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癫痫患者妊娠相关问题认知情况的横断面研究。

Patient knowledge about issues related to pregnancy in epilepsy: a cross-sectional study.

机构信息

Department of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, Calgary, Canada.

出版信息

Epilepsy Behav. 2012 May;24(1):65-9. doi: 10.1016/j.yebeh.2012.03.001. Epub 2012 Apr 4.

Abstract

In 2009, new guidelines were established by the American Academy of Neurology regarding pregnancy in women with epilepsy. A questionnaire was developed to assess patient knowledge of current guidelines related to epilepsy and pregnancy. Patients were recruited from a single outpatient clinic in a large Canadian tertiary care center. Patients were eligible to participate if they were female, of reproductive age, had active epilepsy for at least 6 months and were not cognitively impaired. One hundred women completed the survey (response rate 87%) with a median score of 40%. A significant association was found between total score and years of education (p<0.001). Significant associations were not found between total score and epilepsy duration (p=0.37), previously being pregnant (p=0.22), and polytherapy (p=0.31). Patient knowledge of the impact of epilepsy on pregnancy is low. More knowledge translation efforts are required to increase knowledge of issues related to pregnancy for women with epilepsy.

摘要

2009 年,美国神经病学学会针对癫痫女性妊娠问题制定了新的指南。我们设计了一份问卷来评估患者对当前癫痫与妊娠相关指南的了解程度。我们在加拿大一家大型三级保健中心的单一门诊招募了患者。符合条件的患者为女性、育龄期、癫痫至少持续 6 个月且无认知障碍。共有 100 名女性完成了调查(应答率为 87%),中位数评分为 40%。总评分与受教育年限呈显著正相关(p<0.001)。总评分与癫痫持续时间(p=0.37)、之前妊娠次数(p=0.22)和联合用药(p=0.31)均无显著相关性。患者对癫痫对妊娠的影响了解不足。需要进一步进行知识转化工作,以提高癫痫女性对妊娠相关问题的认识。

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