title: Management by nurses of primary headache: a pilot study.
abstract: Primary headache is a very common condition and one that nurses encounter in many different care settings. Yet there is a lack of evidence as to whether advice given to sufferers is effective and what improvements may be expected in the condition. The aim of this study was to evaluate the advice given by a nurse to primary headache sufferers. The design was quasi-experimental. An experimental group (n = 19) and a control group (n = 25) of primary headache sufferers had their headache parameters of frequency, severity duration and disability (Migraine Disability Assessment) over the previous six months assessed. The experimental group then received advice in the form of health education from a nurse. Both groups kept a headache diary for six months. After six months both groups had their headache parameters assessed again. Compared to the control group, there was a significant reduction in the severity of headaches experienced by the experimental group (p = 0.006). Although there were reductions in frequency and duration of headaches experienced by the experimental group compared to the control group, these were not significant (p = 0.664 and p = 0.235, respectively). The Migraine Disability Assessment showed a trend towards reduced scores in the experimental group compared to controls which were not significant (p = 0.535). This pilot study suggests that health education can be effective in reducing the severity of headaches. However, a larger study over a longer period is needed to evaluate improvements in headache parameters.
authors.affiliation: European Institute of Health and Medical Sciences, Surrey University, Guildford, UK. a.main@surrey.ac.uk
authors.forename: A
authors.initials: A
authors.lastname: Main
authors.forename: H
authors.initials: H
authors.lastname: Abu-Saad
authors.forename: R
authors.initials: R
authors.lastname: Salt
authors.forename: I
authors.initials: I
authors.lastname: Vlachonikolis
authors.forename: A
authors.initials: A
authors.lastname: Dowson
mesh_terms: D000328:Adult; D035061:Control Groups; D003376:Counseling; D015987:Effect Modifier, Epidemiologic; D005260:Female; D006261:Headache / Q000453:epidemiology / Q000451:nursing*; D006801:Humans; D008297:Male; D008881:Migraine Disorders / Q000453:epidemiology / Q000451:nursing*; D009732:Nursing Care; D010353:Patient Education as Topic; D010865:Pilot Projects; D006113:United Kingdom / Q000453:epidemiology