Migrenli Bireylerde Öz Bakım Davranışlarının Desteklenmesinde Halk Sağlığı Hemşirelerinin Rolü

Abstract

Migren; yüksek prevalansı, tekrarlayıcı seyri ve bireylerin fiziksel, psikolojik ve sosyal işlevselliği üzerindeki olumsuz etkileri nedeniyle önemli bir halk sağlığı sorunu olarak kabul edilmektedir. Migren yönetimi büyük ölçüde bireyin günlük yaşamında uyguladığı farmakolojik ve farmakolojik olmayan yaklaşımlara dayandığından, öz bakım davranışları bu sürecin temel bileşenlerinden biri olarak öne çıkmaktadır. Bu derlemenin amacı, migrenli bireylerde öz bakım davranışlarını güncel literatür doğrultusunda incelemek ve halk sağlığı hemşireliğinin migren yönetimindeki rolünü ortaya koymaktır. Derleme kapsamında migrenin klinik özellikleri, epizodik ve kronik migren ayrımı, değiştirilebilir risk faktörleri ve bu faktörlerin yönetiminde öz bakım ve hemşirelik yaklaşımları ele alınmıştır. Literatür bulguları, uyku düzeni, beslenme alışkanlıkları, fiziksel aktivite, stres yönetimi ve migren günlüğü tutma gibi yaşam tarzı temelli öz bakım davranışlarının migren ataklarının sıklığı ve şiddetini azaltmada etkili olduğunu göstermektedir. Bu davranışlar, SEEDS modeli (Sleep, Exercise, Eating, Diary, Stress) çerçevesinde migren yönetiminde bütüncül bir yaklaşım sunmaktadır. Bu yaklaşımın sahaya yansımasında halk sağlığı hemşireleri; eğitim, danışmanlık, izlem ve toplum temelli müdahaleler aracılığıyla migrenli bireylerin öz bakım kapasitelerinin güçlendirilmesinde kilit bir rol üstlenmektedir. Sonuç olarak migren öz bakımı, yalnızca bireysel sağlık çıktıları açısından değil, sağlık sistemleri ve toplum düzeyinde de olumlu etkiler yaratan, koruyucu ve güçlendirici bir halk sağlığı stratejisi olarak ele alınmalıdır.

Keywords

• Migren bozuklukları
• Özbakım
• Halk Sağlığı hemşireliği
• Yaşam tarzı

Supporting Institution

yok

Ethical Statement

Derleme makale olduğu için etik kurul alınmamıştır.

Thanks

yok

The Role of Public Health Nurses in Supporting Self-Care Behaviors Among Individuals with Migraine

Abstract

Migraine is recognized as a significant public health issue due to its high prevalence, recurrent course, and adverse effects on individuals' physical, psychological, and social functioning. Since migraine management largely relies on pharmacological and non-pharmacological approaches implemented in the individual's daily life, self-care behaviors emerge as a key component of this process. The aim of this review is to examine self-care behaviors in individuals with migraine in line with the current literature and to highlight the role of public health nursing in migraine management. The review covers the clinical characteristics of migraine, the distinction between episodic and chronic migraine, modifiable risk factors, and self-care and nursing approaches in managing these factors. Literature findings indicate that lifestyle-based self-care behaviors such as sleep patterns, dietary habits, physical activity, stress management, and keeping a migraine diary are effective in reducing the frequency and severity of migraine attacks. These practices offer a holistic approach to migraine management within the framework of the SEEDS model (Sleep, Exercise, Eating, Diary, Stress). In the practical implementation of this approach, public health nurses play a key role in strengthening the self-care capabilities of individuals with migraine through education, counselling, monitoring and community-based interventions. In conclusion, migraine self-care should be considered a protective and empowering public health strategy that creates positive effects not only in terms of individual health outcomes but also at the health system and community levels.

Keywords

• Migraine Disorders
• Self care
• Public healyh nursing
• lifestyle

Supporting Institution

no

Ethical Statement

Since it is a review article, it has not been submitted to the ethics committee.

