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土耳其儿童癫痫患者亲属的信念和行为。

Beliefs and behaviors of patients' relatives towards childhood epilepsy in Turkey.

机构信息

Department of Medical History and Ethics, Faculty of Medicine, Mersin University, Mersin, Turkey.

Department of Pediatric Neurology, Adıyaman University Training and Research Hospital, Adıyaman, Turkey.

出版信息

Seizure. 2022 Aug;100:8-14. doi: 10.1016/j.seizure.2022.05.023. Epub 2022 Jun 1.

Abstract

BACKGROUND/AIM: Beliefs about health-related problems throughout history are conveyed differently. Unsafe practices based on the superstitious beliefs of patients' relatives in situations requiring emergency medical attention, such as childhood epilepsy, or in the treatment of chronic diseases may be harmful to children's health. Our study aims to determine the superstitious beliefs, attitudes, and behaviours of the relatives of children with epilepsy.

METHODS

A total of 252 relatives of patients diagnosed with childhood epilepsy were included in this cross-sectional study conducted between 15 September and 15 October 2019. The data collection form contained questions about the sociodemographic information of the participants and their beliefs and behaviours towards the disease. The frequency (percentage) and mean were used to summarise the data obtained through the application of the questionnaire, and Student's t-test and correlation methods were used for group comparisons; p < 0.05 was considered statistically significant.

RESULTS

In the study, 77.0% of the participants were women, 77.4% were mothers, 43.3% were primary school graduates, 71.8% were unemployed, 77.7% had a low income, 52% lived within a distance of less than 1 km, and 157 of them used folk medicine. There was no relationship between education, income, distance from health institutions, occupation, use of traditional methods, and superstitions. A relationship was found between the relatives of patients with resistant epilepsy who stated that the cause of the disease was superstition (p = 0.036). There was also a correlation between the use of traditional methods (p = 0.006), presence of resistant epilepsy, indication of the cause of the disease as superstition (p = 0.004), and use of traditional methods (p = 0.005).

CONCLUSION

Our study shows that approximately four-fifths of the participants had superstitious beliefs about epilepsy and exhibited attitudes and behaviours suggestive of neglect that are unsafe for children. Whilst the individual characteristics of the participants did not affect negative attitudes and behaviours, the presence of resistant epilepsy in their children increased the negative attitude tendency.

摘要

背景/目的:历史上,人们对与健康相关问题的看法各不相同。在需要紧急医疗救治的情况下,如儿童癫痫,或在治疗慢性病时,基于患者亲属的迷信观念而采取的不安全做法可能会对儿童健康造成危害。我们的研究旨在确定癫痫患儿亲属的迷信观念、态度和行为。

方法

本横断面研究于 2019 年 9 月 15 日至 10 月 15 日期间纳入了 252 名确诊为儿童癫痫的患者亲属。数据采集表包含了参与者的社会人口学信息以及他们对疾病的信仰和行为的问题。通过问卷调查获得的数据采用频率(百分比)和平均值进行总结,并采用学生 t 检验和相关方法进行组间比较;p<0.05 为统计学显著差异。

结果

在研究中,77.0%的参与者为女性,77.4%为母亲,43.3%为小学毕业生,71.8%为失业者,77.7%收入较低,52%居住在距离医疗机构 1 公里以内,157 人使用民间药物。教育程度、收入、距离医疗机构的远近、职业、使用传统方法和迷信之间没有关系。在认为疾病是由迷信引起的难治性癫痫患者的亲属中发现了一种关系(p=0.036)。在使用传统方法(p=0.006)、存在难治性癫痫、表明疾病原因是迷信(p=0.004)和使用传统方法(p=0.005)之间也存在相关性。

结论

我们的研究表明,大约五分之四的参与者对癫痫有迷信观念,并表现出对儿童不安全的忽视态度和行为。尽管参与者的个体特征没有影响消极态度和行为,但他们的孩子患有难治性癫痫会增加消极态度倾向。

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