Laube D
Department of Obstetrics and Gynecology, University of Wisconsin Hospital and Clinics, University of Wisconsin Medical School, Madison 53792-6188, USA.
Clin Obstet Gynecol. 1995 Mar;38(1):196-205. doi: 10.1097/00003081-199503000-00022.
An attempt has been made to provide an overview of headache management for the primary healthcare provider for women. No attempt has been made to delineate for the clinician all care related to the difficult-to-manage headache patient, but at the same time, information has been provided that should assist the clinician in treating this common disorder. Often, a comprehensive approach is needed, and appropriate referral may be necessary to other healthcare providers who are capable of providing more specific services. The women's healthcare provider often has important psychologic and environmental information necessary to provide meaningful early intervention. This common complaint in patients is often overlooked and/or dismissed as "happening to everybody," thus patients are unnecessarily neglected. Not only can specific therapy be provided for the headache patient, but this complaint can serve to alert caregivers to other organic and emotional problems.
本文旨在为女性初级医疗服务提供者提供头痛管理的概述。文中并未试图为临床医生详细描述与难以管理的头痛患者相关的所有护理内容,但同时提供了有助于临床医生治疗这种常见疾病的信息。通常,需要采取综合方法,并且可能有必要将患者转诊给能够提供更具体服务的其他医疗服务提供者。女性医疗服务提供者通常掌握着提供有意义的早期干预所需的重要心理和环境信息。患者的这一常见主诉常常被忽视和/或视为“人人都会有”而不予理会,因此患者被不必要地忽视了。不仅可以为头痛患者提供特定治疗,而且这一主诉还可以提醒护理人员注意其他器质性和情感问题。