Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Epilepsy Behav. 2021 Mar;116:107733. doi: 10.1016/j.yebeh.2020.107733. Epub 2021 Jan 27.
This study compared physicians' attitudes toward the fitness of persons with epilepsy to drive between 2009 and 2017 in Korea.
A questionnaire focusing on physicians' opinions about driving issues for persons with epilepsy was developed from literature reviews. Korean physicians were then surveyed anonymously via the online questionnaire in 2009 and in 2017.
The numbers of valid respondents were 118 in 2009 and 160 in 2017. The majority of respondents were neurologists. The preferred criterion for eligibility to drive in both surveys was 2 years free from seizure (41.5% in 2009 and 45.6% in 2017). However, the minimum seizure-free criterion for driving eligibility declined between 2009 and 2017. The changes in attitudes toward driving were significant only among physicians who had more than 10 patients with epilepsy per week. However, the proportion of physicians who agreed with 6-month seizure freedom as a criterion for fitness to drive was lower in 2017 than in 2009.
Although the preference of a 2-year seizure-free period as a criterion for fitness to drive did not change between 2009 and 2017, the minimum criterion for the seizure-free period did decline, particularly among physicians who had more than 10 patients with epilepsy per week in their clinic. The data support sustained efforts to promote education regarding aspects of epilepsy related to driving.
本研究比较了 2009 年至 2017 年韩国医生对癫痫患者驾驶能力的态度。
从文献综述中开发了一份专门针对医生对癫痫患者驾驶问题意见的调查问卷。然后，2009 年和 2017 年通过在线问卷匿名调查韩国医生。
2009 年有效答卷人数为 118 人，2017 年为 160 人。大多数受访者为神经科医生。两次调查中，适合驾驶的首选标准是 2 年无癫痫发作（2009 年为 41.5%，2017 年为 45.6%）。然而，适合驾驶的无癫痫发作最低标准在 2009 年至 2017 年间有所下降。仅在每周有 10 名以上癫痫患者的医生中，对驾驶的态度变化才有统计学意义。然而，2017 年同意 6 个月无癫痫发作作为适合驾驶标准的医生比例低于 2009 年。
尽管 2 年无癫痫发作期作为适合驾驶标准的偏好在 2009 年至 2017 年间没有改变，但无癫痫发作期的最低标准确实有所下降，尤其是在每周有 10 名以上癫痫患者的诊所中。这些数据支持持续努力，促进与驾驶相关的癫痫教育。
