- 期刊
教職員和校護對癲癇認知、態度及處置之初探性研究
Knowledge,Attitudes and Practice Toward Epilepsy Among Staff and Nurses in Schools:A Preliminary Study
摘要
目的:本研究欲了解並比較校護及教職員對癲癇的認知、態度及處置，以為規劃其癲癇教育之依據。材料與方法：收集89年6月參加「現職學校行政人員實用癲癇知識研習會」之64名學員，於研習會前，填答自行發展之問卷供分析研究。結果：對癲癇認知的來源，在四個管道上校護與教職員有顯著的差異，即大眾媒體(23%比54%, p＜0.05)，朋友(5%比29%,p＜0.05)，醫護人員、醫院內介紹(68%比29%, p＜0.01)和有關癲癇的專書(43%比8%, p＜0.01)。在癲癇認知方面，校護與教職員認為癲癇是由於腦部疾病所引起(92%與71%)並無顯著差異；但是在態度方面，教職員顯著比較害怕其班級裡有罹患癲癇的學生(61%比16%, p＜0.01)；緊急處置方面，未曾做過緊急處理者，在「立即叫救護車」(50%比12%, p＜0.05)、「將學生翻向一側以清理呼吸道」(67%比100%, p＜0.05)、「口中塞入東西」(58%比6%, p＜0.01)、「送醫治療」(58%比18%, p＜0.05)、的處置方式比有過緊急處理經驗者顯著差異。但是曾經有過緊急處理經驗的校護與教職員的處置方面並沒有顯著的差異。結論：校護所尋求癲癇知識的管道比教職員更對獲得正確的資訊，校護對癲癇之認知、態度及處置也均較教職員爲正確，但仍顯不足。沒有緊急處理經驗者的處理方式也比較不正確，但是有經驗者的處理方式仍然有待加強。由於校護爲學校衛生教育之關鍵人物，應接受進階癲癇教育課程，始可成爲校內之諮詢者及教育者。未來還應發展教師癲癇教育手冊，以供教師訓練之教材和日常查閱使用。
並列摘要
Objectives: The purposes of this study were: to understand school staff and nurses’ knowledge, attitudes and practice (KAP) toward epilepsy, and to compare the KAP between the staff members and nurses of schools in Tainan area. Materials and Methods: A questionnaire on KAP toward epilepsy was developed. All participants attending the ”Epilepsy workshop for school staff and nurses” in June, 2000 were invited to complete this questionnaire before the workshop. Results: Between nurses and school staff members, resources for epilepsy, such as mass media (23% vs 54%, p＜O.O5), friends (5% vs 29%, p＜0.05), medical professionals and medical documents from hospitals (68% vs 29%, p＜0.0l) and books (43% vs 8%, p＜0.0l) were significantly different. In the knowledge of epilepsy as a disorder in the brain, there were no significant differences between nurses (92%) and school staff members (71%). There were differences in attitudes toward epilepsy. Staff members were more afraid of having students with epilepsy than nurses (61% vs 16%, p＜0.0l). In the first-aid management of seizures, staff members without experience in the first-aid management of seizures showed significantly more inappropriate responses than nurses without experience to items of ”call an ambulance immediately” (50% vs 12%, p＜0.05), “turn the child’s head to one side to keep the airway open” (67% vs 100%, p＜0.05), ”insert objects into the mouth” (58% vs 6%, p＜0.0l), and” send the convulsing child to the hospital” (58% vs 18%, p＜0.05). However, there was no significant difference between nurses and staff members who had previous experience with epilepsy. Conclusions: School nurses received information on epilepsy through more professional channels, and their KAP of epilepsy were more appropriate than school staff members. However, the nurses’ responses were still inadequate. Hence, both school staff and nurses need to improve their KAP toward epilepsy. An advanced epilepsy education program is essential to improve the competence of staff and nurses as educators and consultants on epilepsy in schools. Providing continuing education and developing epilepsy guidebooks for school nurses and staff are crucial strategies to improve the quality of care of school children with epilepsy.