一项评估三级护理教学医院偏头痛患者临床特征、处方模式和健康相关生活质量的横断面观察研究

Kushal S Parekh
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引用次数: 0

摘要

导读:世界上许多人都深受偏头痛之苦。了解影响这些患者的临床细微差别、治疗方法和更广泛的生活质量问题至关重要。目的:本研究的重点是评估临床特征,包括症状特征、触发因素、处方模式、头痛相关残疾及其对患者健康相关生活质量(HRQoL)的影响。方法:于2019年10月至2020年3月在Vadodara dhiraj总医院神经内科进行横断面观察研究。数据收集自患者的医疗记录,并通过咨询到门诊(OPD)或住院(IPD)的患者。所有符合纳入标准的患者均被纳入研究。结果:女性偏头痛的发病率(78%)高于男性(22%)。大多数患者有严重的残疾和对HRQoL的严重影响,MIDAS(偏头痛残疾评估量表)和HIT-6(头痛影响测试-6)得分较高。大多数患者在msqol v2.1[偏头痛特定生活质量(2.1版)]中得分较低,表明生活质量较差。慢性偏头痛患者的midas评分高于发作性偏头痛患者,而HIT-6评分也相当。与MIDAS和hit -6不同,MSQoL v2.1在慢性偏头痛患者中的得分低于发作性偏头痛患者,这表明慢性偏头痛患者的健康相关生活质量低于发作性偏头痛患者。结论:医疗保健专业人员应定期评估患者的生活质量和相关残疾,以确定患者是否接受了有效的治疗,以及是否需要任何额外的治疗策略来提高生活质量。如何引用这篇文章:Kapadi VD, Parekh KS。某三级教学医院偏头痛患者临床特征、处方模式及健康相关生活质量的横断面观察研究中国卫生与城市医学杂志,2013;12(3):9-20。DOI: https://doi.org/10.24321/2278.2044.202344
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Cross-sectional Observational Study to Assess Clinical Characteristics, Prescription Patterns and Health-related Quality of Life in Patients with Migraine at a Tertiary Care Teaching Hospital
Introduction: Many people around the world suffer greatly from migraine.It is critical to comprehend the clinical nuances, therapeutic approaches,and wider quality-of-life concerns that affect these patients.Objectives: The present study was focused on assessing the clinicalcharacteristics which include the symptom profile, triggering factors,prescription pattern, headache-related disability, and its impact onpatients’ health-related quality of life (HRQoL).Methods: A cross-sectional observational study was conducted fromOctober 2019 to March 2020 at the Department of Neurology, DhirajGeneral Hospital, Vadodara. The data were collected from patients’medical records and through counselling the patients who visited theOut-Patient Department (OPD) or In-Patient Department (IPD). All patientswho met the inclusion criteria were enrolled in the study.Results: The incidence of migraine was found to be higher in females(78%) as compared to males (22%). The majority of patients had a severedisability and severe impact on HRQoL with high MIDAS (MigraineDisability Assessment Scale) and HIT-6 (Headache Impact Test-6) scores.A majority of patients gained less score showing poor quality of life withMSQoL v2.1 [Migraine Specific Quality of Life (version 2.1)]. A higherMIDAS score was observed in chronic migraineurs than episodic migraineurswhile HIT-6 showed a comparable score. Unlike MIDAS andHIT-6, MSQoL v2.1 showed lower scores in chronic migraineurs thanepisodic migraineurs which depicts that chronic migraineurs had a poorhealth-related quality of life than episodic migraineurs.Conclusion: Healthcare professionals should routinely evaluate thequality of life and related disability to determine whether patients arereceiving effective treatment and if any additional treatment strategiesare warranted to enhance QOL. How to cite this article:Kapadi VD, Parekh KS. A Cross-sectionalObservational Study to Assess ClinicalCharacteristics, Prescription Patterns and HealthrelatedQuality of Life in Patients with Migraineat a Tertiary Care Teaching Hospital. ChettinadHealth City Med J. 2023;12(3):9-20. DOI: https://doi.org/10.24321/2278.2044.202344
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