications is often restricted due to concerns about fetal safety .Consequently, there is a growing emphasis on non-pharmacological and holistic approaches particularly those delivered by nurses in community settings for their potential to alleviate symptoms and enhance the quality of life for pregnant women with fibromyalgia .

Community-based nursing approaches offer an effective structure for individualized care, focusing on educating pregnant women about managing their symptoms, lowering stress, and making lifestyle adjustments suited to pregnancy . Customized support throughout pregnancy can help control symptoms, lessen anxiety, and contribute to better health outcomes for women with fibromyalgia Also, It offered within the community centering on patient education, strategies for self-management, physical activity and emotional support are designed to be accessible, cost-effective, and responsive to the particular needs of pregnant women . When such interventions are multidisciplinary, incorporating elements like exercise, pain education, nutrition, peer encouragement, and cognitive-behavioral techniques, they have shown to improve patients' satisfaction with care, boost daily functioning, enhance psychological health, and promote healthier coping mechanisms for chronic illnesses like fibromyalgia .

Quality of life (QoL) refers to a broad concept involving physical health, mental wellbeing, and social functioning. For pregnant women with chronic conditions such as fibromyalgia, persistent pain, exhaustion, and psychological stress can greatly diminish QoL. One of the main objectives of nursing interventions is to improve QoL by not just reducing symptoms, but also promoting better daily functioning and emotional strength. Regular assessment of QoL helps nurses tailor care strategies that adapt to the patient's ongoing feedback and changing circumstances.

Nursing professionals play a crucial role in delivering community-based interventions that enhance the quality of life for pregnant women affected by fibromyalgia. Community-based nursing care offers patient-focused, easily accessible strategies customized to meet the specific needs of individuals. This care model integrates health education, promotes self-management skills, encourages physical activity, and provides psychosocial support to enhance overall health outcomes. Nurses facilitate crucial components in managing the specific challenges faced by pregnant women with fibromyalgia through the incorporation of exercise regimens, dietary guidance, and cognitive-behavioral therapy. These nurse-led multidisciplinary interventions have been shown to significantly enhance patients' physical functioning, mood stability, and their overall satisfaction with the care received. By targeting both physical symptoms and psychological well-being, these comprehensive approaches contribute to better health outcomes and improve the overall care experience for this population.

Nursing interventions also promote peer support and active patient involvement, assisting individuals in developing healthier beliefs about pain and strengthening their coping skills. Research shows that community-based care models not only improve daily functioning and mental health but also boost patient satisfaction by addressing the physical, emotional, and social aspects that collectively affect quality of life . Thus , Community-based nursing interventions offer an all-encompassing framework that supports the overall well-being of pregnant women with fibromyalgia. These interventions are integral to multidisciplinary and holistic care models .