Thanks

no

References

1. Abo-Elghiet, F., Elosaily, H., Hussein, D. K., El-Shiekh, R. A., A’aqoulah, A., Yousef, E. M., Selim, H. M. R. M., & El-Dessouki, A. M. (2025). Bridging gaps in migraine management: a comprehensive review of conventional treatments, natural supplements, complementary therapies, and lifestyle modifications. Pharmaceuticals, 18(2), 139. https://doi.org/10.3390/ph18020139
2. Abumilha, A. K. Y., Abukaftah, A. S. A., Al-Mudhi, M. M., Al Fareh, N. A., & Muflih Abudasser, A. (2025). Association between migraine and depression, anxiety, and stress in the Aseer region: A cross-sectional study. Frontiers in Neurology, 16, 1650891. https://doi.org/10.3389/fneur.2025.1650891
3. Agbetou, M., & Adoukonou, T. (2022). Lifestyle modifications for migraine management. Frontiers in Neurology, 13, 719467. https://doi.org/10.3389/fneur.2022.719467
4. Albarnawi, H. M., Alroqabi, S. M., Ogdi, W. Z., Jalal, A. A., Agdi, J. Z., Al-Eid, H. S., Almutairy, A. K., Alanazi, M. K., Qawfashi, F. Y., & Alhadidi, A. M. (2023). Community nursing interventions for chronic disease management. International Journal of Community Medicine and Public Health, 11(1), 464–468. https://doi.org/10.18203/2394-6040.ijcmph20233858
5. Andreou, A. P., & Edvinsson, L. (2019). Mechanisms of migraine as a chronic evolutive condition. The Journal of Headache and Pain, 20, 117. https://doi.org/10.1186/s10194-019-1066-0
6. Befus, D. R., Irby, M. B., Coeytaux, R. R., & Penzien, D. B. (2018). A critical exploration of migraine as a health disparity: The imperative of an equity-oriented, intersectional approach. Current Pain and Headache Reports, 22(12), 79. https://doi.org/10.1007/s11916-018-0731-3
7. Buse, D. C., & Andrasik, F. (2009). Behavioral medicine for migraine. Neurologic Clinics, 27, 445–465. https://doi.org/10.1016/j.ncl.2009.01.003
8. Buse, D. C., Fanning, K. M., Reed, M. L., Murray, S., Dumas, P. K., Adams, A. M., & Lipton, R. B. (2019). Life With Migraine: Effects on Relationships, Career, and Finances From the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study. Headache, 59(8), 1286–1299. https://doi.org/10.1111/head.13613

