KNOWLEDGE AND ATTITUDE REGARDING EPILEPSY AMONG NURSES IN ASUTIFI NORTH DISTRICT
DOI:
https://doi.org/10.47672/ejhs.514Keywords:
Nurses knowledge, Attitude, Epilepsy, Asutifi North DistrictAbstract
Background: Epilepsy is one of the world’s oldest known brain disorders among several medical conditions. A recent study has indicated that 70 million people are estimated to suffer from this disease. Despite the increase education and health care, some health professionals continue to linger in darkness about cause and treatment options of the disease.
Purpose. The main objective of this study was to assess the knowledge and attitude regarding epilepsy among nurses within the Asutifi North District with the aim of understanding their subjective experiences and knowledge on epilepsy in a socio-cultural context and how their attitude shaped their practice towards people with epilepsy.
Methodology. The study employed an exploratory descriptive cross-sectional design with 102 participants using a standard statistical formula. Data was collected using a paper based semi-structured self-administered questionnaire and analysis was by STATA version 12.
Results. Findings showed that 67.7% (69/102) of the nurses were aware of the causes of epilepsy whereas 59.8% have low level of knowledge on the disease. Results indicated that 82.4% of the nurses suspect PWE have mental illness, 70.6% of the nurses had positive attitude towards epilepsy. The socio-demographic characteristics of religion (Muslim) (p=0.017), area of speciality (RMN) (p=0.045) as well as close family relationship with epilepsy (p=0.001) were significantly associated with knowledge on epilepsy. Factors that were found to influence attitude towards epilepsy were sex (Female) (p=0.037) and religion (Muslim) (p=0.012). However, specialty area (RMN) (p=0.054) did not statistically impact on the study. Nurses at the Asutifi North District therefore tended to have low knowledge and positive attitude on epilepsy. It is important to improve training and health care delivery for epilepsy.
Recommendation. The Ghana Health Service in collaboration with the Ministry of Health should run intermediary workshops, at least every six months, to train nurses in epilepsy diagnoses to reduce the treatment gap. The health directorate should raise awareness and educate the communities on epilepsy to reduce stigma. Enhancing nursing education and training on epilepsy by the Ministry of Health and its agencies is imperative to improving health care delivery for people living with the diseaseDownloads
References
Dung, A. A. D., Singh, H. K., Kumari, S., Gupta, M., Raval, M., & Rajender, G. (October, 2009). Knowledge, Attitude and Perception of Caregivers of Children with Epilepsy. Delhi Psychiatry Journal, 12(2), 274-275. Retrieved January 30, 2017 from http://www.medind.nic.in/daa/t09/i2/daat092ip274.pdf.
Shahbo, G. M. A. E. M., Bharathi, B., & Daoala, A. L. (2014). A comparative study on knowledge, attitude and believes of epilepsy among communities of Egypt and Kingdom of Saudi Arabia. IOSR Journal of Nursing and Health Science, 3(5) Ver. I, 97-107. Available at www.iosrjournals.org.
Verma, G., & Vankar, G. K. (November, 2016). Does a didactic lecture on epilepsy for nursing students improve knowledge and attitude? International Journal of Science and Research (IJSR), 5(11): 992-994. Retrieved January 27, 2018 from https://www.ijsr.net/archive/v5i11/ART20162919.pdf.
Al-Adawi, S. H. N., Al-Maskari, M. Y., Martin, R, G., Al-Naamani, A. N. H., Al-Riyamy, K. A., & Al-Hussaini, A. A. A. (2000). Attitudes of Omani physicians to people with epilepsy. Neurosciences, 5(1): 18-21.
Epilepsy Foundation. (2017). International Epilepsy Day 2017 – February 13th, Putting Epilepsy in the Picture. Retrieved February 14, 2017 from http://www.epilepsy.com/make-difference/get-involved/international-epilepsy-day.
Dalrymple, J., & Appleby, J. (2000). Cross Sectional Study of Reporting of Epileptic Seizures to General Practitioners. British Medical Journal, 320: pp 94-97.
