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題名 | 偏頭痛失能評估量表(MIDAS)之應用=The Application of Migraine Disability Assessment Questionnaire (MIDAS) |
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作者 | 洪珮華; 傅中玲; 王署君; Hung, Pei-hua; Fuh, Jong-ling; Wang, Shuu-jiun; |
期刊 | Acta Neurologica Taiwanica |
出版日期 | 20060300 |
卷期 | 15:1 民95.03 |
頁次 | 頁43-48 |
分類號 | 415.942 |
語文 | chi |
關鍵詞 | 偏頭痛; 偏頭痛失能評估量表; 失能; Migraine; MIDAS; Disability; |
中文摘要 | 偏頭痛在台灣的盛行率約為 9 . 1 % :而此一急性復發性的疾病在發作時所引起的失能狀態,對於課業、家庭生活、及工作方面都造成了莫大的影響。在臨床上,我們需要一個簡便客觀的頭痛失能狀態量表,可依據患者不同的失能嚴重程度,而給予最有利的治療方式,以儘速減少病人的痛苦及失能所造成的影響。 1999 年, Stewart 及 Lipton 提出了偏頭痛失能評估量表Migraine Disability Assessment Questionnaire (簡稱MIDAs )。此量表主要有五題,請患者本身回憶過去三個月期間,因偏頭痛造成課業或工作方面,家事方面,及家庭、社交或休閒活動方面的影響。此問卷因簡便易行,且獲得良好信效度及客觀度評估,在日本、上耳其、及義大利等國亦紛紛使用。以此問巷之分級為基礎,而直接給予嚴重度較高患者,翠普登類藥物之治療方式,也在大型隨機臨床中證實可縮短頭痛的時間及減少失能狀態。我們將 MIDAS 問卷BD 翻譯為台灣版,在本土研究中得到良好的信度與效度,希望能進一步應用在臨床治療上,以新的治療觀念,減少偏頭痛對病人所造成的影響。 |
英文摘要 | Migraine is a recurring and disabling pain disorder. The prevalence is estimated as 9.1% in Taiwan. Patients suffer from significant loss of work, time at school or ability to perform household chores, as well as other family or leisure activities. Treatment strategies during migraine attacks should be tailored based on the severity of disability. Stewart and Lipton (1999) developed the Migraine Disability Assessment Questionnaire (MTDAS) to assess the severity of disability related to migraine. This simple, self-administered, 7-item questionnaire focuses on disability in three domains (school or paid work, household chores, and family, social, or leisure activities) in the first 5 items of the questionnaire. The internal consistency, test-retest reliability, validity, ease of use, and clinical utility were all tested with good results. The questionnaire offers a simple tool to improve physician-patient communication. As for treatment strategies, a recent large-scale study done in the USA showed that it is more efficacious to treat migraine patients by adopting a strategy of stratified care based on different disability status than a stepped-care strategy. The simple questionnaire, MIDAS, has received world-wide popularity and has been translated into Japanese, Italian and Turkish. All of these versions showed good reliability and validity. Recently, one of our studies demonstrated that the Taiwan version also yielded comparable internal consistency, reliability, and validity. We hope that the MIDAS questionnaire can be widely adopted in Taiwan to help physicians assess their patients' disability related to migraine and provide clues for clinical management. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。