QUALITY OF LIFE AND WORK LIMITATIONS IN MIGRAINE PATIENTS-research

Uvod: Na globalnoj razini migrena pogađa oko 12% populacije dok kronična migrena pogađa i do 2% populacije. Pojedinci koji boluju od migrene obično češće prijavljuju lošiju kvalitetu života. Studije sugeriraju da su pacijenti s migrenom, koji imaju veću učestalost napadaja glavobolje podvrgnuti znatno većoj razini onesposobljenosti i smanjenoj kvaliteti života vezanoj za zdravlje. Cilj: Cilj istraživanja je ispitati kvalitetu života i stupanj radne onesposobljenosti kod pacijenata s migrenom liječenih u ambulanti za bol Opće bolnice Karlovac. Metode: Istraživanje je provedeno u ambulanti za bol Opće bolnice Karlovac na uzorku od 67 ispitanika tijekom svibnja i lipnja 2022. godine. Stupanj onesposobljenosti se ispitivao MIDAS upitnikom (engl. The Migraine Disability Assessment), a kvaliteta života upitnikom o kvaliteti života specifičnim za migrenu, verzija 2.1 (engl. The migraine-specific QOL questionnaire (MSQ, ver. 2.1). Rezultati: Srednji broj dana onesposobljenosti po MIDAS upitniku bio je 39,48 (±34,44), 62,7% ih je imalo tešku onesposobljenost. Srednja vrijednost kvalitete života na MQOL upitniku bila je 49,24 (±11,28). Pronađena je statistički značajna razlika ( t=6,189, p=0,015) u danima onesposobljenosti između žena i muškaraca. Žene su postigle statistički značajno niži rezultat od muškaraca na domenama restriktivne uloge (t=5.166, p=0.026) i emocionalne funkcije (t=4,518, p=0,027). Dob, stupanj obrazovanja, bračni i radni status nisu bili značajni prediktori za radnu onesposobljenost i ukupnu kvalitetu života. Ispitanici koji napade migrene doživljavaju svakodnevno imaju statistički značajno veći broj dana onesposobljenja od ispitanika koji napade imaju od jedan put do četiri puta mjesečno (p=0,005) i manje od 12 puta godišnje (p=0,033). Zaključak: Migrena utječe na sve aspekte funkcioniranja te sprječava oboljele da nesmetano obavljaju radne zadatke te izravno utječe na njihovu mentalnu dobrobit. Osim pravovremene posjete liječniku i pridržavanja propisane terapije, osobe s migrenom potrebno je dodatno educirati kako bi se uspješno nosili sa simptomima migrene te vodili zdrav život izbjegavajući potencijalne okidače migrene. Oboljelima od migrene također je potrebno osigurati i brigu o mentalnom zdravlju kako se, ionako niska kvaliteta života, ne bi dodatno narušila.Introduction: Globally, migraine affects about 12% of the population, while chronic migraine affects 1% to 2% of the population. Individuals with migraine are more likely to report poorer quality of life. Studies suggest that migraine patients who have a higher frequency of headache attacks experience significantly higher levels of disability and reduced health-related quality of life. Objective: The objective of the research is to examine the quality of life and the degree of work disability in migraine patients treated in the pain clinic of the Karlovac General Hospital. Methods: The research was conducted in the pain clinic of the Karlovac General Hospital on a sample of 67 subjects during May and June 2022. The degree of disability was assessed with the The Migraine Disability Assessment (MIDAS questionnaire), and the quality of life with the migraine-specific QOL questionnaire (MSQ, ver. 2.1). Results: The average number of days of disability according to the MIDAS questionnaire was 39,48 (±34,44), 62.7% of them had severe disability. The mean value of the quality of life on the MQOL questionnaire was 49,24 (±11,28). A statistically significant difference was found (t=6,189, p=0,015) in days of fitness between women and men. Women scored statistically significantly lower than men in the domains of restrictive role (t=5,166, p=0,026) and emotional function (t=4,518, p=0,027). Age, level of education, marital and work status were not significant predictors for work disability and overall quality of life. Subjects who experience migraine attacks daily have a statistically significantly higher number of days of disability than subjects who have attacks from one to four times a month (p=0,005) and less than 12 times a year (p=0,033). Conclusion: Migraine affects all aspects of functioning and prevents sufferers from performing work tasks smoothly and directly affects their mental well-being. In addition to timely visits to the doctor and compliance with the prescribed therapy, people with migraine need to be further educated in order to successfully cope with migraine symptoms and lead a healthy life avoiding potential migraine triggers. Migraine sufferers also need to be provided with mental health care so that the already low quality of life is not further impaired