Title | Kliničke manifestacije glavobolja uzrokovanih prekomjernom upotrebom lijekova |
Title (english) | Clinical manifestations of headaches caused by excessive use of drugs |
Author | Petra Hedžet |
Mentor | Hrvoje Hećimović (mentor) |
Committee member | Spomenka Kiđemet - Piskač (predsjednik povjerenstva) |
Committee member | Hrvoje Hećimović (član povjerenstva) |
Committee member | Melita Sajko (član povjerenstva) |
Granter | University North (University centre Varaždin) (Department of Nursing) Koprivnica |
Defense date and country | 2022-09-19, Croatia |
Scientific / art field, discipline and subdiscipline | BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Neurology |
Abstract | Glavobolja nastala prekomjernom primjenom lijekova ( MOH) je glavobolja koja potraje dulje od 15 dana u mjesecu kod osoba koje imaju osnovnu primarnu glavobolju te svakodnevno prekomjerno primjenjuju lijekova za otklanjanje glavobolje i to dulje od 3 mjeseca. MOH je veliki zdravstveni problem s češćom pojavom kod žena u odnosu na muškarce. Čimbenik rizika je svakodnevna primjena lijekova za otklanjanje primarnih poremećaja glavobolje s time da se ovisnost češće javlja kod osoba koje prekomjerno primjenjuju opioide i triptane. Metode za dijagnosticiranje MOH su povijest bolesti, tijek poremećaja glavobolja, povijest primjene lijekova te učestalost primjene lijekova uz dnevnik glavobolje. Liječenje je najučinkovitije putem farmakološke terapije uz primjenu bihevioralnih metoda. Komorbiditeti su u velikom postotku psihijatrijske naravi. Somatske komplikacije nastaju radi nuspojava prekomjerne primjene lijekova. Prevenirati nastanak MOH – a uspijeva se adekvatnom edukacijom te primjerenim praćenjem pacijenata. Medicinska sestra specijalizirana za glavobolju je uključena u provođenje ili sudjelovanje u istraživanju i reviziji te planira korekcije kod pacijenta tokom pružanja skrbi na temelju iskustva kao i konzultacija s pacijentima kako bi se pratio njihov napredak.
Istraživanje se provodilo putem društvenih mreža u razdoblju od 15. 4. 2022. do 15. 5. 2022. godine. Istraživanje je imalo cilj utvrditi učestalost glavobolje kod ispitanika te način na koji tretiraju svoju glavobolju. U istraživanju je sudjelovalo 94 ispitanika od kojih je 77, 7 % ženskog spola. 95, 7 % ispitanika pripada dobi od 20 do 30 godina. 83 % ispitanika ima završenu srednju školu. Najveći broj ispitanika vježba 2 - 3 puta tjedno. Veliku većinu ispitanika glava zaboli barem 3 puta godišnje. 56, 7 % ispitanika zaboli čeoni dio glave. Samo 4, 3 % ispitanika ima potvrđenu dijagnozu glavobolje. Velika većina ispitanika glavobolju imaju 5 godina. 63, 7 % ispitanika navodi da im glavobolja ne utječe na svakodnevni život. 78, 9 % ispitanika primjenjuje prirodne metode za ublažavanje glavobolje. 55, 7 % ispitanika farmakološku metodu ublažavanja glavobolje primjenjuju svaki put kod glavobolje s time da jedan ispitanik primjenjuje svaki dan. Nuspojave primjene dugotrajne primjene lijekova 87, 8 % ispitanika negira. 78, 4 % ispitanika nije probalo metode kao što su akupunktura, meditacija, masaža, hipnoza za ublažavanje glavobolje. |
Abstract (english) | Headache caused by excessive use of medication (MOH) is a headache that lasts longer than 15 days a month in people who have a basic primary headache and who use excessive medication to eliminate headaches every day for longer than 3 months. MOH is a major health problem with more frequent occurrence in women compared to men. The risk factor is the daily use of drugs to eliminate primary headache disorders, with addiction occurring more often in people who overuse opioids and triptans. Methods for diagnosing MOH are medical history, course of headache disorder, history of medication use, and frequency of medication use along with a headache diary.Treatment is most effective through pharmacological therapy with the use of behavioral methods. A large percentage of comorbidities are of a psychiatric nature. Somatic complications arise due to the side effects of excessive drug use. The occurrence of MOH can be prevented through adequate education and appropriate monitoring of patients. The headache specialist nurse is involved in conducting or participating in research and audits and planning patient corrections during care based on experience as well as consultation with patients to monitor their progress.
The research was conducted via social networks in the period from 4 / 15 / 2022 to 5 / 15 / 2022. The aim of the research was to determine the frequency of headaches in the respondents and the way they treat their headaches. 94 respondents participated in the research, of which 77,7 % were female. 95,7 % of respondents are between the ages of 20 and 30. 83 % of respondents have completed high school. The largest number of respondents exercise 2 - 3 times a week. The vast majority of respondents get headaches at least 3 times a year. 56, 7% of respondents have pain in the frontal part of the head. Only 4, 3 % of respondents have a confirmed headache diagnosis. The vast majority of respondents have had headaches for 5 years. 63, 7 % of respondents state that their headache does not affect their daily life. 78, 9 % of respondents use natural methods to relieve headaches. 55, 7 % of respondents use the pharmacological method of headache relief every time they have a headache, with one respondent using it every day. 87, 8 % of respondents deny the side effects of long-term medication use. 78, 4 % of respondents have not tried methods such as acupuncture, meditation, massage, hypnosis for headache relief. |
Keywords |
|
Keywords (english) |
|
Language | croatian |
URN:NBN | urn:nbn:hr:122:641134 |
Study programme | Title: Nursing Study programme type: professional Study level: undergraduate Academic / professional title: stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva) |
Type of resource | Text |
File origin | Born digital |
Access conditions | Open access |
Terms of use | |
Created on | 2022-11-23 12:42:53 |