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We aimed to develop a metasynthesis of qualitative studies to assess how people diagnosed with fibromyalgia experience and manage poor sleep quality following the concepts of the Symptom Management Theory. The principles of metasynthesis established by Sandelowski and Barroso were utilized. A pre-planned comprehensive search was implemented in PubMed, Scopus, ISI WebofScience, and Cinahl Plus databases. The methodological quality was assessed following the CASP Qualitative Checklist. The findings of the studies were subjected to a metasummary and a metasynthesis. Seventeen studies were included in the metasynthesis. Two overarching themes were pre-established: (1) experience of poor sleep quality in Fibromyalgia and (2) poor sleep quality management strategies in Fibromyalgia. Four sub-themes emerged from the results: (1) evaluation of poor sleep quality, (2) response to poor sleep quality, (3) management strategies to favor sleep, and (4) managing the consequences of a sleepless night. Poor sleep quality is a severe and disabling symptom that negatively impacts the general health status of people diagnosed with FM. Prescribed treatments are commonly seen as ineffective and self-management strategies are a last resort and do not show beneficial effects.<\/jats:p>","DOI":"10.3390\/jcm9124000","type":"journal-article","created":{"date-parts":[[2020,12,10]],"date-time":"2020-12-10T20:18:22Z","timestamp":1607631502000},"page":"4000","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Poor Sleep Quality Experience and Self-Management Strategies in Fibromyalgia: A Qualitative Metasynthesis"],"prefix":"10.3390","volume":"9","author":[{"given":"Carolina","family":"Climent-Sanz","sequence":"first","affiliation":[{"name":"Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain"},{"name":"Grup de Recerca de Cures en Salut, GRECS, Institut de Recerca Biom\u00e8dica de Lleida, Fundaci\u00f3 Dr. Pifarr\u00e9, 25198 Lleida, Spain"},{"name":"Grup d\u2019Estudis Societat, Salut, Educaci\u00f3 i Cultura, GESEC, Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gen\u00eds","family":"Morera-Amen\u00f3s","sequence":"additional","affiliation":[{"name":"Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4880-9207","authenticated-orcid":false,"given":"Filip","family":"Bellon","sequence":"additional","affiliation":[{"name":"Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain"},{"name":"Grup de Recerca de Cures en Salut, GRECS, Institut de Recerca Biom\u00e8dica de Lleida, Fundaci\u00f3 Dr. Pifarr\u00e9, 25198 Lleida, Spain"},{"name":"Grup d\u2019Estudis Societat, Salut, Educaci\u00f3 i Cultura, GESEC, Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9561-9038","authenticated-orcid":false,"given":"Roland","family":"Pastells-Peir\u00f3","sequence":"additional","affiliation":[{"name":"Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain"},{"name":"Grup de Recerca de Cures en Salut, GRECS, Institut de Recerca Biom\u00e8dica de Lleida, Fundaci\u00f3 Dr. Pifarr\u00e9, 25198 Lleida, Spain"},{"name":"Grup d\u2019Estudis Societat, Salut, Educaci\u00f3 i Cultura, GESEC, Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4868-2974","authenticated-orcid":false,"given":"Joan","family":"Blanco-Blanco","sequence":"additional","affiliation":[{"name":"Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain"},{"name":"Grup de Recerca de Cures en Salut, GRECS, Institut de Recerca Biom\u00e8dica de Lleida, Fundaci\u00f3 Dr. Pifarr\u00e9, 25198 Lleida, Spain"},{"name":"Grup d\u2019Estudis Societat, Salut, Educaci\u00f3 i Cultura, GESEC, Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1945-629X","authenticated-orcid":false,"given":"Fran","family":"Valenzuela-Pascual","sequence":"additional","affiliation":[{"name":"Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain"},{"name":"Grup de Recerca de Cures en Salut, GRECS, Institut de Recerca Biom\u00e8dica de Lleida, Fundaci\u00f3 Dr. Pifarr\u00e9, 25198 Lleida, Spain"},{"name":"Grup d\u2019Estudis Societat, Salut, Educaci\u00f3 i Cultura, GESEC, Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Montserrat","family":"Gea-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain"},{"name":"Grup de Recerca de Cures en Salut, GRECS, Institut de Recerca Biom\u00e8dica de Lleida, Fundaci\u00f3 Dr. Pifarr\u00e9, 25198 Lleida, Spain"},{"name":"Grup d\u2019Estudis Societat, Salut, Educaci\u00f3 i Cultura, GESEC, Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,12,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1002\/acr.20140","article-title":"The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity","volume":"62","author":"Wolfe","year":"2010","journal-title":"Arthritis Care 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