日本山阴地区家庭保健护士的癫痫相关知识、态度及实践调查
A Survey of Epilepsy-related Knowledge, Attitudes and Practices of Home Healthcare Nurses in the San-in Region of Japan.
作者信息
Nishina Yuko, Yoshioka Shin-Ichi
机构信息
Department of Nursing Care Environment and Mental Health, School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.
出版信息
Yonago Acta Med. 2018 Mar 28;61(1):19-26. doi: 10.33160/yam.2018.03.003. eCollection 2018 Mar.
BACKGROUND
Comprehensive care is necessary for people with epilepsy (PWE) to lead a fulfilling life at home and in the community. The purpose of this study was to determine the epilepsy-related knowledge, attitudes and practices of home healthcare nurses (HHNs) in the San-in region of Japan.
METHODS
A questionnaire survey was conducted by mail of 546 HHNs working in Tottori and Shimane Prefectures. The questionnaire assessed the epilepsy-related knowledge, attitudes and practices of HHNs. For the analysis, simple and cross tabulation of questionnaire responses were conducted, and the chi-squared test was used for statistical testing.
RESULTS
A total of 285 HHNs participated in the study. Of the respondents, 43.9% had experience taking care of PWE in a home healthcare nursing setting. Regarding the cause of epilepsy, in descending order the percentage of correct responses were 86.7% for stroke, 85.3% for head injury, and only 13.3% for dementia. Concerning how to respond to an epileptic seizure, almost all respondents answered correctly, but 29.8% gave the incorrect answer of "place something inside the mouth." Regarding the practices of HHNs in relation to caring for PWE, nurses scored 52.0% for collaborating with the attending physician, indicating the need for improvement. The score for "provide information about social resources" was low at 18.4%. Of the respondents, 95.8% answered that epilepsy-related knowledge and technical skills were necessary for home healthcare nursing practice, and 87.7% were interested in participating in a workshop on epilepsy.
CONCLUSION
The study revealed an inadequate level of knowledge of epilepsy with dementia and corresponding epileptic seizures, a low awareness of nursing care in collaboration with physicians, and the importance of providing information about social resources. There is a need to offer information and education on the latest knowledge about epilepsy to HHNs.
背景
全面护理对于癫痫患者（PWE）在家庭和社区中过上充实的生活至关重要。本研究的目的是确定日本山阴地区家庭保健护士（HHNs）与癫痫相关的知识、态度和实践。
方法
通过邮件对在鸟取县和岛根县工作的546名家庭保健护士进行了问卷调查。该问卷评估了家庭保健护士与癫痫相关的知识、态度和实践。为了进行分析，对问卷回复进行了简单和交叉列表，并使用卡方检验进行统计检验。
结果
共有285名家庭保健护士参与了该研究。在受访者中，43.9%有在家庭保健护理环境中照顾癫痫患者的经验。关于癫痫的病因，正确回答的百分比从高到低依次为中风86.7%、头部受伤85.3%，而痴呆仅为13.3%。关于如何应对癫痫发作，几乎所有受访者都回答正确，但29.8%给出了“在口腔内放置东西”的错误答案。关于家庭保健护士在照顾癫痫患者方面的实践，护士与主治医生协作的得分是52.0%，表明需要改进。“提供社会资源信息”的得分较低，为18.4%。在受访者中，95.8%回答说癫痫相关知识和技术技能对于家庭保健护理实践是必要的，87.7%有兴趣参加关于癫痫的研讨会。
结论
该研究揭示了对痴呆及相应癫痫发作的癫痫知识了解不足，与医生协作护理的意识较低，以及提供社会资源信息的重要性。有必要向家庭保健护士提供关于癫痫最新知识的信息和教育。
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