KNOWLEDGE, ATTITUDE AND PRACTICE REGARDING EPILEPSY AMONG NURSES IN ASUTIFI NORTH DISTRICT
DOI:
https://doi.org/10.47672/ajhmn.513Keywords:
Knowledge, Attitude, Practice, Epilepsy, Asutifi North DistrictAbstract
Purpose: To assess the knowledge, attitude and practice regarding epilepsy among nurses within the Asutifi North District with the aim of understanding their subjective experiences and knowledge on epilepsy in a sociocultural context and how their attitude shape their practice towards people with epilepsy.
Methodology: The study employed an exploratory descriptive cross-sectional design. The study population consisted of nurses who have been licensed by the Nursing and Midwifery Council of Ghana and working in government facilities. The exclusion criteria were private health facilities, non-trained health professionals and other health professionals without nursing background, and student nurses on clinical attachment during the period of study in the district. Multistage sampling technique was used to select the study participants from the communities. A standard statistical formula was used to arrive at a sample size of 102. Data was collected by using a semi-structured questionnaire. Descriptive statistics involving frequencies and percentages were used in representing data. Responses on other items were cross-tabulated. The statistical tool that was used for analyzing the data was by STATA version 12.
Results: Findings showed that 67.7% (69/102) of the nurses were aware of the causes of epilepsy, 59.8% have low level of knowledge on the disease. Though 82.4% of the nurses suspect people with epilepsy to have mental illness, 70.6% of the nurses had positive attitude towards epilepsy. However, 52.9% exhibited poor practices towards the disease. The socio-demographic characteristics of religion (Muslim) (p=0.017), area of specialty (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), religion (Muslim) (p=0.012) and specialty area (RMN) (p=0.054). The area of specialty statistically influences their practices on epilepsy (p=0.001). There was no statistically significant association between knowledge on epilepsy and practice (p=0.134). However, attitude significantly related to practices on epilepsy (p=0.008) and indicated that negative attitude was more likely to be associated with poor practice.
Conclusion: Nurses at the Asutifi North District tended to have low knowledge, positive attitude and poor practices on 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 disease.Downloads
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.
Atlas of Epilepsy Care in the World (2005). Geneva: WHO Press.
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.
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.
DayapoÄŸlu, 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.
Thapar, A. K. (January, 1996). Care of patient with epilepsy in the community: Will new initiatives address old problems? British Journal of General Practice, 46(402): 37-42. Retrieved January 22, 2018 from http://bjgp.org/content/46/402/37.short.
American Society of Registered Nurses. (June 1, 2008). Epilepsy nurse care. The Journal of Nursing, ISSN 1940-6967. Retrieved January 22, 2018 form https://www.asrn.org/journal-nursing/373-epilepsy-nurse-care.html.
Ridsdale, L., Robins, D., Williams, H., & Cryer, C. (1997). Feasibility and effects of nurse run clinics for patients with epilepsy in general practice: randomised controlled trial. British Medical Journal, 314: page 120. doi: https://doi.org/10.1136/bmj.314.7074.120.
Shehata, G. A., El-Lateef, Z. A., Ghanem, H. M., & El-Masry, M. A. (2015). Knowledge, attitude and practice regarding people with epilepsy among nurses. Aktualności Neurologiczne, Volume 15, Issue 4: pages 192-198. doi:10.15557/AN.2015.0025.
Buelow, J. M., Privitera, M., Levisohn, P., & Barkley, G. L. (July, 2009). A description of current practice in epilepsy monitoring units. Epilepsy and Behaviour, 15(3): pages 308-13. doi: 10.1016/j.yebeh.2009.04.009.
Baskind, R., & Birbeck, G. (2005). Epilepsy Care in Zambia: A Study of traditional healers. Epilepsia, 46(7): pages 1121-1126. Retrieved February 1, 2018 from http://onlinelibrary.wiley.com/doi/10.1111/j.1528-1167.2005.03505.x/epdf.
Tidy, C. (2015). Treatments of epilepsy. Retrieved January 31, 2018 from https://patient.info/health/epilepsy-and-seizures/treatment-for-epilepsy.
Sharkawy, G. E., Newton, C., & Hartley, S. (February, 2006). Attitudes and practices of families and health care personnel toward children with epilepsy in Kilifi, Kenya. Epilepsy and Behaviour, 8(1): pages 201-212. doi: https://doi.org/10.1016/j.yebeh.2005.09.011.
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.
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.
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.
Ring, H. (2013). Epilepsy in intellectual disabilities. Advances in Clinical Neuroscience and Rehabilitation, 13(5): 14-15.
Olotu, V., Shankar, R., & Bernal, J. (n.d.). Epilepsy. Intellectual Disability and Health. UK: University of Hertfordshire. Retrieved January 20, 2018 from http://www.intellectualdisability.info/physical-health/articles/epilepsy.
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.
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