Prevalence of Primary Headache in Nurses in Japan: A Cross-sectional Single-center Study
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- Sekiguchi Koji
- Department of Neurology, Keio University School of Medicine, Japan
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- Huh Sunjun
- Department of Neurology, Keio University School of Medicine, Japan
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- Watanabe Narumi
- Department of Neurology, Keio University School of Medicine, Japan
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- Miyazaki Naoki
- Biostatistics Unit, Clinical and Translational Research Center, Keio University Hospital, Japan
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- Ishizuchi Kei
- Department of Neurology, Keio University School of Medicine, Japan
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- Iba Chisato
- Department of Neurology, Keio University School of Medicine, Japan
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- Tagashira Yu
- Department of Neurology, Keio University School of Medicine, Japan
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- Shibata Mamoru
- Department of Neurology, Tokyo Dental College Ichikawa General Hospital, Japan
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- Takemura Ryo
- Biostatistics Unit, Clinical and Translational Research Center, Keio University Hospital, Japan
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- Nakahara Jin
- Department of Neurology, Keio University School of Medicine, Japan
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- Takizawa Tsubasa
- Department of Neurology, Keio University School of Medicine, Japan
抄録
<p>Objective This study examined the prevalence of migraine in nurses in Japan, which, to our knowledge, has not been documented in English. </p><p>Methods From April to May 2021, we administered a questionnaire to 229 nurses working at Keio University Hospital to investigate the prevalence and characteristics of headache among nurses in Japan. Headaches were classified as migraine or tension-type headache (TTH) based on the International Classification of Headache Disorders 3rd edition (ICHD-3). </p><p>Results In total, 80 patients (34.9%) had primary headaches, including 47 (20.5%) with migraine and probable migraine and 33 (14.4%) with TTH and probable TTH. We found a significant difference in the Numerical Rating Scale score, nausea and vomiting, photophobia, phonophobia, and aggravation by routine physical activity between migraine and TTH. The specificities for a migraine diagnosis were 100% and 93.9% for nausea/vomiting and photophobia, respectively. Only 8.8% of patients had their headaches diagnosed by a physician. </p><p>Conclusion Migraines have a high prevalence (>20%) among nurses and are often under-diagnosed. In many cases, headache-associated symptoms are more important than laterality or other characteristics for the diagnosis. Many nurses are treated for headaches without a correct diagnosis. Further education regarding primary headaches may be necessary for health practitioners as well as society. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 63 (9), 1217-1222, 2024-05-01
一般社団法人 日本内科学会