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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Study of Barrier to Help Seeking and its Relationships with Disability in Patients with Headache
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Study of Barrier to Help Seeking and its Relationships with Disability in Patients with Headache

机译：头痛患者寻求帮助的障碍及其与残疾关系的研究

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Introduction: Headache is among the first three most prevalent disorders with a wide treatment gap due to barriers in help seeking. Headache has been associated with disability. However, the relationship of barriers to help-seeking and disability are unexplored.Aim: To find out the barriers to help seeking and its relationship with headache related disability in patients with headache.Materials and Methods: In this hospital based cross-sectional study, 200 consecutive subjects with headache attending a tertiary care centre were recruited as per selection criteria and assessed with Sociodemographic & Clinical Proforma, Mini International Neuropsychiatric Interview (MINI), Barriers to Help Seeking Scale (BHSS), The Henry Ford Hospital Headache Disability Inventory (HDI).Results: High mean score was observed on BHSS subscale need for control and self reliance (19.45; SD ±9.66) and minimizing problem and resignation (10.02; SD ±6.98). Mean score on the HDI was 25.65 (SD ± 14.09). Socioeconomic status of the patient was statistically significant and positively associated with need for control and self reliance (p=0.035), concrete barriers and distrust of care givers (p=0.039), emotional control (p=0.005), and privacy (p=0.002). Occupational status had significant association with need for control and self-reliance (p=0.01), minimizing problem and resignation (p=0.033), and emotional control (p=0.006). Score on hospital headache disability inventory significantly predicted the value of score on concrete barriers and distrust of caregivers domain of HDI (p=0.001).Conclusion: Autonomy and under estimation of seriousness of headache are common barriers to help seeking. Pattern of help seeking barriers may vary with socio-economic status and occupational status, while disability varies with gender and severity of headache. Headache associated disability is positively associated with concrete barriers.
机译：简介：头痛是前三种最普遍的疾病之一，由于寻求帮助的障碍，治疗差距很大。头痛与残疾有关。然而，对于寻求帮助和残疾的障碍之间的关系尚未探索。目的：寻找头痛患者中寻求帮助的障碍及其与头痛相关残疾的关系。材料与方法：在该医院为基础的横断面研究中，根据选择标准，招募了200名连续就诊的三级护理中心头痛患者，并进行了社会人口统计学和临床​​形式，迷你国际神经精神病学访谈（MINI），帮助寻求障碍量表（BHSS），亨利·福特医院头痛残疾量表（HDI）结果：在BHSS量表的控制和自力更生方面平均得分较高（19.45; SD±9.66），并且最大程度地减少了问题和辞职（10.02; SD±6.98）。 HDI的平均得分为25.65（SD±14.09）。患者的社会经济状况具有统计学意义，并且与控制和自力更生（p = 0.035），具体障碍和对照护者的不信任（p = 0.039），情绪控制（p = 0.005）和隐私（p = 0.002）。职业状态与控制和自力更生（p = 0.01），最大程度地减少问题和辞职（p = 0.033）以及情绪控制（p = 0.006）密切相关。医院头痛残疾清单得分显着预测了HDI的具体障碍和看护者领域的不信任感得分的价值（p = 0.001）。结论：自主性和头痛严重程度估计是寻求帮助的常见障碍。寻找障碍的帮助方式可能因社会经济状况和职业状况而异，而残疾因性别和头痛严重程度而异。与头痛相关的残疾与混凝土屏障成正相关。

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