Kabir, M., Iliyasu, Z., Abubakar, I. S., Kabir, Z. S., & Farinyaro A. U. (2005). Knowledge, attitude and beliefs about epilepsy among adults in a Northern Nigerian urban community. Annals of African Medicine, 4(3): pp 107-112.Accessed January 18, 2018 from http://www.bioline.org.br/request?am05028.
Wikipedia (June, 2018). Convulsion. Retrieved July 13, 2018 from https://en.m.wikipedia.org/wiki/Convulsion.
World Health Organization. (2004). Epilepsy in the WHO African Region: Bridging the Gap: The Global Campaign Against Epilepsy “Out of the Shadows”. Brazzaville, Congo: WHO.
Ae-Ngibise, K. A., Akpalu, B., Ngugi, A., Akpalu, A., Agbokey, F., Adjei, P., Punguyire, D., Bottomley, C., Newton, C., & Owusu-Agyei, S. (2015). Prevalence and risk factors for active convulsive epilepsy in Kintampo, Ghana. Pan African Medical Journal, 21: page 29. doi:10.11604/pamj.205.21/29.6084.
Atlas of Epilepsy Care in the World (2005). Geneva: WHO Press.
Health Grades (2014). Statistics by country for epilepsy. Retrieved December 3, 2016 from http://www.rightdiagnosis.com/e/epilepsy/stats-country.htm#extrapwarning.
World Development Indicators. (2016). Epilepsy in Ghana: Statistics on overall impact and specific effect on demographics. World Bank. Retrieved December 3, 2016 from http://www.global-disease-burden.healthgrove.com/I/55690/Epilepsy-in-Ghana.
Ghana Broadcasting Corporation. (2015). Health. Posted July 12, 2016 at 10:12pm. Accessed December 3, 2016 from http://www.myghanaonline.com/1/9518600.
Ghana Health Service. (2015). Dr. Patrick Adjei speaks on epilepsy stigmatization. Accessed December 3, 2016 from http://www.ghanahealthservice.org/ghs-item-details.php?acid=22&iid=111.
de Boer, H. M., Mula, M., & Sander,J. W. (2008). Review: The global burden and stigma of epilepsy. Epilepsy & Behavior, 12:540–546.
Linehan, C., Walsh, P. N., Kerr, M., Brady, G., & Kelleher, C. (2009). The prevalence of epilepsy in Ireland. Dublin: Brainwave The Irish Epilepsy Association.
Commey, J. O. (1995). Neurodevelopmental problems in Ghanaian children: Part I. Convulsive disorder. West African Journal of Medicine, 14:18–93.
Nyame P. K., & Biritwum, R.B. (1997). Epilepsy: Knowledge, attitude and practice in literate urban population, Accra, Ghana. West Africa Journal of Medicine, 16(3): pp 139-145.
Ghana Health Service. (2016). DHIMS. Retrieved December 5, 2016 from https://dhims.chimgh.org/dhims/dhis-web-pivot/.
Adjei, P., Akpalu, A., Laryea, R., Nkromah, K., Sottie, C., Ohene, S., & Osei, A. (2013). Beliefs on epilepsy in Northern Ghana. Epilepsy and Behavior, 29(2): pages 316-321. doi: http://dx.doi.org/10.1016/j.yebeh.2013.07.034.
Ekeh, B. C., & Ekrikpo, U. E. (2015). The knowledge, Attitude, and Perception towards Epilepsy amongst Medical Students in Uyo, Southern Nigeria. Advances in Medicine, Volume 2015, Article ID 876135, 6 pages. doi: http://dx.doi.org/101155/2015/876135.
Sahni, P. (2002). Epilepsy in Africa and the African American Community. Ontario: Diversity resources, Inc.
Millogo, A., Ratsimbazafy, V., Nubukpo, P., Barro, S., Zongo, I., & Preux, P. M. (April, 2004). Epilepsy and traditional medicine in Bobo-Dioulasso (Burkina Faso). Acta Neurologica Scandinavica, Volume 109, Issue 4; Pages 250–254. doi:10.1111/j.1600-0404.2004.00248.x.