9. Chang, H. Y., Yang, C. C., Jensen, M. P., & Lai, Y. H. (2021). The frequency and perceived effectiveness of pain self-management strategies used by individuals with migraine. Journal of Nursing Research, 29(3), e154. https://doi.org/10.1097/jnr.0000000000000429
10. D’Amico, D., Grazzi, L., Curone, M., Di Fiore, P., Proietti Cecchini, A., Leonardi, M., Scaratti, C., & Raggi, A. (2015). Difficulties in work activities and the pervasive effect over disability in patients with episodic and chronic migraine. Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 36 Suppl 1, 9–11. https://doi.org/10.1007/s10072-015-2130-4
11. Demarquay, G., Moisset, X., Lantéri-Minet, M., de Gaalon, S., Donnet, A., Giraud, P., Guégan-Massardier, E., Lucas, C., Mawet, J., Roos, C., Valade, D., & Ducros, A. (2021). Revised guidelines of the French Headache Society for the diagnosis and management of migraine in adults. Part 1: Diagnosis and assessment. Revue Neurologique, 177(7), 725–733. https://doi.org/10.1016/j.neurol.2021.07.001
12. Eigenbrodt, A. K., Ashina, H., Khan, S., Diener, H.-C., Mitsikostas, D. D., Sinclair, A. J., Pozo-Rosich, P., Martelletti, P., Ducros, A., Lantéri-Minet, M., Braschinsky, M., del Rio, M. S., Daniel, O., Özge, A., Mammadbayli, A., Arons, M., Skorobogatykh, K., Romanenko, V., Terwindt, G. M., Paemeleire, K., Sacco, S., Reuter, U., Lampl, C., Schytz, H. W., Katsarava, Z., Steiner, T. J., & Ashina, M. (2021). Diagnosis and management of migraine in ten steps. Nature Reviews Neurology, 17(8), 501-514. https://doi.org/10.1038/s41582-021-00509-5
13. Elmazny, A., Magdy, R., Hussein, M., Ismaeel, A. Y., Essmat, A., Elbeltagy, K. E., Hussein, S. M. M., Hassan, N. S., Elbehiry, N. M., Osama, W., & Abdelazeem, H. N. (2025). Migraine triggers and lifestyle modifications: An assessment of patients' awareness and the role of healthcare providers in patient education. The Journal of Headache and Pain, 26(1), 189. https://doi.org/10.1186/s10194-025-02107-y
14. Feigin, V. L., Nichols, E., Alam, T., Bannick, M. S., Beghi, E., Blake, N., Culpepper, W. J., Dorsey, E. R., Elbaz, A., Ellenbogen, R. G., Fisher, J. L., Fitzmaurice, C., Giussani, G., Glennie, L., James, S. L., Johnson, C. O., Kassebaum, N. J., Logroscino, G., Marin, B., ... Vos, T. (2019). Global, regional, and national burden of neurological disorders, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology, 18(5), 459–480. https://doi.org/10.1016/S1474-4422(18)30499-X
15. Goetz, A., McCormick, S., Phillips, R., & Friedman, D. (2022). CE: Diagnosing and Managing Migraine. The American Journal of Nursing, 122(1), 32–43. https://doi.org/10.1097/01.NAJ.0000805640.82646.ac
16. GBD 2019 Diseases and Injuries Collaborators. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1204–1222. https://doi.org/10.1016/S0140-6736(20)30925-9
17. Goadsby, P. J. (2018). Migraine and other primary headache disorders. In D. L. Kasper, A. S. Fauci, S. L. Hauser, J. L. Jameson, & J. Loscalzo (Eds.), Harrison’s principles of internal medicine (20th ed., Vols. 1–2, Chapter 422). McGraw-Hill Education.
18. Haghdoost, F., & Togha, M. (2022). Migraine management: Non-pharmacological points for patients and health care professionals. Open Medicine 17(1), 1869–1882. https://doi.org/10.1515/med-2022-0598
19. Headache Classification Committee of the International Headache Society (IHS). (2013). The international classification of headache disorders (3rd ed., beta version). Cephalalgia, 33(9), 629–808. https://doi.org/10.1177/0333102413485658
20. Hovaguimian, A., & Roth, J. (2022). Management of chronic migraine. BMJ, 379, e067670. https://doi.org/10.1136/bmj-2021-067670
21. Huang, Y., Li, S., Lu, X., Chen, W., & Zhang, Y. (2024). The Effect of Self-Management on Patients with Chronic Diseases: A Systematic Review and Meta-Analysis. Healthcare, 12 (21), 2151. https://doi.org/10.3390/healthcare12212151
22. Khorsha, F., Mirzababaei, A., Togha, M., & Mirzaei, K. (2020). Association of drinking water and migraine headache severity. Journal of Clinical Neuroscience, 77, 81–84. https://doi.org/10.1016/j.jocn.2020.03.019
