评估患者和家庭对急性和预防性儿科头痛治疗的偏好
Elise G Martin1,2, Jonathan Kuziek1,2, Jananee Rasiah3,4,5
1Department of Pediatrics, Alberta Children's Hospital, Calgary, Alberta, Canada.
Headache
|June 3, 2024
概括
青少年和家长经常在偏头痛治疗偏好和有效性方面存在分歧,这凸显了临床医生需要考虑两种观点的必要性. 主要优先事项包括快速缓解疼痛和减少头痛的频率.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 临床心理学 临床心理学
背景情况:
- 头痛疾病在年轻人中很普遍,但了解患者和家庭的治疗偏好仍然有限.
- 偏头痛治疗决策涉及到由年轻患者和他们的监护人影响的复杂因素.
研究的目的:
- 调查和比较青少年和他们的父母/监护人之间急性和预防性偏头痛治疗的治疗偏好.
- 评估青少年偏头痛患者和他们的父母/监护人之间关于治疗偏好和感知有效性的协议程度.
主要方法:
- 通过共同创建的头痛治疗偏好问卷进行了横截面调查.
- 参与者包括72名青少年 (9-18岁) 患有偏头痛和94名父母/监护人在加拿大第三级护理诊所.
- 63个青少年-家长/监护人对照中的协议率与假设的80%协议基准进行了比较.
主要成果:
- 摆脱疼痛,快速缓解,减少疼痛严重程度和减少头痛频率是治疗的主要目标.
- 吞下药丸是首选的第一线急性和预防性治疗,神经调节作为第二线选择.
- 青少年与家长/监护人对首选治疗方式的协议低于急性 (63%) 和预防性 (73%) 治疗的预期,对于感知有效性 (48%急性,46%预防性) 显著低于预期.
结论:
- 青年和家庭偏好之间存在定性对齐,但定量差异显著.
- 青少年和父母/监护人之间关于治疗偏好和感知有效性的低水平的协议需要仔细的临床考虑.
- 在治疗偏头痛时,医疗保健提供者应该承认并解决年轻人和他们的家人的潜在不同的观点.
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