Fernandes, P.T., Cabral, P., Araujo, U., Noronha, A.L.A., & Li, M. L. (2005). Kids’ perception about epilepsy. Epilepsy and Behaviour, 6: pp 601-603.
Kassie, G. M., Kebede, T. M., & Duguma, B. K. (August, 2014). Knowledge, attitude, and practice of epileptic patients towards their illness and treatment in Jimma University Specialized Hospital, Southwest Ethiopia. North American Journal of Medical Sciences, 6(8): pages 383-390. doi:10.4103/1947-2714.139288.
Sureka, R. K., Agarwal, A., Chaturvedi, S., Yadav, K. S., & Kumar, S. (October 26, 2015). Knowledge, attitude and practice of epilepsy among nursing faculty and students in a tertiary care center in Rajasthan. Journal of Evidence based Medicine and Healthcare, 2(43): pages 7673-7679. doi:10.18410/jebmh/2015/1037.
Ankaful Psychiatric Hospital (2003). The top ten common diseases at the Ankaful Psychiatric Hospital. Ankaful News Flash, 5(2), p 5.
Ajibade, B. L., Fabiyi, B., Ajao, O. O., Olabisi, O. I., & Akinpelu, A. O. (March, 2016). Public attitude and social support towards people living with epilepsy (PWE) amongst communities, in a selected local government of Oyo State, Nigeria. International Journal of Nursing, Midwife and Health Related Cases, 2(1): pages 18-48. Retrieved January 20, 2018 from http://www.eajournals.org/wp-content/uploads/Public-Attitude-and-Social-Support-towards-People-Living-With-Epilepsy-PWE-Amongst-Communities.pdf.
World Health Organization. World Health Report (2007). Mental health: New understanding, new hope. Geneva: WHO.
Al-Hashemi, E., Ashkanani, A., Al-Qattan, H., Mahmoud, A., Al-Kabbani, M., Al-Juhaidli, A., Jaafar, A., & Al-Hashemi, Z. (2016). Knowledge about epilepsy and attitudes toward students with epilepsy among middle and high school teachers in Kuwait. International Journal of Pediatrics, Volume 2016, Article ID 5138952, 15 pages. doi: http://dx.doi.org/10.1155/2016/5138952.
Ghanean, H., Nojomi, M., & Jacobsson, L. (2013). Public awareness and attitudes towards epilepsy in Tehran, Iran. Global Health Action, 6(1), 21618. doi: 10.3402/gha.v6i0.21618. doi: https://doi.org/10.3402/gha.v6i0.21618.
Karimi, N., & Akbarian, S. A. (2016). Knowledge and attitude toward epilepsy of close family members of people with epilepsy in North of Iran. Advances in Medicine, Volume 2016, Article ID 8672853, 6 pages. doi: http://dx.doi.org/10.1155/2016/8672853.
Falavigna, A., Teles, A. R., Roxo, M. R. R., Velho, M. C., da Silva, R. C., Mazzocchin, T., & Vedana, V. M. (March, 2009). Awareness and attitudes on epilepsy among undergraduate health care students in Southern Brazil. Journal of Epilepsy Clinical Neurophysiology, 15(1):19-23. doi: http://dx.doi.org/10.1590/S1676-26492009000100005. Retrieved January 20, 2018 from http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492009000100005.
Dayapoğlu, N., &Tan, M. (August, 2016). Clinical nurses’ knowledge and attitudes toward patients with epilepsy. Epilepsy and Behaviour, 61: pages 206-209. doi: 10.1016/j.yebeh.2016.05.009.
Chilopora, G. C., Kayange, N. M., Nyirenda, M., & Newman, P. K. (2001). Attitudes to epilepsy in Malawi. Malawi Medical Journal (pdf): pages 6-8.
Goodman, M. H. (Ed.). (2004). What causes seizures? The triggering factor. New York: Glencoe.
