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沙特阿拉伯牙科学生对癫痫发作患者的急救知识与实践——一项横断面研究

First-aid knowledge and practices towards patients with epileptic seizures among the dental students in Saudi Arabia - A cross-sectional study.

作者信息

Al-Qahtani Zainah, Mahmood Syed Esam, Alshahrani Mariam S, Alosaimi Maram N, Bakri Khulud Ali A, Alqarni Shahd Mohammed, Alshehri Ebtihaj, Alqarni Amal Merei M

机构信息

Internal Medicine Department, Neurology Section, College of Medicine King Khalid University, Abha, Saudi Arabia.

Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha, Saudi Arabia.

出版信息

J Family Med Prim Care. 2024 Oct;13(10):4217-4224. doi: 10.4103/jfmpc.jfmpc_153_24. Epub 2024 Oct 18.

Abstract

BACKGROUND

Dental care of patients with epilepsy and seizures must be performed by dentists who are familiar with these disorders. Improper training and incapability to manage medical emergencies, including epileptic seizures, may cause thoughtful consequences and legal actions. Therefore, dental students must have a proper knowledge of the disease and its consequences. They should have the ability to provide first-aid measures helping a patient experiencing an epileptic seizure in their clinics. This study aims to evaluate the first-aid knowledge and practices towards patients with epileptic seizures among the dental students in Saudi Arabia.

METHODS

A cross-sectional study was conducted targeting dental students in Saudi Arabia from 15 September 2022 to 15 December 2022 using convenience sampling. An online questionnaire was sent to the students via social media platforms for data collection. The data analysis was conducted using the Statistical Package for the Social Sciences (SPSS) version 16.0.

RESULTS

Of the 499 dental students included, 154 (30.86%) students had ever seen an epileptic patient in the clinics. About 16% of students did not know about performing cardiopulmonary resuscitation (CPR) on patients. The majority (66.5%) would call the ambulance after the patient's seizure stops. About 82% of students prefer to call an ambulance if the patients face difficulty breathing or waking up after the seizure. More than 60% of students were taking precautions before treating an epilepsy patient. About 58.5% of the students were using local anaesthesia for an epilepsy patient. Nearly 41.9% do not have the confidence to treat an epilepsy patient. About 28.0% would swipe the vagus nerve stimulation (VNS) magnet over the left side of the chest. Of 154 students, who had ever seen epileptic patients, the majority (68.8%) refused to treat patients if they observe noncompliance with medication and follow-up among the patients who had any recent illness or seizures (16.2%).

CONCLUSION

The undergraduate dental students had an intermediate knowledge regarding epilepsy and epileptic seizure first aid. However, some students lacked the confidence to deal with the epileptic cases in their clinics. Educational campaigns on epilepsy and first-aid courses targeting dental students are highly recommended.

摘要

背景

癫痫和发作性疾病患者的牙科护理必须由熟悉这些病症的牙医进行。培训不当以及缺乏应对包括癫痫发作在内的医疗紧急情况的能力,可能会导致严重后果并引发法律诉讼。因此,牙科学生必须对该疾病及其后果有适当的了解。他们应该有能力在诊所提供急救措施,帮助癫痫发作的患者。本研究旨在评估沙特阿拉伯牙科学生对癫痫发作患者的急救知识和实践。

方法

采用便利抽样法,于2022年9月15日至2022年12月15日对沙特阿拉伯的牙科学生进行了一项横断面研究。通过社交媒体平台向学生发送在线问卷进行数据收集。使用社会科学统计软件包(SPSS)16.0版进行数据分析。

结果

在纳入的499名牙科学生中,有154名(30.86%)学生在诊所见过癫痫患者。约16%的学生不知道如何对患者进行心肺复苏(CPR)。大多数(66.5%)学生会在患者癫痫发作停止后呼叫救护车。如果患者在癫痫发作后面临呼吸困难或苏醒困难,约82%的学生更愿意呼叫救护车。超过60%的学生在治疗癫痫患者前会采取预防措施。约58.5%的学生在治疗癫痫患者时使用局部麻醉。近41.9%的学生没有信心治疗癫痫患者。约28.0%的学生会在胸部左侧使用迷走神经刺激(VNS)磁铁。在154名见过癫痫患者的学生中,大多数(68.8%)如果观察到近期有疾病或发作的患者不遵医嘱服药和随访,会拒绝治疗这些患者(16.2%)。

结论

本科牙科学生对癫痫和癫痫发作急救有一定的了解。然而,一些学生在诊所处理癫痫病例时缺乏信心。强烈建议针对牙科学生开展有关癫痫和急救课程的教育活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9670/11610869/69aedf089bac/JFMPC-13-4217-g001.jpg

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