Author/Editor		Strgar-Hladnik, Mihaela; Kersnik, Janko
Title		Kakovost življenja bolnic z migreno
Translated title		Quality of life of migraine patients
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 77, št. 4
Publication year		2008
Volume		str. 313-21
Language		slo
Abstract		Background Migraine is a common disorder, with an estimated prevalence of 12% among adults. Migraine is considered a neuological disorder, ni which both vascular and neuronal components play a pathophysiological role. Patients and methods In the research a designed quationnaire was answered by the coincidentally chosen family practitioners far the every sixth of successive female patients, as well as the female patients themselves. The data were collected from 162 female patients, who were coming to the general practitioner office between November 2004 and April 2005. The data about migraine treatment, medical visits and sick list were summarized according to the files of family medicine. Results 162 female patients with established migraine diagnosis from 36 general practitioner offices, aged between 18 and 63 years participated the research. 53 of female patients in our pattern meet the criterion for the migraine with aura and 109 for the migraine without aura. 61.4% of the later suffer from tipical migraine's headache. Due to of the headache 64.20% of female patients were incapable of doing housework, 48.15% were badly affected at work, 8.64% were unable to take part in social events and only 1 female patient could not practise her sports activites. The female patients were absent from work collectively 149 working days in the last year, average 6.09 days for each of female patients due to the migraine. 94.4% of female patients consider their working ability to be severely reduced by their headaches. Conclusions Several strategies enhance the quality of the health care and quality of life of the migraine patients: stratified care, aggressive triptan use, prophylactic management. More frequent advice on nonpharmacological measures lead to better control of migraine attacks.
Summary		Izhodišča Migrena je pogosta oblika glavobola; ki se pojavlja pri 12% odraslih, trikrat pogosteje pri ženskah v rodnem obdobju in pomembno vpliva na kakovost življenja bolnic z migreno. Namen raziskave je bilo ugotoviti, kakšna je kakovost življenja bolnic z migreno v Sloveniji. Preiskovanci in metode Uporabili smo vprašalnik, ki so ga izpolnjevali naključno izbrani zdravniki družinske medicine za vsako od 6 zaporednih obiskovalk z migreno, in bolnice. Zbrani so podatki o 162 bolnicah, ki so prihajale v ambulanto od novembra 2004 do aprila 2005. Podatki o zdravljenju migrene, obiskih pri zdravnikih in o bolniškem staležu so povzeti po zdravstvenem, kartonu družinske medicine. Rezultari V raziskavi je sodelovalo 162 bolnic z že znano migreno iz 36 ambulant splošne medicine. Bolnice so bile stare od 18 do 64 let, povprečna starost je bila 43,3 leta. 53 bolnic v našem vzorcu izpolnjuje merila za migreno z avro in 109 bolnic ima migrevn brez avre. 61,4% bolnic z migreno brez avre ima vse tipične značilnosti migrenskega glavobola. Zaradi glavobola 64,20% bolnic ni moglo opravljati gospodinjskih opravil, 48,15% jih je navajalo motnje pri delu v službi, družabnih dogodkov se ni udeležilo 8,64%, pri športu ni soeelovala 1 bolnica. V zadnjem letu so bile bolnice skupuj odsotne 149 delovnih dni zaradi migrene, povprečno 6,09 dneva (SD 11,55). Skupaj 94,44% bolnic meni, da je ob glavobolu njihova delovna sposobnost zmanjšana. Zaključki Nekaj strategij izboljšuje kaklovost zdravstvene oskrbe in kakovost življenja bolnic z migreno: stopenjska izbira zdravila, odločna uporaba triptanov in preventivno zdravljenje. Pogostejši nefarmaakološki ukrepi bodo izboljšali nadzor nad napadi migrene.
Descriptors		MIGRAINE QUALITY OF LIFE QUESTIONNAIRES