23. La Touche, R., Fierro-Marrero, J., Sánchez-Ruíz, I., Rodríguez de Rivera-Romero, B., Cabrera-López, C. D., Lerma-Lara, S., Requejo-Salinas, N., de Asís-Fernández, F., Elizagaray-García, I., Fernández-Carnero, J., Matesanz-García, L., Pardo-Montero, J., Paris-Alemany, A., & Reina-Varona, Á. (2023). Prescription of therapeutic exercise in migraine, an evidence-based clinical practice guideline. The Journal of Headache and Pain, 24(1), 68. https://doi.org/10.1186/s10194-023-01571-8
24. Leonardi, M., & Raggi, A. (2019). A narrative review on the burden of migraine: When the burden is the impact on people’s life. The Journal of Headache and Pain, 20, 41. https://doi.org/10.1186/s10194-019-0993-0
25. Lisicki, M., & Schoenen, J. (2021). Old habits die hard: Dietary habits of migraine patients challenge our understanding of dietary triggers. Frontiers in Neurology, 12, 748419. https://doi.org/10.3389/fneur.2021.748419
26. Marupuru, S., Almatruk, Z., Slack, M. K., & Axon, D. R. (2023). Use of pharmacological and non-pharmacological strategies by community-dwelling adults to manage migraine: a systematic review. Clinics and Practice, 13(3), 553-568. https://doi.org/10.3390/clinpract13030051
27. May, A., & Schulte, L. (2016). Chronic migraine: Risk factors, mechanisms and treatment. Nature Reviews Neurology, 12, 455–464. https://doi.org/10.1038/nrneurol.2016.93
28. Nock, A. M., Metzing, S., Jürgensen, I. N., & Petersen-Ewert, C. (2023). Health literacy in adults with chronic diseases in the context of community health nursing: a scoping review. Nursing Reports, 13 (2), 823–834. https://doi.org/10.3390/nursrep13020072
29. Orem, D. E. (2001). Nursing: Concepts of practice (6th ed.). Mosby.
30. Peris, F., Donoghue, S., Torres, F., Mian, A., & Wöber, C. (2017). Towards improved migraine management: Determining potential trigger factors in individual patients. Cephalalgia, 37, 452–463. https://doi.org/10.1177/0333102416645961
31. Poureslami, I., Nimmon, L., Rootman, I., & Fitzgerald, M. J. (2017). Health literacy and chronic disease management: drawing from expert knowledge to set an agenda. Health Promotion İnternational, 32(4), 743–754. https://doi.org/10.1093/heapro/daw003
32. Probyn, K., Bowers, H., Mistry, D., Caldwell, F., Underwood, M., Patel, S., Sandhu, H. K., Matharu, M., Pincus, T., & CHESS team. (2017). Non-pharmacological self-management for people living with migraine or tension-type headache: a systematic review including analysis of intervention components. BMJ Open, 7(8), e016670. https://doi.org/10.1136/bmjopen-2017-016670
33. Riegel, B., Jaarsma, T., & Strömberg, A. (2012). A middle-range theory of self-care of chronic illness. Advances in Nursing Science, 35(3), 194–204. https://doi.org/10.1097/ANS.0b013e318261b1ba
34. Robblee, J., & Starling, A. J. (2019). SEEDS for success: Lifestyle management in migraine. Cleveland Clinic Journal of Medicine, 86, 741–749. https://doi.org/10.3949/ccjm.86a.19009
35. Renjith, V., Pai, M. S., Castelino, F., Pai, A., & George, A. (2016). Clinical profile and functional disability of patients with migraine. Journal of Neurosciences in Rural Practice, 7(2), 250–256. https://doi.org/10.4103/0976-3147.176188
36. Sacco, S., Braschinsky, M., Ducros, A., Lampl, C., Little, P., van den Brink, A. M., Pozo-Rosich, P., Reuter, U., de la Torre, E. R., Sanchez Del Rio, M., Sinclair, A. J., Katsarava, Z., & Martelletti, P. (2020). European headache federation consensus on the definition of resistant and refractory migraine : Developed with the endorsement of the European Migraine & Headache Alliance (EMHA). The journal of headache and pain, 21(1), 76. https://doi.org/10.1186/s10194-020-01130-5
37. Safiri, S., Pourfathi, H., Eagan, A., Mansournia, M. A., Khodayari, M. T., Sullman, M. J. M., Kaufman, J., Collins, G., Dai, H., Bragazzi, N. L., & Kolahi, A. A. (2022). Global, regional, and national burden of migraine in 204 countries and territories, 1990 to 2019. Pain, 163(2), e293–e309. https://doi.org/10.1097/j.pain.0000000000002275
