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Predictors of outcome in patients consulting their general practitioners for headache: A prospective study

机译:咨询全科医生头痛的患者预后指标:一项前瞻性研究

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摘要

Headache is the most common neurological symptom presenting to general practitioners (GPs). Identifying factors predicting outcome in patients consulting their GPs for headache may help GPs with prognosis and choose management strategies which would improve patient care. We followed up a cohort of patients receiving standard medical care, recruited from 18 general practices in the South Thames region of England, approximately 9 months after their initial participation in the study. Of the baseline sample (N = 255), 134 provided both full baseline and follow-up data on measures of interest. We determined associations between patients’ follow-up scores on the Headache Impact Test-6 and baseline characteristics (including headache impact and frequency scores, mood, attributions about psychological/medical causes of their headaches, satisfaction with GP care and illness perceptions). Greater impact and stronger beliefs about the negative consequences of headaches at baseline were the strongest predictors of poor outcome at follow-up.View full textDownload full textKeywordsheadache, impact, outcome, general practice, illness perceptionsRelated var addthis_config = { ui_cobrand: "Taylor & Francis Online", services_compact: "citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,more", pubid: "ra-4dff56cd6bb1830b" }; Add to shortlist Link Permalink http://dx.doi.org/10.1080/08870446.2010.493217
机译:头痛是呈现给全科医生的最常见神经症状。确定预测患者咨询其全科医生头痛的结局的因素可能有助于全科医生预后并选择可改善患者护理的管理策略。我们对一批接受标准医疗的患者进行了随访,这些患者是从英格兰南泰晤士地区的18种常规实践中招募的,大约在他们最初参与研究后约9个月。基线样本(N = 255),134提供了完整的基线和有关感兴趣的措施的后续数据。我们确定了对头痛影响测验6的患者随访评分与基线特征(包括头痛影响和频率评分,情绪,关于头痛的心理/医学原因的归因,对全科医生护理的满意度和对疾病的认识)之间的关联。有关基线头痛的负面影响的更大影响力和更强烈的信念是随访中不良结局的最强预测因子。查看全文下载全文关键字头痛,影响,结果,一般实践,疾病感知相关的var addthis_config = {ui_cobrand:“泰勒和弗朗西斯在线”,services_compact:“ citeulike,netvibes,twitter,technorati,可口,linkedin,facebook,stumbleupon,digg,google,更多”,发布号:“ ra-4dff56cd6bb1830b”};添加到候选列表链接永久链接http://dx.doi.org/10.1080/08870446.2010.493217

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