Aksaray İlindeki Polikiliniğe Baş Ağrısı ile Başvuran Adölesanlarda Migren Prevalansı ve Etki Eden Sosyodemografik Faktörler

Giriş ve Amaç: Baş ağrısı çocuk polikliniklerinde giderek artan bir şikayettir ve ergenlik döneminde çocukların kendilerini daha kolay ifade edebildikleri dönemlerde daha sık görülür. Bu çalışmada, polikliniğimize baş ağrısı ile başvuran hastalarda migren sıklığını, migren tanısı almış hastalarda migren ataklarını etkileyen sosyodemografik faktörleri ve sosyal etkileri incelemeyi amaçladık. Gereç ve Yöntemler: Aksaray Eğitim ve Araştırma Hastanesi Çocuk Sağlığı ve Hastalıkları Polikliniği'ne Ekim 2018 - Aralık 2019 tarihleri arasında baş ağrısı şikayeti ile başvuran 11-17 yaş arası 308 çocuk dahil edildi. Migren semptomları olan hastalara ağrılarını daha kolay tanımlayabilmek için 15 sorudan oluşan mini anket verildi. İkinci anket polikliniğinde ikinci kez değerlendirilen ve migren tanısı alan hastalara sosyal çevresel faktörleri ve migren ataklarını tanımlamak için uygulandı. Bulgular: Hastaların ortanca yaşı 13.7 ± 1.1 yıldı. Bu hastaların 127'si (% 41,2) erkek, 181'i (% 58,8) kadındı. 308 hastanın 26'sında (% 8.4) migren tanısı kondu. Cinsiyet faktörü ve bilgisayar kullanımı karşılaştırıldığında, migren atağı öncesinde uzun süreli bilgisayar kullanan 4 erkek (% 44,4) ve 1 kız (% 17,7) olduğu saptandı (p = 0,043). Atak öncesinde gün içerisinde arkadaşlarıyla problem yaşadığını belirten 6 kız (%46,2) ve 1 erkek (%11,1) olduğu saptandı (p=0,017). Sonuç: Çalışmamızda ergen ve çocukların günlük yaşamlarında cep telefonu ve uzun süreli bilgisayar gibi teknolojik cihazların daha sık kullanımının migren ataklarını etkilediği görüldü. Ayrıca stresli ilişki durumlarının genç migren hastalarında özellikle kızlarda atakları şiddetlendirebileceği tespit edilmiştir. Daha geniş hasta popülasyonu ile randomize kontrollü prospektif çalışmaların çocuk ve ergenlerde migren ataklarını etkileyen faktörler ve sosyodemografik veriler için literatüre katkı sağlayacağını düşünüyoruz.

Anahtar Kelimeler:

migren, adölesan, çocuk, teknoloji, bilgisayar

Prevalence of migraine and the affecting sociodemographic factors in adolescents admitted to the polyclinic with headache in Aksaray Province

Objective Headache is a complaint with an increasing rate in pediatric outpatient clinics, and it is more common in adolescence when children can express themselves more easily. In this study, we aimed to examine the incidence of migraine in patients admitted to our outpatient clinic with headache, and the sociodemographic factors and social effects affecting migraine attacks in patients diagnosed with migraine. Material and Methods: 308 children between the ages of 11-17 who presented to Aksaray Education and Research Hospital Pediatri Outpatient Clinic between October 2018 and December 2019 with headache were included. A mini questionnaire consisting of 15 questions was given to the patients with migraine symptoms to define their headache more easily. The second questionnaire was applied to the patients who were evaluated in the outpatient clinic for the second time and diagnosed with migraine, to define social environmental factors and migraine attacks. Results: The median age of the patients was 13.7 ± 1.1 years. 127 of these patients (41.2%) were male and 181 (58.8%) were female. Migraine was diagnosed in 26 patients (8.4%) out of 308 patients. When comparing the gender factor and computer use, it was found that there were 4 boys (44.4%) and 1 girl (17.7%) who had long-term computer use before migraine attack (p = 0.043). It was found that there were 6 girls (46.2%) and 1 boy (11.1%) who stated that they had problems with their friends during the day before the attack (p = 0.017). Conclusion: As a result, it was seen in our study that the more frequent use of technological devices such as mobile phones and long-term computer use in the daily lives of adolescents and children affected migraine attacks.

Keywords:

migraine, adolecent, child, computer, tecnology,

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