Diener Hans-Christoph, Graf M, Löhr H, Kropp P
Abteilung für Neuroepidemiologie, Institut für Medizinische Informatik, Biometrie und Epidemiologie (IMIBE), Universität Duisburg-Essen, Hufelandstraße 55, 45147, Essen, Deutschland.
Lundbeck GmbH, Hamburg, Deutschland.
Schmerz. 2025 Jun 18. doi: 10.1007/s00482-025-00891-9.
BACKGROUND: Medication overuse headache (MOH) is often found in patients with chronic migraine as a result of worsening migraine accompanied by increasing amounts of acute medications. MOH is a relevant problem in clinical practice and the current German guideline on MOH recommends educational intervention to guide patients to reduce acute medication use. OBJECTIVES: The aim was to investigate published approaches for education in MO (medication overuse) and MOH. METHODS: A systematic literature search was conducted in PubMed. Publications were included in which details for education for the prevention and treatment in MO or MOH were described. The educational approaches were analyzed thematically. RESULTS: Twelve publications were included in this analysis. The described educational measures were effective in reducing or preventing MO or MOH. The educational content was heterogeneous, but some common topics were included in most of the educational approaches. These can be categorized in "education on the OH or MOH concept", "risk factors" and "treatment options". In few publications, additional topics related to "agreement on treatment" were mentioned. CONCLUSION: Education is effective in patients with medication overuse or medication overuse headache, but approaches differ. The overview presented here can be used as a basis to develop a structured educational approach for MOH.
背景:药物过度使用性头痛(MOH)常见于慢性偏头痛患者,是偏头痛恶化并伴有急性药物用量增加的结果。MOH是临床实践中的一个相关问题,当前德国关于MOH的指南推荐进行教育干预,以引导患者减少急性药物的使用。 目的:旨在调查已发表的关于药物过度使用(MO)和药物过度使用性头痛(MOH)的教育方法。 方法:在PubMed中进行了系统的文献检索。纳入了描述MO或MOH预防和治疗教育细节的出版物。对教育方法进行了主题分析。 结果:本分析纳入了12篇出版物。所描述的教育措施在减少或预防MO或MOH方面是有效的。教育内容各不相同,但大多数教育方法都包含一些共同主题。这些主题可分为“关于药物过度使用或药物过度使用性头痛概念的教育”、“危险因素”和“治疗选择”。在少数出版物中,提到了与“治疗协议”相关的其他主题。 结论:教育对药物过度使用或药物过度使用性头痛患者有效,但方法各不相同。此处呈现的概述可作为制定MOH结构化教育方法的基础。
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