微信随访干预在药物过度使用性头痛患者中的作用
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摘要
目的探讨微信随访干预是否能改善药物过度使用性头痛患者的预后。方法收集我院神经科门诊2013年1月～2017年1月药物过度使用性头痛患者166例,随机分为微信随访组与常规随访组两组。随访观察6个月,观察MOH患者药物戒断成功率,每月使用药物天数、每月头痛天数等变化。结果微信随访组药物戒断成功率明显高于对照组(73.2%vs 52.5%,P=0.006)。6个月内每月头痛天数两组无明显差异,但微信随访组患者每月服药天数明显较对照组减少(P<0.001)。结论基于微信的随访手段能提高患者治疗的依从性,改善MOH患者的诊疗。
Objective To explore whether WeChat follow-up intervention can improve the prognosis of patients with overuse headache. Methods A total of 166 patients with overuse headache in the Department of Neurology, from Jan.2013 to Jan. 2017 in our hospital were randomly divided into two groups: Wechat follow-up group and conventional follow-up group. Follow-up took observation for 6 months, observed the success rate of drug withdrawal in MOH patients, the number of drug use days per month, the number of headache days per month and other changes. Results The success rate of drug withdrawal in the WeChat follow-up group was significantly higher than that in the control group(73.2% vs 52.5%, P=0.006). There was no significant difference in the number of headache days per month between the two groups within 6 months, but the number of monthly medication days in the WeChat follow-up group was significantly lower than that in the control group(P<0.001). Conclusion WeChat-based follow-up measures can improve patient compliance and improve the diagnosis and treatment of patients with MOH.
Objective To explore whether WeChat follow-up intervention can improve the prognosis of patients with overuse headache. Methods A total of 166 patients with overuse headache in the Department of Neurology, from Jan.2013 to Jan. 2017 in our hospital were randomly divided into two groups: Wechat follow-up group and conventional follow-up group. Follow-up took observation for 6 months, observed the success rate of drug withdrawal in MOH patients, the number of drug use days per month, the number of headache days per month and other changes. Results The success rate of drug withdrawal in the WeChat follow-up group was significantly higher than that in the control group(73.2% vs 52.5%, P=0.006). There was no significant difference in the number of headache days per month between the two groups within 6 months, but the number of monthly medication days in the WeChat follow-up group was significantly lower than that in the control group(P<0.001). Conclusion WeChat-based follow-up measures can improve patient compliance and improve the diagnosis and treatment of patients with MOH.
引文
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[13]Tassorelli C,Sances G,Allena M,et al.The usefulness and applicability of a basic headache diary before first consultation:Results of a pilot study conducted in two centres[J].Cephalalgia,2008,28(10):1023-1030.
[14]Abaidoo B,Larweh BT.Consumer health informatics:The application of ICT in improving patient-provider partnership for a better health care[J].Online Journal of Public Health Informatics,2014,6(2):e188.
[15]Giffin NJ,Ruggiero L,Lipton RB,et al.Premonitory symptoms in migraine:An electronic diary study[J].Neurology,2003,60(6):935-940.
[16]Moloney MF,Aycock DM,Cotsonis GA,et al.An Internet-based migraine headache diary:Issues in internetbased research[J].Headache,2009,49(5):673-686.
[17]Ghiotto N,Sances G,Galli F,et al.Medication overuse headache and applicability of the ICHD-II diagnostic criteria:1-year follow-up study(CARE I protocol)[J].Cephalalgia,2009,29(2):233-243.
[18]丁红英,王芳,唐欧杉,等.微信随访联合延续性护理干预对急性冠脉综合征患者自我效能的影响研究[J].中国现代医生,2016,54(34):135-137.
[19]Da Silva AN,Lake AE,3rd.Clinical aspects of medication overuse headaches[M].Headache,2014,54(1):211-217.
[20]Collaborators GBDMM.Global,regional,and national levels of maternal mortality,1990-2015:A systematic analysis for the global burden of disease study 2015[J].Lancet,2016,388(10053):1775-1812.
[21]Grande RB,Aaseth K,Benth JS,et al.Reduction in medication-overuse headache after short information.The Akershus study of chronic headache[J].Eur J Neurol,2011,18(1):129-137.
[22]Saper JR,Da Silva AN.Medication overuse headache:History,features,prevention and management strategies[J].CNS Drugs,2013,27(11):867-877.
