편두통 환자를 위한 두통교육과 평가
Headache Education and Assessment for Migraineurs
차명진, 김병수, 조수진,
소속 상세정보
차명진 ( Cha Myoung-Jin )
National Police Hospital Department of Neurology
김병수 ( Kim Byung-Su )
Bundang Jesaeng General Hospital Department of Neurology
조수진 ( Cho Soo-Jin )
Hallym University College of Medicine Hallym University Dongtan Sacred Heart Hospital Department of Neurology
Abstract
Migraine is a common neurologic disorder with recurrent headache and variable accompanying symptoms. Patients with migraine have suffered by an enormous burden on daily life and impairment of quality of life (QoL), but migraine is still underdiagnosed and undertreated. For early and better diagnosis and treatment of migraine, headache education and instruments for evaluation of headache outcomes including QoL and disability are essential. Nonpharmachological treatment like cognitive-behavior therapy, mindfulness-based stress reduction, lifestyle modification and trigger avoidance, biofeedback, relaxation training can reduce frequency of pain, disability, so headache education might be helpful. Headache diary and instruments for evaluation of QoL, disability and comorbidity like Migraine Disability Assessment Scale (MIDAS), Headache Impact Test-6 (HIT-6), Migraine-Specific Quality of Life Questionnaire (MSQ) are useful tools to decide plans of treatment. When nonpharmachological treatment and headache education are well applied and evaluation of the QoL and disability are reflected, it will help improve the quality of life for migraine patients.
키워드
Cognitive behavioral therapy; Headache; Health education; Migraine disorders
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