日本护士中原发性头痛的发生率:一个横截面单中心研究
Koji Sekiguchi1, Sunjun Huh1, Narumi Watanabe1
1Department of Neurology, Keio University School of Medicine, Japan.
Internal medicine (Tokyo, Japan)
|September 18, 2023
概括
偏头痛影响超过20%的日本护士,往往没有正确的诊断. 恶心和光敏感等关键症状对于在医疗保健专业人员中识别这种常见的神经疾病至关重要.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
- 职业健康 职业健康 职业健康
背景情况:
- 在日本的护士中,偏头痛的患病率在英语文献中仍然未被记录.
- 了解医疗保健专业人员的头痛障碍对于职业健康至关重要.
研究的目的:
- 确定日本护士中偏头痛的患病率和特征.
- 在这个人群中,将偏头痛与紧张型头痛 (TTH) 进行比较.
主要方法:
- 在2021年4月至5月期间,基约大学医院向229名护士进行了问卷调查.
- 头痛使用国际头痛疾病分类第三版 (ICHD-3) 来进行分类.
主要成果:
- 总共有34.9%的人经历了初级头痛,其中20.5%被诊断为偏头痛,14.4%被诊断为TTH.
- 偏头痛患者报告了显著更高的数值评分表得分,恶心,光恐惧症,语音恐惧症和体力活动加重的情况.
- 只有8.8%的参与者有医疗诊断的头痛;恶心和光恐惧对偏头痛的诊断特异性很高.
结论:
- 偏头痛在日本护士中具有很高的流行率 (>20%),并且经常被诊断不足.
- 恶心和光恐惧等相关症状是关键的诊断指标.
- 医疗保健专业人员和公众之间需要改善对初级头痛的诊断和教育.
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