Gültekin Murat, Balci Elçin, İsmaİLOĞULLARI Sevda, Yetkin Fatih, Baydemir Recep, Erdoğan Füsun, Mİrza Meral, Özge Aynur
Department of Neurology, Erciyes University School of Medicine, Kayseri, Turkey.
Department of Public Health, Erciyes University School of Medicine, Kayseri, Turkey.
Noro Psikiyatr Ars. 2018 Dec;55(4):354-357. doi: 10.5152/npa.2016.19228. Epub 2018 Jul 6.
Migraine is a primary headache that involves genetic and environmental factors. In studies conducted in different countries, migraine was shown to be underdiagnosed, treated insufficiently, and highly related to disability. The primary aim of this study was to identify the competence in making a diagnosis of migraine by primary care physicians who provide basic health care to patients.
Primary care physicians (266 individuals) working in the primary health service centers located within the borders of Kayseri province were included in our study. The research was conducted by using techniques such as face-to-face meetings with the primary care physicians and by participants filling in questionnaires. A neurologist evaluated the questionnaire form. The information provided by the participants was evaluated according to the migraine without aura diagnostic criteria prepared by the International Headache Society (ICHD-3 Beta).
Only 10.5% participants were able to give the complete diagnostic criteria of migraine without aura. The most well-known properties were unilateral (53.4%) and pulsating headaches (47%).
This study showed that educational programs are required regarding migraines for primary care physicians, supported by complete educational material.
偏头痛是一种涉及遗传和环境因素的原发性头痛。在不同国家进行的研究表明，偏头痛存在诊断不足、治疗不充分的情况，且与残疾高度相关。本研究的主要目的是确定为患者提供基本医疗服务的初级保健医生对偏头痛的诊断能力。
我们的研究纳入了开塞利省境内基层卫生服务中心工作的266名初级保健医生。研究采用与初级保健医生面对面交流以及让参与者填写问卷等技术进行。由一名神经科医生对问卷进行评估。根据国际头痛协会（ICHD - 3 Beta）制定的无先兆偏头痛诊断标准对参与者提供的信息进行评估。
只有10.5%的参与者能够给出无先兆偏头痛的完整诊断标准。最广为人知的特征是单侧头痛（53.4%）和搏动性头痛（47%）。
本研究表明，需要为初级保健医生提供有关偏头痛的教育项目，并辅以完整的教育材料。
