PhD, RN, Assistant Professor, School of Nursing, College of Medicine, National Taiwan University, and Adjunct Supervisor, Department of Nursing, National Taiwan University Hospital, Taiwan, ROC.
MD, Attending Physician, Department of Neurology, National Taiwan University Hospital, Taiwan, ROC.
J Nurs Res. 2021 Apr 9;29(3):e154. doi: 10.1097/jnr.0000000000000429.
Migraine is ranked among the most important causes of disability worldwide. Some effective migraine treatments have been identified. However, little is known regarding the treatment strategies used by patients with migraine to manage pain or their efficacy.
This study was designed to (a) investigate the pain management strategies used by migraineurs and their perceived effectiveness and (b) evaluate the association between the number of strategies used and their overall perceived effectiveness.
A cross-sectional design with consecutive sampling was used in a medical center in Taiwan. Individuals with migraine (N = 174) completed self-administered questionnaires and in-depth interviews to assess the frequency and perceived effectiveness of a variety of pain management strategies.
Most participants reported using prescription medications (56%) and over-the-counter medications (51%), which were rated as having good efficacy rates of 78% and 81%, respectively. Traditional Chinese medicine (17%) and folk remedies (13%) were used less frequently and rated as relatively less effective at 65% and 48%, respectively. About half (47%) reported using more than one pain management strategy. Significantly more of those who reported using multiple pain management strategies reported at least "some effect" than those who reported using one strategy only (73% vs. 27%, p = .001).
Prescription medications showed good usage rate and good perceived efficacy. However, about half of the participants used multiple pain management strategies, supporting the need for further research to evaluate the efficacy of combination treatments and to identify those combinations that may have the most additive and/or synergistic effects. Furthermore, the findings indicate that continued use of medications for migraine management is appropriate for many individuals because of the relatively high rates of perceived efficacy for this strategy found in this study.
偏头痛在全球范围内被列为最重要的致残原因之一。已经确定了一些有效的偏头痛治疗方法。然而，对于偏头痛患者用来管理疼痛的治疗策略及其疗效知之甚少。
本研究旨在：(a) 调查偏头痛患者使用的疼痛管理策略及其感知效果；(b) 评估使用策略的数量与总体感知效果之间的关系。
在台湾的一家医疗中心采用横断面设计和连续抽样。偏头痛患者（N=174）完成了自我管理问卷和深入访谈，以评估各种疼痛管理策略的使用频率和感知效果。
大多数参与者报告使用处方药物（56%）和非处方药物（51%），其疗效率分别为 78%和 81%。传统中药（17%）和民间疗法（13%）使用频率较低，疗效相对较低，分别为 65%和 48%。约有一半（47%）的人报告使用了不止一种疼痛管理策略。报告使用多种疼痛管理策略的患者中，有“一定效果”的比例明显高于仅报告使用一种策略的患者（73%比 27%，p=0.001）。
处方药物的使用率和感知效果良好。然而，约一半的参与者使用了多种疼痛管理策略，这支持了进一步研究评估联合治疗效果的必要性，并确定那些可能具有最大相加和/或协同作用的组合。此外，研究结果表明，由于本研究中该策略的感知效果相对较高，继续使用药物治疗偏头痛管理对许多人来说是合适的。
