Role of educational programs in management of patients with medication-overuse headache
Autor: | A. E. Shagbazyan, N. A. Kovalchuk, G. R. Tabeeva |
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Jazyk: | ruština |
Rok vydání: | 2021 |
Předmět: | |
Zdroj: | Неврология, нейропсихиатрия, психосоматика, Vol 13, Iss 3, Pp 27-33 (2021) |
Druh dokumentu: | article |
ISSN: | 2074-2711 2310-1342 |
DOI: | 10.14412/2074-2711-2021-3-27-33 |
Popis: | Patients with primary headaches are prone to frequent uncontrolled use of analgesics, leading to medication-overuse headache (MOH). One of the most accessible and effective strategies for its prevention is informing patients about the potential danger of its development. For this, training programs («schools») are conducted.Objective: to evaluate the effectiveness of educational programs in management of patients with MOH and its prevention.Patients and methods. We included 120 patients (12 men and 108 women, mean age: men – 46.3±3.54 years, women – 41.3±9.5 years) with primary headache and MOH. The follow-up period was 12 months. First, patients were divided into two groups depending on the clinical diagnosis: group I (n=44) – patients with chronic primary headaches without MOH, group II (n=76) – patients with chronic primary headaches and MOH. Then, patients in each group were randomized into subgroups depending on the prescribed therapy. All participants underwent repeated clinical examinations and questionnaires assessment at 1-, 3- and 12-months follow-ups. In addition, all patients kept a headache diary. An educational «school» developed for this study was held in those subgroups where educational programs were specified.Results and discussion. We observed a significant decrease in mean Headache-Attributed Lost Time (HALT) and Headache Impact Test (HIT-6) scores (р |
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