[23]Zidverc-Trajkovic J,Pekmezovic T,Jovanovic Z,et al.Medication overuse headache:Clinical features predicting treatment outcome at 1-year follow-up[J].Cephalalgia,2007,27(11):1219-1125.
[2]Lanteri-Minet M,Duru G,Mudge M,et al.Quality of life impairment,disability and economic burden associated with chronic daily headache,focusing on chronic migraine with or without medication overuse:A systematic review[J].Cephalalgia,2011,31(7):837-850.
[3]Westergaard ML,Hansen EH,Glumer C,et al.Definitions of medication-overuse headache in populationbased studies and their implications on prevalence estimates:A systematic review[J].Cephalalgia,2014,34(6):409-425.
[4]Katsarava Z,Obermann M.Medication-overuse headache[J].Curr Opin Neurol,2013,26(3):276-281.
[5]Evers S,Marziniak M.Clinical features,pathophysiology,and treatment of medication-overuse headache[J].Lancet Neurol,2010,9(4):391-401.
[6]Sances G,Ghiotto N,Galli F,et al.Risk factors in medication-overuse headache:A 1-year follow-up study(care II protocol)[J].Cephalalgia,2010,30(3):329-336.
[7]Torelli P,Jensen R.Headache diaries and calendars[J].Handb Clin Neurol,2010,97:137-146.
[8]Nappi G,Jensen R,Nappi RE,et al.Diaries and calendars for migraine.A review[J].Cephalalgia,2006,26(8):905-916.
[9]Munksgaard SB,Bendtsen L,Jensen RH.Detoxification of medication-overuse headache by a multidisciplinary treatment programme is highly effective:A comparison of two consecutive treatment methods in an open-label design[J].Cephalalgia,2012,32(11):834-844.
[10]Headache Classification Committee of the International Headache Society(IHS).The international classification of headache disorders,3rd edition[J].Cephalalgia,2018,38(1):191-211.
[11]Krymchantowski AV,Tepper SJ,Jevoux C,et al.Medication-overuse headache:Protocols and outcomes in 149consecutive patients in a tertiary brazilian headache center[J].Headache,2017,57(1):87-96.
[12]Bendtsen L,Munksgaard S,Tassorelli C,et al.Disability,anxiety and depression associated with medicationoveruse headache can be considerably reduced by detoxification and prophylactic treatment.Results from a multicentre,multinational study(COMOESTAS project)[J].Cephalalgia,2014,34(6):426-433.
[13]Tassorelli C,Sances G,Allena M,et al.The usefulness and applicability of a basic headache diary before first consultation:Results of a pilot study conducted in two centres[J].Cephalalgia,2008,28(10):1023-1030.
[14]Abaidoo B,Larweh BT.Consumer health informatics:The application of ICT in improving patient-provider partnership for a better health care[J].Online Journal of Public Health Informatics,2014,6(2):e188.
[15]Giffin NJ,Ruggiero L,Lipton RB,et al.Premonitory symptoms in migraine:An electronic diary study[J].Neurology,2003,60(6):935-940.
[16]Moloney MF,Aycock DM,Cotsonis GA,et al.An Internet-based migraine headache diary:Issues in internetbased research[J].Headache,2009,49(5):673-686.
[17]Ghiotto N,Sances G,Galli F,et al.Medication overuse headache and applicability of the ICHD-II diagnostic criteria:1-year follow-up study(CARE I protocol)[J].Cephalalgia,2009,29(2):233-243.
[18]丁红英,王芳,唐欧杉,等.微信随访联合延续性护理干预对急性冠脉综合征患者自我效能的影响研究[J].中国现代医生,2016,54(34):135-137.
[19]Da Silva AN,Lake AE,3rd.Clinical aspects of medication overuse headaches[M].Headache,2014,54(1):211-217.
[20]Collaborators GBDMM.Global,regional,and national levels of maternal mortality,1990-2015:A systematic analysis for the global burden of disease study 2015[J].Lancet,2016,388(10053):1775-1812.
[21]Grande RB,Aaseth K,Benth JS,et al.Reduction in medication-overuse headache after short information.The Akershus study of chronic headache[J].Eur J Neurol,2011,18(1):129-137.
[22]Saper JR,Da Silva AN.Medication overuse headache:History,features,prevention and management strategies[J].CNS Drugs,2013,27(11):867-877.
[23]Zidverc-Trajkovic J,Pekmezovic T,Jovanovic Z,et al.Medication overuse headache:Clinical features predicting treatment outcome at 1-year follow-up[J].Cephalalgia,2007,27(11):1219-1125.
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