Department of General Practice and International Medicine, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China; Yunhe Street Community Health Service Center, Linping District, Hangzhou, China.
Department of General Practice and International Medicine, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China; Department of General Practice, Taizhou Municipal Hospital, Taizhou, China.
Epilepsy Behav. 2023 Jul;144:109267. doi: 10.1016/j.yebeh.2023.109267. Epub 2023 May 29.
We aimed to assess the knowledge, awareness, and attitudes toward epilepsy among general practitioners (GPs) from community health service centers (CHCs) in Hangzhou, Eastern China.
One hundred twenty three GPs working at CHCs participated in this cross-sectional study in 2022. A custom-built electronic questionnaire, which comprised four domains, including 12 items for general condition data, 10 items for awareness (including first aid), a 16-item scale for attitudes, and 6 items for demographic data, was administered to the GPs. Descriptive statistics, the Mann-Whitney U test, the Kruskal-Wallis H test, and Spearman's rank correlation analysis were used to analyze the non-normal distribution of the data set.
The GPs' average score on the awareness of epilepsy section was 18.14 ± 3.34 (aggregate score: 34), the first aid knowledge of epilepsy section scored 4.89 ± 1.54 (aggregate score: 7), and the epilepsy attitude section scored 62.28 ± 10.15 (aggregate score: 80). Age (r = 0.218, P = 0.015), professional title (r = 0.215, P = 0.017), and length of service (r = 0.240, P = 0.008) correlated significantly with mean awareness of epilepsy scores. Age (r = -0.234, P = 0.009) and educational background (r = 0.199, P = 0.028) correlated significantly with attitudes toward epilepsy. Furthermore, when GPs faced newly diagnosed people with epilepsy (PWE), a referral was usually recommended (89.43%) and some would give Chinese traditional treatment (13.01%). In addition, the difficulties the GPs encountered in managing included PWE rarely appearing in the community (82.93%), the community lacking corresponding medical equipment (82.11%), and GPs lacking epilepsy-related experience (73.17%).
The awareness and attitudes of GPs toward epilepsy in the CHCs were suboptimal. General practitioners age, professional title, length of service, and educational background influenced awareness and attitudes toward PWE. Effective public intervention programs, epilepsy training based on National Guidelines, and referral routes need to improve in China to enhance the care of PWE.
评估中国东部杭州市社区卫生服务中心（CHC）的全科医生（GP）对癫痫的认知、意识和态度。
2022 年，123 名在 CHC 工作的 GP 参加了这项横断面研究。采用自定义电子问卷，包括一般情况数据的 12 项、意识（包括急救）的 10 项、态度的 16 项量表和人口统计学数据的 6 项，对 GP 进行调查。采用描述性统计、Mann-Whitney U 检验、Kruskal-Wallis H 检验和 Spearman 秩相关分析对数据集的非正态分布进行分析。
GP 对癫痫认知部分的平均得分为 18.14±3.34（总分：34），癫痫急救知识部分得分为 4.89±1.54（总分：7），癫痫态度部分得分为 62.28±10.15（总分：80）。年龄（r=0.218，P=0.015）、职称（r=0.215，P=0.017）和服务年限（r=0.240，P=0.008）与癫痫认知评分呈显著正相关。年龄（r=-0.234，P=0.009）和教育背景（r=0.199，P=0.028）与对癫痫的态度呈显著正相关。此外，当 GP 面对新诊断的癫痫患者（PWE）时，通常会建议转介（89.43%），并且有些人会给予中医治疗（13.01%）。此外，GP 在管理 PWE 时遇到的困难包括社区中 PWE 很少出现（82.93%）、社区缺乏相应的医疗设备（82.11%）和 GP 缺乏癫痫相关经验（73.17%）。
CHC 的 GP 对癫痫的认知和态度不佳。GP 的年龄、职称、服务年限和教育背景影响了他们对 PWE 的认知和态度。需要在中国开展有效的公众干预项目、基于国家指南的癫痫培训和转诊途径，以改善 PWE 的护理。
