个人对偏头痛和部疼痛之间的关系的看法
Michael Schulz1, Wenrui Xu1, Julia Treleaven1
1The University of Queensland, School of Health and Rehabilitation Sciences, St Lucia, Qld, Australia.
Musculoskeletal science & practice
|July 6, 2023
概括
偏头痛和部疼痛的感知有所不同,有些治疗方法会使症状恶化. 了解患者的信念对于有效的偏头痛和部疼痛管理至关重要.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 定性研究是指质量研究.
背景情况:
- 部疼痛经常与偏头痛同时发生,但患者对这种关系的看法尚不清楚.
- 探索患者的信念对于改善偏头痛和相关部疼痛的管理策略至关重要.
研究的目的:
- 调查个人对偏头痛和部疼痛之间的关系的观点.
主要方法:
- 这是一项追溯的定性研究,涉及70名参与者 (平均年龄为39.2岁,60%为女性).
- 经验丰富的物理治疗师进行了半结构面试.
- 用感应主题分析来分析面试答案.
主要成果:
- 五个关键主题出现了:症状的时间,因果关系的信念,感知负担,治疗经验和不匹配的观点.
- 研究人员确定了症状时间,因果关系信念和同时出现偏头痛和部疼痛的增加负担之间的联系.
- 获得了对被认为是无效甚至恶化的治疗方法的见解.
结论:
- 临床医生应该与患者讨论偏头痛中部疼痛的病因,因为它们之间存在复杂的关系.
- 治疗部疼痛可能并不总是提供长期缓解,有时可能使偏头痛恶化;个体评估是关键.
- 量身定制的管理决策需要临床医生和患者之间就他们独特的经验进行公开的沟通.
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