在VHA初级保健中的头痛疾病:流行率,精神病并发症和医疗保健利用率
Abigail E Ramon1, Kyle Possemato1,2, Gregory P Beehler1,3
1VA Center for Integrated Healthcare.
Behavioral medicine (Washington, D.C.)
|September 15, 2023
概括
退伍军人有很高的头痛疾病,尤其是偏头痛. 这些退伍军人往往同时出现PTSD和增加医疗保健利用率,强调需要综合护理.
科学领域:
- 神经学 神经学
- 军人卫生保健 军人卫生保健
- 公共卫生 公共卫生
背景情况:
- 头痛疾病在退伍军人中很普遍,但其全面范围仍然不清楚.
- 了解退伍军人头痛疾病的负担对于有针对性的干预至关重要.
研究的目的:
- 在VHA网络中确定退伍军人中头痛疾病的流行率.
- 调查精神病的并发症和退伍军人头痛障碍的医疗利用情况.
主要方法:
- 在东北VHA初级保健网络 (2017-2018) 中退伍军人的回顾性电子医疗记录研究.
- 分析头痛疾病的患病率,精神伴随性疾病 (如PTSD) 和医疗保健服务的使用情况.
主要成果:
- 1.3%的退伍军人被诊断出患有头痛疾病;3.5%的退伍军人患有可能的头痛疾病.
- 偏头痛和慢性偏头痛是最常见的;PTSD是主要的精神病并发症.
- 头痛疾病与更多地使用初级保健,神经病学,疼痛诊所和心理健康服务相关.
结论:
- 患有头痛疾病的退伍军人表现出显著的精神疾病并发症和更高的医疗需求.
- 研究结果表明,在初级保健机构中需要加强提供者教育和整合的整体护理模式.
- 错误诊断的可能性凸显了老兵人群中准确和全面的头痛障碍评估的重要性.
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