Background

Knowledge and attitude of doctors toward epilepsy surgery are essential for management and timely referral of people with Drug refractory epilepsy (DRE). This study aimed at analyzing knowledge, attitude, and barriers for epilepsy surgery among medical residents.

Methods

A survey consisting of 16 statements in a Likert-like scale and one open-ended question was conducted among residents joining different postgraduate courses after MBBS (GR) and super-specialty courses after MD (PG) within 2 months of joining the institute. PGs with a postgraduate degree in internal medicine, pediatrics, or psychiatry were included. Demographic data were analyzed using descriptive statistics. Difference in response to the survey statements was analyzed using independent t test.

Results

115 participated in the survey of which 97 were GRs. Participants belonged to 22 different states and 3 were foreign nationals. 45% of participants did not know the definition of DRE. There was a difference of opinion among GRs and PGs regarding surgery as a treatment option for epilepsy and feasibility of epilepsy surgery in children (p < .05). PGs were more confident in treating PWE and preferred to refer people with DRE to a higher center early (p < .05). Lack of knowledge was the commonest barrier for epilepsy surgery.

Conclusion

A substantial number of participants lacked the basic knowledge of DRE and epilepsy surgery. Lack of knowledge was perceived to be the commonest barrier for epilepsy surgery. Dissemination of basic knowledge and development of protocols for identification and referral of people with DRE are the need of the hour.

中文翻译：

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癫痫手术的知识、态度和障碍：对印度三级医疗中心住院医生的调查

背景

医生对癫痫手术的知识和态度对于药物难治性癫痫 (DRE) 患者的管理和及时转诊至关重要。本研究旨在分析住院医师癫痫手术的知识、态度和障碍。

方法

在加入研究所后的 2 个月内，在 MBBS (GR) 后参加不同的研究生课程和 MD (PG) 后的超专业课程的居民中进行了一项由 16 条类似李克特量表的陈述和一个开放式问题组成的调查。包括内科、儿科或精神病学研究生学位的 PG。使用描述性统计分析人口统计数据。使用独立 t 检验分析对调查陈述的反应差异。

结果

115 人参加了调查，其中 97 人是遗传资源。参与者来自 22 个不同的州，其中 3 名是外国人。45% 的参与者不知道 DRE 的定义。在 GR 和 PG 之间对于手术作为癫痫治疗选择和儿童癫痫手术的可行性存在不同意见（p < .05）。PG 对治疗 PWE 更有信心，并且更愿意尽早将 DRE 患者转诊到更高级别的中心（p < .05）。缺乏知识是癫痫手术最常见的障碍。

结论

相当多的参与者缺乏 DRE 和癫痫手术的基本知识。缺乏知识被认为是癫痫手术最常见的障碍。传播基本知识和制定识别和转诊 DRE 患者的协议是当务之急。