Borhani-Haghighi Afshin, Rezaei Razieh, Etemadi Samaneh, Ghaem Haleh, Shariat Abolhamid
Department of Neurology and the Comparative Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. Tel. +98 (711) 6121065. Fax. +98 (711) 6272287. E-mail:
Neurosciences (Riyadh). 2009 Oct;14(4):360-3.
To investigate the knowledge and attitudes of patients towards lumbar puncture (LP), its complications, and indications.
In a questionnaire survey, patients who were referred to the general neurology outpatient clinic at Nemazee Hospital in Shiraz, Iran, from January 2007 to January 2008 were invited to complete a questionnaire consisting of items on demographic and socioeconomic variables, experiences with LP and complications, and knowledge of and attitudes regarding LP.
A total of 410 patients were recruited (58% women, mean age 33.2 +/- 2.7 years). Poor knowledge of LP was highly prevalent (92.6%), and negative attitudes toward LP were also common (63%) among our patients. Skepticism regarding LP was directly related to lack of information (p=0.00007). Lower socioeconomic status, lower educational level, and residence in rural areas were associated with being less well informed about LP, but interestingly those who had experience with LP before were better informed and had more positive attitudes.
It is possible to overcome reluctance to undergo LP through education of its indications, contraindications, and complications.
调查患者对腰椎穿刺（LP）及其并发症和适应证的了解程度与态度。
在一项问卷调查中，邀请了2007年1月至2008年1月期间转诊至伊朗设拉子内马齐医院普通神经科门诊的患者，填写一份问卷，内容包括人口统计学和社会经济变量、腰椎穿刺及并发症的经历，以及对腰椎穿刺的了解和态度。
共招募了410名患者（58%为女性，平均年龄33.2±2.7岁）。我们的患者中，对腰椎穿刺了解不足的情况非常普遍（92.6%），对腰椎穿刺持消极态度的也很常见（63%）。对腰椎穿刺的怀疑与信息缺乏直接相关（p=0.00007）。社会经济地位较低、教育水平较低以及居住在农村地区与对腰椎穿刺的了解较少有关，但有趣的是，之前有过腰椎穿刺经历的人了解得更多，态度也更积极。
通过对腰椎穿刺的适应证、禁忌证和并发症进行教育，有可能克服患者对接受腰椎穿刺的抵触情绪。
