Migraine and chronic daily headache management: a qualitative study of patients' perceptions
Migraine and chronic daily headache management: a qualitative study of patients' perceptions
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DOI：
10.1111/j.1471-6712.2004.00279.x
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发表时间：
2004-09-01
影响因子：
1.9
通讯作者：
Murphy, M
中科院分区：
文献类型：
--
作者：
Peters, M;Abu-Saad, HH;Murphy, M
目的：本研究的目的是深入了解患者对偏头痛和慢性每日头痛（CDH）管理的看法。方法：对7名偏头痛和5名CDH患者进行了13次半结构化和个体化访谈，并在QSR NUD* IST 5中进行了分析，采用扎根理论方法。3）替代疗法; 4）社会支持;（5）生活方式和自助。参与者描述了他们对这五个管理领域的期望、偏好、担忧和满意度。与会者适应头痛管理，以适应他们的需求和喜好，使偏头痛和CDH管理高度个人化，并给予头痛患者在自己的care.Conclusion中心作用：医疗保健正在改变对更多的参与患者在自己的护理。因此，重要的是要增加对慢性疾病，包括偏头痛和CDH患者的观点的理解。这项研究的结果告知医疗保健专业人员他们的病人的需求和偏好的范围。这些知识可用于塑造临床实践，制定患者教育计划，并进一步研究对头痛患者重要的问题。
Aim: The aim of the study was to gain insight into the patients' perceptions of migraine and chronic daily headache (CDH) management.Methods: Thirteen, semi-structured and individual interviews with seven migraine and five CDH patients were carried out and analysed in QSR NUD*IST5, using a grounded theory methodology.Results: The participants described using five areas of management: 1) health care use; 2) medication use; 3) alternative therapies; 4) social support; and 5) lifestyle and self-help. The participants described their expectations, preferences, worries and (dis) satisfaction in relation to these five areas of management. The participants adapted headache management to suit their needs and preferences, making migraine and CDH management highly individual and giving the headache patient a central role within their own care.Conclusion: Health care is changing towards a greater involvement of the patients in their own care. Therefore, it is important to increase understanding of the patients' perspective of chronic diseases, including migraine and CDH. The results from this study inform health care professionals of the range of their patients' needs and preferences. This knowledge can be used to shape clinical practice, to develop patient education programmes and to further research efforts into issues that are important to the headache patient.