Kiến thức thái độ thực hành về bệnh động kinh của giáo viên_KNOWLEDGE_ATTITUDE AND PRACTICE ON EPILEPSY AMONG SCHOOL TEACHERS IN THINGANKYUN TOWNSHIP_ YANGON 1.Introduction Epilepsy is one of the most common neurological problems of childhood and adolescent.Regarding current status of epilepsy in Myanmar, it is common and ranks as third among neurological diseases (HtinZawSoe et.al .2013). Teachers are important role in giving health education to the children , and more influencing on the children than their parents.So teachers should have knowledge about epilepsy and first aid measures of seizure.2.Objectives2.1.General objectiveTo study knowledge ,attitude and practice on epilepsy among school teachers in Thingankyun Township.2.2 .Specific Objectives To find out the sociodemographic characteristic of school teachers To assess the knowledge and attitude of the school teachers toward epilepsy.To identify the practice of school teachers on epileptic children To determine the association between socio demographic characteristic of school teachers and their knowledge, attitude and practice on epilepsy 3.Research Methodology3.1.Study design Crosssectional descriptive study 3.2.Study area Thingankyun township in Yangon Region3.3.Study period From September to December, 2014.3.4.Study population School teachers from four Basic Education High Schools (BEHS) in Thingankyun Township , Yangon. Inclusion criteria Selected school teachers from 4 BEHS in Thingankyun Township, Yangon Both genders (male and female) were included. Exclusion criteria Those who were not willing to participate
Trang 1KNOWLEDGE, ATTITUDE AND PRACTICE
ON EPILEPSY AMONG SCHOOL TEACHERS
IN THINGANKYUN TOWNSHIP, YANGON
Dr Swe Mar Myint Lwin
MBBS, MPH Assistant Lecturer Department of Epidemiology
Trang 21.Introduction
Epilepsy is one of the most common neurological problems
of childhood and adolescent
Regarding current status of epilepsy in Myanmar, it is
common and ranks as third among neurological diseases
(Htin-Zaw-Soe et.al 2013)
Teachers are important role in giving health education to the
children , and more influencing on the children than their parents
So teachers should have knowledge about epilepsy and first
aid measures of seizure
Trang 3
2.1.General objective
To study knowledge ,attitude and practice on epilepsy
among school teachers in Thingankyun Township
Trang 4Conceptual Framework
Trang 63.4.Study population- School teachers from four Basic
Education High Schools (BEHS) in Thingankyun Township , Yangon
Trang 73.5.Sample size determination
The formula , n = z2 p q /d2 is used for sample size
determination
n = sample size
z = reliability co-efficient at 95% confidence level
p = proportion of school teachers with good knowledge of epilepsy = 0.5
q = 1 – 0.5 = 0.5
d = desired precision = 0.07
z2 p q /d2 = 1.962 × 0.5 × 0.5 /0.072
= 196
For non-response rate, 10% of sample size is added to
calculated sample size
Trang 8from this Township
Trang 103.7.Data collection methods and tools
Before data collection, pre-test was done with
semi structural and self administered questionnaires
(n=15)
3.8.Data management and analysis
The data analysis were done by using SPSS 16.0 software
Frequency distribution tables were drawn to describe the
proportion of categories of variables
For continuous variables, was presented as means and
Trang 113.9.Ethical Consideration
Protocol was submitted to Ethical board of the University
of Public Health for permission to conduct the presented study
Written informed consent with thorough explanation about the study to the school teachers was obtained
Trang 12Socio demographic characteristic of school teachers
According to this survey, most of the teachers were female (97.7%) ,single (48.1%) ,Buddhism (97.2%) ,Myanmar
(91.2%) , graduate (81%) and teaching service of more than
10 year (86.6%)
In distribution of rank of school teachers , there are primary assistant teacher (12.5%) , junior assistant teachers
(46.8%) ,and senior assistant teachers (40.7%) respectively
All of school teachers had heard about epilepsy
Their Main sources of information about epilepsy were
from TV/radio , newspaper and journal
Some (13.4 %) of teachers had the person with epilepsy in their family, relatives and friends and (86.6%) of school
teachers had not
Trang 13Figure 1.1.Distribution of age of school teachers
18 11
number of school teachers
Trang 14Figure 1.2.Distribution of gender of school teachers
2%
98%
male female
Trang 15
Figure 1.3.Distribution of marital status of school teachers
Single Married Divorced Widowed
Trang 16Figure 1.4.Distribution of religion of school teachers
Buddhism Christainity Islam
210
number of school teachers
Trang 18Figure 1.6.Distribution of education level of school teachers
High School Graduate Post-Graduate 2
175
39
number of school teachers
Trang 20Figure 1.8.Distribution of rank of school teachers
number of school teachers
Trang 21Figure 1.9.Distribution of sources of information about
Others Health Staff
number of school teachers
Trang 22Figure 1.10 Distribution of presence of family
member/relative with epilepsy among school
Trang 23Knowledge, Attitude and Practice level
Regarding knowledge, 53.2 % of teachers had low level of knowledge
All of the teachers had heard about the epilepsy and 9.7% of teachers thought that epilepsy was a kind of insanity and 3.7% answered that epilepsy was a contagious disease
4.2% of teachers had wrong knowledge that smoking can cause epilepsy and 24.5% answered that epilepsy was a blood disorder
Half of teachers 50.5% did not know that epilepsy can be treated with anti-epileptic drugs
14.4% thought that person with epilepsy should avoid schooling and 23.1% answered that person with epilepsy
Trang 24Regarding attitude, 53.2% of teachers had poor level of attitude.
34.3% of teachers agreed that epilepsy was one of the mental disorders and 9.3% agreed that epilepsy was a fearful and incurable disease
Half of teachers 50.5% disagreed that the student with epilepsy may be as intelligent as other students
Some 11.6% agreed that child with epilepsy should be placed
in a special classroom
Trang 25Regarding practice, 53.7% had poor level of practice.
Regarding the question of “If you see a person or a student getting seizure in front of you, what would you do ?” ,most
of teachers chose wrong methods of first aid measures
86.1% answered that they would put something into the mouth of that person during attack of seizure
33.8% answered that they would restrain the epileptic person during attack of seizure
24.5% of teachers answered that they would apply the oilment on the body of the epileptic person
26.4% answered that they would place the key into the hands of epileptic person to stop seizure
43.7% answered that they would ask to inhale inhaler or
Trang 26In this study, junior assistant teachers had higher knowledge level about epilepsy than primary assistant teachers and senior assistant teachers (p=0.003)
Senior assistant teachers had higher level of good attitude toward epilepsy than junior assistant teachers and primary assistant teachers (p=0.001)
There was no statistically significant association between socio demographic characteristic of school teachers and level of practice and also between knowledge and attitude and practice (p>0.05)
Trang 27Table (1) Frequency distribution of level of knowledge
Trang 28Table (2) Frequency distribution of level of attitude among
Trang 29Table (3) Frequency distribution of level of practice on
Trang 305 Conclusion
As epilepsy is more common in younger age groups and
school children, teacher’s knowledge, attitude and practice
on epilepsy become an important one
Discrimination and misbelieves concerning epilepsy is still present in both developing and developed countries around the world till nowadays
In this study, overall level of knowledge, attitude and
practice on epilepsy among school teachers were at the
lower level
Trang 313 Doing more in depth and area wide studies and researches
among other professional levels concerning epilepsy to get more information
Trang 327 Limitation of Study
The followings were some limitations in this study
1. Using self administered questionnaire
2. Cross-sectional study (snap shot)
3. The study was done in only one Township
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Trang 36THANK YOU
VERY MUCH !