Tiamkao Siriporn, Tiamkao Somsak, Auevitchayapat Narong, Arunpongpaisal Suwanna, Chaiyakum Aporanee, Jitpimolmard Suthipun, Phuttharak Warinthorn, Phunikhom Kutcharin, Saengsuwan M Jiamjit, Vannaprasaht Suda
Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
J Med Assoc Thai. 2007 Nov;90(11):2271-6.
The medical students' knowledge about basic medical neuroscience in the preclinical level may be fragmented and incomplete.
Evaluate the knowledge of students prior to a lecture on epilepsy in clinical level.
One hundred ten fourth-year medical students' knowledge was accessed by a self-administered questionnaire.
The presented results revealed that 91.8% of respondents knew that epilepsy arose from a transient dysfunction in the brain. Generalized tonic-clonic seizures (GTCs) were the most common type (91.5%) they knew and absence seizures were the least common type (33.6%) they knew. All of them knew that eating pork and punishment of gods did not cause epilepsy. However 50% thought that genetics was a cause and 80.3% did not know that stroke and sleep deprivation (92.7%) cause epilepsy. About treatment and prognosis, only 28.2% of respondents thought epilepsy can be cured and patients should take antiepileptic drugs (AEDs) for seizure free 2-5 years (48.2%), life long (33.6%). They knew that the patients should be prohibited from driving (80%), working on machinery (74.5%), and (27.3%) avoid drinking. However, they knew that the patients could marry (100%), get pregnant (98.2%), and lactate (91.9%). Regarding the first aid management, 50.9% of them recommended that placing a piece of wood between the teeth during a seizure and perform chest compressions (20.0%). Means knowledge scores is about 60%, the highest score is the definition of epilepsy (90.2%) and the lowest is type of seizure (43%).
The findings indicated that lecturers should review aspects ofpathophysiology and emphasize on type of seizure, cause, consequences, and prognosis including first-aid management.
医学生在临床前阶段对基础医学神经科学的知识可能是零散且不完整的。
评估临床阶段学生在癫痫讲座前的知识水平。
通过一份自填式问卷来了解110名四年级医学生的知识情况。
呈现的结果显示,91.8%的受访者知道癫痫源于大脑的短暂功能障碍。他们所知道的最常见癫痫类型是全身强直阵挛性发作(GTCs,91.5%),最不常见的是失神发作(33.6%)。他们都知道吃猪肉和神灵惩罚不会导致癫痫。然而,50%的人认为遗传是一个病因,80.3%的人不知道中风和睡眠剥夺(92.7%)会导致癫痫。关于治疗和预后,只有28.2%的受访者认为癫痫可以治愈,患者应服用抗癫痫药物(AEDs)以无发作2 - 5年(48.2%)、终身(33.6%)。他们知道患者应被禁止驾驶(80%)、操作机械(74.5%),以及(27.3%)避免饮酒。然而,他们知道患者可以结婚(100%)、怀孕(98.2%)和哺乳(91.9%)。关于急救处理,50.9%的人建议在发作时在牙齿间放置一块木头,20.0%的人建议进行胸外按压。平均知识得分约为60%,得分最高的是癫痫的定义(90.2%),最低的是发作类型(43%)。
研究结果表明,授课教师应复习病理生理学方面的内容,并强调发作类型、病因、后果和预后,包括急救处理。