Pérez-Pérez J, Sosa A M, González-Casanova S
Servicio de Pediatría, Hospital Universitario de Canarias, La Laguna, Santa Cruz de Tenerife, Spain.
Rev Neurol. 2005;40(7):385-93.
Epilepsy is a common disease with important social and economic repercussions. Patients with epilepsy have traditionally been discriminated by both the general population and physicians. A physician's lack of knowledge about epilepsy could be the cause of an incorrect clinical control (CC).
The purpose of this study is to examine the origins of the knowledge, the CC and the attitudes of physicians in Tenerife with respect to the treatment of patients with epilepsy.
In January 2003, all Primary Care physicians in Tenerife were given a questionnaire that asked them about their knowledge, CC and attitudes when dealing with cases of epilepsy. Of the 260 surveys initially sent out, 182 were returned.
The questionnaire was answered by 70% of doctors, of which 34 were paediatricians and 148 were general practitioners, with no differences between sexes. Most physicians acquire their knowledge, observe and treat their first seizure in the Faculty and during their period of hospital residency. 44% of them are barely or not at all satisfied with their knowledge on the subject. The most highly valued therapists are neurologists and neuropaediatricians. The goal that is sought is to eliminate the impact of the disease on the patient's quality of life. They rarely establish or modify antiepileptic treatment and state that they have doubts about neuropsychological disorders and integrating patients with epilepsy in the workplace.
The physicians in Tenerife define themselves as professionals with scant knowledge about epilepsy and feel they are poorly qualified to treat patients with the disease, who are usually referred to specialists in Neurology.
癫痫是一种常见疾病，具有重要的社会和经济影响。癫痫患者传统上受到普通大众和医生的歧视。医生对癫痫缺乏了解可能是临床控制不当的原因。
本研究旨在探讨特内里费岛医生在癫痫患者治疗方面的知识来源、临床控制情况及态度。
2003年1月，向特内里费岛所有初级保健医生发放了一份问卷，询问他们在处理癫痫病例时的知识、临床控制情况及态度。最初发放的260份调查问卷中，有182份被收回。
70%的医生回答了问卷，其中34名是儿科医生，148名是全科医生，男女之间无差异。大多数医生在医学院及住院实习期间获得知识、观察并治疗首例癫痫发作。44%的医生对自己在该主题上的知识几乎或完全不满意。最受重视的治疗师是神经科医生和神经儿科医生。追求的目标是消除该疾病对患者生活质量的影响。他们很少制定或调整抗癫痫治疗方案，并表示对神经心理障碍以及癫痫患者融入工作场所存在疑虑。
特内里费岛的医生认为自己对癫痫知识了解不足，觉得自己治疗该疾病的能力欠佳，癫痫患者通常会被转诊给神经科专家。