38. Saquing, J. B., Kijsomporn, J., Mishra, V., & Babu, R. (2025). Community health nursing in chronic illness management: Contributing to SDG 3 and SDG 11. Vascular And Endovascular Review, 8(4s), 101–109. https://verjournal.com/index.php/ver/article/view/364
39. Schwedt T. J. (2018). Preventive therapy of migraine. Continuum (Minneapolis, Minn.), 24(4, Headache), 1052–1065. https://doi.org/10.1212/CON.0000000000000635
40. Seng, E. K., Gosnell, I., Sutton, L., & Grinberg, A. S. (2022). Behavioral Management of Episodic Migraine: Maintaining a Healthy Consistent Lifestyle. Current pain and headache reports, 26(3), 247–252. https://doi.org/10.1007/s11916-022-01023-z
41. Seng, E. K., Martin, P. R., & Houle, T. T. (2022). Lifestyle factors and migraine. The Lancet. Neurology, 21(10), 911–921. https://doi.org/10.1016/S1474-4422(22)00211-3
42. Serrano, D., Manack, A. N., Reed, M. L., Buse, D. C., Varon, S. F., & Lipton, R. B. (2013). Cost and predictors of lost productive time in chronic migraine and episodic migraine: results from the American Migraine Prevalence and Prevention (AMPP) Study. Value in Health :the journal of the International Society for Pharmacoeconomics and Outcomes Research, 16(1), 31–38. https://doi.org/10.1016/j.jval.2012.08.2212
43. Short, A. L. (2019). Enhancing migraine self-efficacy and reducing disability through a self-management program. Journal of the American Association of Nurse Practitioners, 33(1), 20–28. https://doi.org/10.1097/JXX.0000000000000323
44. Slavin, M., Li, H. A., Frankenfeld, C., & Cheskin, L. J. (2019). What is needed for evidence-based dietary recommendations for migraine: A call to action for nutrition and microbiome research. Headache, 59, 1566–1581. https://doi.org/10.1111/head.13642
45. Stanhope, M., & Lancaster, J. (2020). Public health nursing: Population-centered health care in the community (10th ed.). Elsevier.
46. Steiner, T. J., Stovner, L. J., Jensen, R., Uluduz, D., Katsarava, Z., & Lifting The Burden: the Global Campaign against Headache (2020). Migraine remains second among the world's causes of disability, and first among young women: findings from GBD2019. The journal of Headache and Pain, 21(1), 137. https://doi.org/10.1186/s10194-020-01208-0
47. Stone, A. A., Shiffman, S., Schwartz, J. E., Broderick, J. E., & Hufford, M. R. (2003). Patient compliance with paper and electronic diaries. Controlled Clinical Trials, 24(2), 182–199. https://doi.org/10.1016/S0197-2456(02)00320-3
48. Tiseo, C., Vacca, A., Felbush, A., Filimonova, T., Gai, A., Glazyrina, T., Hubalek, I. A., Marchenko, Y., Overeem, L. H., Piroso, S., Tkachev, A., Martelletti, P., & Sacco, S. (2020). Migraine and sleep disorders: A systematic review. The Journal of Headache and Pain, 21(1), 126. https://doi.org/10.1186/s10194-020-01192-5
49. Tu, Y.-H., Chang, C.-M., Yang, C.-C., Tsai, I.-J., Chou, Y.-C., & Yang, C.-P. (2025). Dietary Patterns and Migraine: Insights and Impact. Nutrients, 17(4), 669. https://doi.org/10.3390/nu17040669
50. Underwood, M., Achana, F., Carnes, D., Eldridge, S., Ellard, D. R., Griffiths, F., Haywood, K., Hee, S. W., Higgins, H., Mistry, D., Mistry, H., Newton, S., Nichols, V., Norman, C., Padfield, E., Patel, S., Petrou, S., Pincus, T., Potter, R., Sandhu, H., … Matharu, M. S. (2023). Supportive Self-Management Program for People With Chronic Headaches and Migraine: A Randomized Controlled Trial and Economic Evaluation. Neurology, 100(13), e1339–e1352. https://doi.org/10.1212/WNL.0000000000201518
51. Woldeamanuel, Y. W., & Cowan, R. P. (2016). The impact of regular lifestyle behavior in migraine: A prevalence case–referent study. Journal of Neurology, 263, 669–676. https://doi.org/10.1007/s00415-016-8031-5
52. Woldeamanuel, Y. W., & Cowan, R. P. (2017). Migraine affects 1 in 10 people worldwide featuring recent rise: A systematic review and meta-analysis of community-based studies involving 6 million participants. Journal of The Neurological Sciences, 372, 307–315. https://doi.org/10.1016/j.jns.2016.11.071