Eze Christian N, Ebuehi Olufunke M, Brigo Francesco, Otte Willem M, Igwe Stanley C
Department of Neuro-Psychiatry, Federal Teaching Hospital, Abakaliki, Nigeria.
Reproductive and International Health Unit, Department of Community Health and Primary Care, College of Medicine, University of Lagos, Nigeria.
Seizure. 2015 Dec;33:46-53. doi: 10.1016/j.seizure.2015.10.014. Epub 2015 Nov 1.
High rates of poor knowledge of, and negative attitudes towards people with epilepsy (PWE) are generally found among school teachers. Their first aid epilepsy management skills are poor. It remains unknown if this is different among trainee teachers and whether educational intervention might reduce these rates. We examined the effect of health education on the knowledge, attitudes, and first aid management of epilepsy on trainee teachers in Nigeria.
Baseline data and socio-demographic determinants were collected from 226 randomly selected trainee teachers, at the Federal College of Education, Lagos, Nigeria, with self-administered questionnaires. They received a health intervention comprising an hour and half epilepsy lecture followed by a discussion. Baseline knowledge of, and attitudes towards PWE and their first aid epilepsy management skills were compared to post-interventional follow-up data collected twelve weeks later with similar questionnaires.
At baseline the majority (61.9%) and largest proportion (44.2%) of respondents had negative attitudes and poor knowledge of epilepsy, respectively. The knowledge of, and attitudes towards epilepsy, and the first aid management skill increased in most respondents, post-intervention. The proportion of respondents with poor knowledge and negative attitudes dropped by 15.5% (p<0.0001) and 16.4% (p<0.0001) respectively. Correct knowledge concomitantly increased by 29.6% (p<0.0001) and good first aid management skills increased by 25.0% (p<0.0001) from baseline.
Epilepsy health education could increase trainee teachers' knowledge of, and attitudes towards epilepsy and facilitate correct first aid management. This emphasizes the potential benefit of incorporating an epilepsy tailored intervention programme into teachers' training curricula.
学校教师对癫痫患者（PWE）普遍存在认知率低和态度消极的问题。他们的癫痫急救管理技能较差。目前尚不清楚实习教师的情况是否有所不同，以及教育干预是否可以降低这些比率。我们研究了健康教育对尼日利亚实习教师癫痫知识、态度和急救管理的影响。
通过自填问卷，从尼日利亚拉各斯联邦教育学院随机抽取的226名实习教师中收集基线数据和社会人口学决定因素。他们接受了一项健康干预，包括一个半小时的癫痫讲座及随后的讨论。将对PWE的基线认知、态度及其癫痫急救管理技能与12周后用类似问卷收集的干预后随访数据进行比较。
基线时，大多数（61.9%）和最大比例（44.2%）的受访者分别对癫痫持消极态度和认知较差。在大多数受访者中，干预后对癫痫的认知、态度和急救管理技能有所提高。认知较差和态度消极的受访者比例分别下降了15.5%（p<0.0001）和16.4%（p<0.0001）。与基线相比，正确认知相应增加了29.6%（p<0.0001），良好的急救管理技能增加了25.0%（p<0.0001）。
癫痫健康教育可以增加实习教师对癫痫的认知和态度，并促进正确的急救管理。这强调了将癫痫针对性干预计划纳入教师培训课程的潜在益处。
