Effect of Sleep Management Program on Headache Indexes of Patients Suffering from Migraine Referred to Ghaemshahr Razi Hospital

Document Type : Original Article

Authors

1 MA Nursing Educationl.Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

2 Associate Professor of Nursing.Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

3 Assistant Professor of Nursing.Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

Abstract

Background and Objective:Migraine is the main cause of disabilitating headaches.Sleep disorders are important stimulating factors of migraine. This study performed to determine the influence of sleep management program on headache indexes in  migraine patients.
Subjects and Methods: In this quasi-experimental study in 2013, 60 patients with migraine who referred to professional clinic of Razi hospital of Ghaemshahr, were examined in two experimental and control groups (with randomly allocation). Research tools included demographic data questionnaire, headache indexes questionnaire and the Pittsburgh sleep quality questionnaire. Four one-hour sessions of sleep management educational plan was performed for experimental group. Headache indexes and sleep quality measured before and one month after program performance and compared with control untrained? group. Statistical evaluation was done using paired-test and compared by independent t-test.
Results: The means of headache frequency in experimental group significantly decreased and sleep quality improved after intervention (P<0.05). However, the  intensity and duration of headache after the intervention did not change significantly (P>0.05).
Conclusion: The presentfindings suggest that sleep management program is an effective way to reduce the frequency of migraine attacks.