Hosseini, N., Sharif, F., Ahmadi, F., & Zare, M. (2016). Determining the disease management process for epileptic patients: A qualitative study. Iranian Journal of Nursing and Midwifery Research, 21(1): 54-62. doi:10.4103/1735-9066.174748. PMCID: PMC4776561.
Ahmed, N. I, Aly, S. A., & Shaaban, E. M. (1994). The nurses’ knowledge and attitudes about epilepsy. Journal of Egypt Public Health Association, 69(3-4): pages 277-92. Retrieved January 19, 2018 from https://www.ncbi.nlm.nih.gov/pubmed/17265643.
Njamnshi, A. K., Tabah, E. N., Bissek, A. C. Z. K., Yepnjio, F. N., Angwafor, S. A., Dema, F., Fonsah, J. Y., Tatah, G, […], & Muna, W. F. T. (2010). Knowledge, attitudes and practices with respect to epilepsy among student nurses and laboratory assistants in the South West Region of Cameroon. Epilepsy and Behavior, Volume 17, Issue 3: pages 381-388. doi: https://doi.org/10.1016/j.yebeh.2009.12.027.
Teferi, J., & Shewangizaw, Z. (May, 2015). Assessment of knowledge, attitude, and practice related to epilepsy: a community-based study. Neuropsychiatric Disease and Treatment, 11, 1239-1246. doi:10.2147/NDT.S82328.
Ovsiew, F. (1994). Neuropsychiatry of epilepsy. Basle: Ciba-Geigy Limited.
Goel, D., Dhanai, J. S., Agarwal, A., Mehlotra, V., & Saxena, V. (2011). Knowledge, attitude and practice of epilepsy in Uttarakhand, India. Annals of Indian Academy of Neurology, 14(2): 116-119. doi:10.4103/0972-2327.82799. PMCID: PMC3141474.
Lunardi, M. S., de Souza, P. S., Xikota, J. C., Walz, R., & Lin, K. (2012). Epilepsy perception amongst education professionals. Journal of Epilepsy and Clinical Neurophysiology,18(3):pages 79-84. doi:http://dx.doi.org/10.1590/S1676-26492102000300003.
Mustapha, A. F., Odu, O. O., & Akande, O. (2013). Knowledge, attitudes and perceptions of epilepsy among secondary school teachers in Osogbo South-West Nigeria: A community based study. Nigerian Journal of Clinical Practice, 16(1): pages 12-18. doi:10.4103/1119-3077.106709.
Chomba, E. N., Haworth, A., Atadzhanove, M., Mbewed, E., & Birbeck, G. L. (February, 2007). Zambian health care workers’ knowledge, attitudes, beliefs, and practices regarding epilepsy. Epilepsy and Behaviour, 10(1): pages 111-119. doi:10.1016/j.yebeh.2006.08.012.
Ajibade, B. L., Fabiyi, B., Ajao, O. O., Olabisi, O. I., & Akinpelu, A. O. (March, 2016). Public attitude and social support towards people living with epilepsy (PWE) amongst communities, in a selected local government of Oyo State, Nigeria. International Journal of Nursing, Midwife and Health Related Cases, 2(1): pages 18-48. Retrieved January 20, 2018 from http://www.eajournals.org/wp-content/uploads/Public-Attitude-and-Social-Support-towards-People-Living-With-Epilepsy-PWE-Amongst-Communities.pdf.
Ahmad, M. (2011). Epilepsy and stigma management. Current Research in Neuroscience, 1(1):1-14. doi:10.3923/crn.2011.1.14.
Jones, B. (1983). Counselling the epileptic patient. Canadian Family Physician, 29: 107–111. Retrieved January 30, 2018 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2153557/pdf/canfamphys00227-0109.pdf.
Vancini, R. L., Benedito-Silva, A. A., Sousa, B. S., da Silva, S. G., Souza-Vancini, M. I., Vancini-Campanharo, C. R., Cabral, F. R., de Lima, C., & de Lira, C. A. B. (2012). Knowledge about epilepsy among health professionals: a cross-sectional survey in São Paulo, Brazil. British Medical Journal Open, 2: e000919. doi:10.1136/bmjopen-2012-000919.
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