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印度学校教师对癫痫的认知、意识及态度。

Knowledge awareness and attitude about epilepsy among schoolteachers in India.

作者信息

Thacker Anup K, Verma Anand M, Ji Ram, Thacker Prolima, Mishra Pragya

机构信息

Department of Neurology, B.R.D. Medical College, Gorakhpur 273013, UP, India.

出版信息

Seizure. 2008 Dec;17(8):684-90. doi: 10.1016/j.seizure.2008.04.007. Epub 2008 Jun 9.

Abstract

PURPOSE

Despite recent advances in the management of epilepsy the efforts to assess knowledge, attitude and practice towards epilepsy are limited, particularly in the developing countries. To delineate the magnitude and scope of this problem, present study was conducted to assess the knowledge attitude and practice about epilepsy amongst schoolteachers in Northeast Uttar Pradesh, the most populous state of India. The basis of involving schoolteachers was their special role in Indian society with their larger interaction among the segment of population most affected by epilepsy.

METHODS

Simple self-administered questionnaires were sent to the schoolteachers of primary and secondary levels. The questionnaires contained 15 questions related to awareness and attitudes towards epilepsy with details of first aid management of seizures.

RESULTS

We found that 97% of schoolteachers were aware of epilepsy with majority including it as a brain disease. A substantial proportion (38.2%) was uncertain about relation of epilepsy and insanity and 31.7% felt epileptics to be of below average intelligence. Only about half of them (55.3%) preferred their children to play with an epileptic. An overwhelming no was obvious about marriage with an epileptic (86.8%). Only 27.8% of the respondents had given any first aid measure to a seizing patient with only 16.3% giving it properly.

CONCLUSION

Despite a great degree of awareness about epilepsy amongst schoolteachers in India negative and wrong attitudes still exist. Stress on proper first aid measure to a seizing child needs greater emphasis to remove fright and fear amongst the public. Besides adequate management, public education to address existing biases and fear are equally important to improve the quality of life of epileptics.

摘要

目的

尽管癫痫管理方面最近取得了进展,但评估对癫痫的知识、态度和实践的努力仍然有限,特别是在发展中国家。为了描述这个问题的严重程度和范围,本研究旨在评估印度人口最多的北方邦东北部学校教师对癫痫的知识、态度和实践。选择学校教师的依据是他们在印度社会中的特殊作用,以及他们在受癫痫影响最严重的人群中有着更多的互动。

方法

向中小学教师发放简单的自填式问卷。问卷包含15个与癫痫认知和态度相关的问题,以及癫痫发作急救管理的详细信息。

结果

我们发现97%的学校教师知晓癫痫,大多数人将其视为脑部疾病。相当一部分人(38.2%)不确定癫痫与精神错乱的关系,31.7%的人认为癫痫患者智力低于平均水平。只有约一半的人(55.3%)愿意让自己的孩子与癫痫患者玩耍。对于与癫痫患者结婚,绝大多数人持反对态度(86.8%)。只有27.8%的受访者对癫痫发作患者采取过任何急救措施(正确采取急救措施的仅占16.3%)。

结论

尽管印度的学校教师对癫痫有较高程度的认知,但负面和错误态度仍然存在。需要更加强调对癫痫发作儿童采取正确的急救措施,以消除公众的恐惧。除了适当的管理外,开展公众教育以消除现有的偏见和恐惧对于改善癫痫患者的生活质量同样重要。

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