Keywords


1-Behruz B, Amini K, Shakenia F, Abedi A, Ghasemi N.The epidemiology and clinical characteristics of migraine and tension headache among the patients referred to Farabi hospital in Kermanshah city in year 1390.Iranian Journal of Epidemiology2013; 9(1): 58-65]Persian[.
2-MirzayiM.Compare theeffect ofdexamethasone with and without pressingsuperficial scalp arteriesin acute migraineattacks2011;3(13): 18-24]Persian[.
3-Sadeghian H, Karimzadeh F, Jafarian M.Mechanisms involved in pathophysiology of different types of migraine. Shafaye khatam Journal of neurology2013; 1(4): 50-4]Persian[.
4-Mazdeh M, Nazari M.Comparison the treatment effects of sumatriptan and ergot alkaloids in the acute phase of classic and common migraine.Research Scientific Journal of Ardebil University of Medical Science2009; 8(2): 187-93]Persian[.
5-Chitsaz A.Effects of oral contraceptives on intensity and relapses of headache attacks in migraine patients.Journal of  Hormozgan University of Medical Science2007; 11(3): 201-206]Persian[.
6-Kermanshahi S, Sadrizadeh R, Nafisi SH.The effect of auto acupressure o relieving headache in migraine.Journal of Kermanshah University of Medical Science2010; 13(4): 290-8 ]Persian[.
7-Lance YW.Headache and face pain. Clinical Neurology 2thed.New York : Churchill living stone.1991:pp.326-51.
8-Adams RD.Headache and other craniofacial pains.Principles of Neurology.9thed.New York : Mc Graw Hill company; 2001: pp.181-3.
9-Wright WL.Assessing functional impairment during between migraine attacks. The Journal for Nurse Practitioner2008: 201-7.
10-Ameli J, Karami GH, Ghodusi K, Kachuyi H, Saadat AS, Purfarziayi V, et al.Frequency of panic attacks in migraine patients referred to Baghiatollah hospital.Bimonthly Feyz Journal2006; 10(2): 35-8]Persian[.
11-Bajwa ZH.Acute treatment of migraine in adult.British Medical Journal2011: 268-81.
12-Kachuyi J. Risk factorsfor migraineattacks. Kowsar Medical Journal2006; 11(3): 279-84]Persian[.
13-Rahimian Boogar E, Rostami R.Predictive role of psychological, socioeconomic, and lifestyle-related factors in the incidence of migraine headache.Journal of Kerman University of Medical Science2013; 20(1): 73-86]Persian[.
14-Carol T, Carol L, Priscilla L.Fundamental of nursing: The Art and Science of Nursing Care2001: 55-65.
15-Harish A, Rajdeep K.The role of diet in migraine headache.Delhi Psychiatry Journal2008; 11(1): 69-72.
16-Ghadami Hoseynabadi AS.Comparisonevaluation of the effect of medical and non-medical methods in prevention from headache in patients.MA Thesis.Tarbiat Modares University1995 ]Persian[.
17-Bahrami P, Bayat A.Effectivefactors on start or exacerbation of migraine in200 patients referred to social security hospital in Khoramabad.NeurosurgeryQuarterly2002; 8(5)]Persian[.
18-Lin J.overview of migraine.Journal of Neuroscience Nursing2001; 33(1): 6-12.
19-Ayatollahi M, Khosravi A.Epidemiologicaland clinicalfeaturesof migraineand tensionheadaches,the estimatedprevalenceofShiraz hospital staffs. Shiraz University Medical Journal2005; 7(24): 304-10]Persian[.
20-Bruni O, Russo PM, Violani C, Guidetti V.Sleep and migraine: A autographic study.Cephalalgia2004; 24(2): 134-9.
21-Zeraati F, Seyfrabiei M, Araghchian M, Saburi T.Assessment of sleep quality and use of hypnotic drugs in adult patients hospitalized in internal wards in Hamedan  Ekbatan hospital Hamedan Medical Journal2009; 16(4): 32-6 ]Persian[.
22-Mohamadhasani M, Farahani B, Zohur AS, Panahiazar SH.Self-care ability based on Orem theory in individuals with coronary artery disease.Iranian Journal of Critical Care Nursing2010; 3(2):87-91 ]Persian[.
23-AhmadiahangarAS, HoseyniR.Etiologyand clinicalcharacteristicsof headache inpatients referredto aneurologyclinicinBabol.Journal of Babol Universityof Medical Sciences2006; 8(7):37-42 ]Persian[.
24-Masoud AS, Taghadosi M. Investigation the relationship betweensleepdisorders,migraine and nervous headache.2002;7(3): 9-10 ]Persian[.
25-MousaviAS, ZareJoshaghaniM. Compared the effectsof propranololtherapyandelectrical stimulationinpreventingmigraine attacks., Journal of ShahrekordUniversityof Medical Sciences.2005; 75(3): 75- 9]Persian[.
26-Lipton RB, Bigal ME, Diamond M, Freitag F, Reed M, Stewart W. Migraine prevalence, disease burden and the need for preventive therapy.Neurology Journal2007; 68(5): 343-9.
27-Vicius DDT, Workman ML.Medical Surgical Nursing: Critical thinking for collaborative care.5th ed.2006: 947.
28-Shahriary M. Impact of aself-careprogramon the quality oflife in patients withpermanentpacemakers.Iranian Journalof Medical Education2005; 5(1): 45-52 ]Persian[.
29-Hamedanizadeh F,Mahmoodzadeh Zarandi F, Ebadi A, Asadzandi M, Kachuyi H.Effectiveness of Orem's self-care program on headache indexes inmigrainepatients.Kowsar Medical Journal2010; 15(3): 155-61 ]Persian[.
30-Basaknezhad S, Aghajani Afjadi A, Zargar S.Efficacy ofmindfulness-based cognitive therapy onsleep qualityandquality of  life for girl students.Journalof Political Science2013; 4: 181-98 ]Persian[.
31-Turner LC, Molgaard CA, Gardner CH.Migraine trigger factors in non-clinical Mexican population in Santiago country.Cephalalgia2001; 15: 523-53.
32-Farnam AS, Arfaee A, Nuhi S. Examine therelationship betweendepressionand pain sensation inmigraine patients.Journal of Behavioral Sciences2008; 2(2): 143-8]Persian[.
33-Verrotti A, Agostinelli S, D’Egidio C, Di Fonzo , Carotenuto M, Parisi P, et al.Impact of a weight loss program on migraine in obese adolescent.European Journal of Neurology2013; 20(2): 394-7.
34-Jazayeri R, Sharifi M.Comparison of emotional abuse of spouses and perceived social support in patient with chronic tension headaches and migraine with healthy people.Forensics Scientific Journal2011; 17(2): 87-94 ]Persian[.
35-Sajjadinezhad M, Mohamadi N, Taghavi M, Ashjazadeh N. Assessing the effect of group-cognitive-behavioraltherapyon depression and disability feelingof migraine patients.IranianJournal of  ClinicalPsychiatry andPsychology2009; 4(55 ): 418-41 ]Persian[.