Ezeala-Adikaibe B A, Okpara T, Ekenze O S, Onodugo O, Ezeala-Adikaibe N P, Nnaji T, Onyebueke G
Department of Medicine, Nephrology Unit, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Department of Community Medicine, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Niger J Clin Pract. 2017 Jul;20(7):884-891. doi: 10.4103/njcp.njcp_174_16.
Though most doctors in their professional life will provide care for people with epilepsy, many will not get further training in their professional life. There may be other barriers, perceived or not, to providing care to people living with epilepsy by doctors which need to be approached in the medical undergraduate curriculum and medical continuing education. The aim of this study was to determine the knowledge gaps of medical students on basic issues regarding epilepsy that could be useful in preparing training material for the students and continuous medical education for doctors working in the community.
This cross-sectional and descriptive study was carried out in one of the medical schools in Enugu metropolis. Data collection was done using a semi-structured validated questionnaire.
Seizure was regarded as a movement disorder by 10.3% of the students. The rank of causes of epilepsy given by respondents was brain injury (88%), brain tumor (87%) genetics (62.3%), and strokes (55.1%). Significantly more students who did neurology posting correctly answered that stroke is a risk factor (P < 0.001), disagreed that sleep deprivation is a risk factor (P = 0.04), and recognized different seizure types (P < 0.001-0.002). The mean score was 17.8 ± 2.3% (71.2 ± 9.2%); significantly higher in those who did neurology posting. Students scored lowest on questions regarding risk factors and duration of treatment.
The content of medical curriculum in Africa should emphasize not only the content of lectures on epilepsy but also the need for students to go through neurology posting during their training. The outcome would be both better knowledge and improved physician-patient relations.
尽管大多数医生在其职业生涯中会为癫痫患者提供护理，但许多人在职业生涯中不会接受进一步培训。医生在为癫痫患者提供护理方面可能存在其他障碍，无论是否被意识到，这些障碍都需要在医学本科课程和医学继续教育中加以解决。本研究的目的是确定医学生在癫痫基本问题上的知识差距，这可能有助于为学生编写培训材料以及为社区工作的医生开展继续医学教育。
本横断面描述性研究在埃努古市的一所医学院进行。使用经过验证的半结构化问卷收集数据。
10.3%的学生将癫痫发作视为运动障碍。受访者给出的癫痫病因排名依次为脑损伤（88%）、脑肿瘤（87%）、遗传因素（62.3%）和中风（55.1%）。显著更多在神经科实习的学生正确回答中风是一个风险因素（P < 0.001），不同意睡眠剥夺是一个风险因素（P = 0.04），并且能识别不同的癫痫发作类型（P < 0.001 - 0.002）。平均得分是17.8 ± 2.3%（71.2 ± 9.2%）；在神经科实习的学生得分显著更高。学生在关于风险因素和治疗持续时间的问题上得分最低。
非洲医学课程的内容不仅应强调癫痫讲座的内容，还应强调学生在培训期间进行神经科实习的必要性。这样的结果将是更好的知识水平以及改善医患关系。
