头痛诊断之间的生活质量是否存在差异？使用医学结果研究工具进行分析。

Does quality of life differ among headache diagnoses? Analysis using the medical outcomes study instrument.

作者信息

Solomon G D, Skobieranda F G, Gragg L A

机构信息

Department of General Internal Medicine, Cleveland Clinic Foundation, OH 44195-5039.

出版信息

Headache. 1994 Mar;34(3):143-7. doi: 10.1111/j.1526-4610.1994.hed3403143.x.

DOI:10.1111/j.1526-4610.1994.hed3403143.x

PMID:8200787

Abstract

BACKGROUND

To analyze the differences in quality of life associated with headache diagnoses using the Medical Outcomes Study Short Form Health Survey (SF-20).

METHODS

A patient interview survey using the SF-20 Short Form Health Survey was conducted in a headache clinic within a multi-specialty group practice. All six health components of the SF-20 were included in the study. Headache diagnoses were made using IHS criteria.

RESULTS

208 consecutive headache patients were studied. Patients with cluster headache had a significantly higher (worse) pain score (P < 0.018) and higher percentage of patients with poor health due to pain (P < 0.005) than patients with migraine headache. There were fewer cluster patients with poor health associated with physical functioning than tension-type (P < 0.020) or mixed headache (P < 0.022) patients. Poor health associated with social functioning was greater for cluster (P < 0.011) and tension-type headache (P < 0.015) than for migraine. There was a significantly higher percentage of tension-type headache patients with poor health associated with mental health (P < 0.002) than patients with migraine.

CONCLUSIONS

The SF-20 is a reliable and valid measure of quality of life for patients with different headache diagnoses. Distinct headache diagnoses are marked by unique patterns of impairment and quality of life.

摘要

背景

使用医学结局研究简表健康调查（SF - 20）分析与头痛诊断相关的生活质量差异。

方法

在一个多专科联合诊所的头痛门诊进行了一项使用SF - 20简表健康调查的患者访谈调查。SF - 20的所有六个健康组成部分都纳入了研究。头痛诊断采用国际头痛协会（IHS）标准。

结果

对208例连续的头痛患者进行了研究。丛集性头痛患者的疼痛评分显著更高（更差）（P < 0.018），且因疼痛导致健康状况不佳的患者百分比更高（P < 0.005），高于偏头痛患者。与紧张型头痛（P < 0.020）或混合型头痛（P < 0.022）患者相比，丛集性头痛患者中因身体功能导致健康状况不佳的人数更少。与社交功能相关的健康状况不佳在丛集性头痛（P < 0.011）和紧张型头痛（P < 0.015）中比在偏头痛中更严重。与偏头痛患者相比，紧张型头痛患者中因心理健康导致健康状况不佳的百分比显著更高（P < 0.002）。