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Volume 17, Issue 2 (2025)
Iran J War Public Health 2025, 17(2): 1001-1008 |
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Received: 2025/02/13 | Accepted: 2025/06/12 | Published: 2025/04/21
Received: 2025/02/13 | Accepted: 2025/06/12 | Published: 2025/04/21
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Faris H, Khanjary M, Badr S, Hussein B, Khanjary Mo. Effect of Nurse-led Pain Management on Quality of Life Mediated by Sleep Quality in Patients with Chronic Musculoskeletal Disorders. Iran J War Public Health 2025; 17 (2) :1001-1008
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1- Department of Laboratory and Clinical Sciences, Faculty of Pharmacy, Jabir Ibn Hayyan University for Medical and Pharmaceutical Sciences, Najaf, Iraq , haitham.i.faris@jmu.edu.iq
2- Department of Nursing, Faculty of Nursing, Al-Ameed University, Karbala, Iraq
3- Department of Pediatric Nursing, Faculty of Nursing, Al-Ameed University, Karbala, Iraq
4- Department of Adult Nursing, Altoosi University College, Najaf, Iraq
5- College of Nursing, Al-ameed University, Iraq
2- Department of Nursing, Faculty of Nursing, Al-Ameed University, Karbala, Iraq
3- Department of Pediatric Nursing, Faculty of Nursing, Al-Ameed University, Karbala, Iraq
4- Department of Adult Nursing, Altoosi University College, Najaf, Iraq
5- College of Nursing, Al-ameed University, Iraq
Abstract (10 Views)
Background: Chronic musculoskeletal disorders (CMSDs) often negatively impact quality of life, with pain and sleep disturbances being major contributors. Nurses play a pivotal role in implementing pain management strategies, which may indirectly influence quality of life through sleep quality. This study aimed to investigate the effect of pain management strategies followed by nurses on the quality of life in adults with chronic musculoskeletal disorders, with sleep quality as an intermediary variable.
Methods: A cross-sectional study was conducted on 280 adults attending the outpatient rehabilitation clinic of a university hospital in Najaf city. Participants were selected based on eligibility criteria and were surveyed using four validated instruments: the Pain Management Inventory–Nurse Version (PMI-N), the Pittsburgh Sleep Quality Index (PSQI), the WHOQOL-BREF, and a sociodemographic questionnaire. Data were analyzed using descriptive statistics, Pearson correlation coefficient, and mediation analysis (PROCESS macro, Model 4).
Results: Pain management strategies were positively associated with quality of life (r = 0.53, p < 0.01) and negatively associated with poor sleep quality (r = -0.46, p < 0.01). Sleep quality was also negatively related to quality of life (r = -0.58, p < 0.01). Mediation analysis confirmed that sleep quality partially mediated the relationship between pain management and QoL (indirect effect β = 0.23, 95% CI: 0.14-0.34).
Conclusion: Effective nurse-led pain management improves quality of life in patients with chronic sleep disorders, in part due to improved sleep quality. Training programs should focus on integrated pain strategies that address both pain and sleep disorders.
Methods: A cross-sectional study was conducted on 280 adults attending the outpatient rehabilitation clinic of a university hospital in Najaf city. Participants were selected based on eligibility criteria and were surveyed using four validated instruments: the Pain Management Inventory–Nurse Version (PMI-N), the Pittsburgh Sleep Quality Index (PSQI), the WHOQOL-BREF, and a sociodemographic questionnaire. Data were analyzed using descriptive statistics, Pearson correlation coefficient, and mediation analysis (PROCESS macro, Model 4).
Results: Pain management strategies were positively associated with quality of life (r = 0.53, p < 0.01) and negatively associated with poor sleep quality (r = -0.46, p < 0.01). Sleep quality was also negatively related to quality of life (r = -0.58, p < 0.01). Mediation analysis confirmed that sleep quality partially mediated the relationship between pain management and QoL (indirect effect β = 0.23, 95% CI: 0.14-0.34).
Conclusion: Effective nurse-led pain management improves quality of life in patients with chronic sleep disorders, in part due to improved sleep quality. Training programs should focus on integrated pain strategies that address both pain and sleep disorders.
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