印度已婚癫痫妇女面临的问题:一项基于医院的研究

S. Sharma, V. Sardana, D. Maheshwari, B. Bhushan, Nishtha Jain, Prashant Shringi, R. Bhattiprolu
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引用次数: 5

摘要

摘要背景癫痫仍然被认为是一种社会耻辱,尤其是在印度等发展中国家。本研究旨在分析患有癫痫的已婚女性在个人和社会生活的各个方面所面临的问题。目的本文的主要目的是研究印度情景中已婚癫痫妇女的心理社会问题、药物依从性、临床过程、姻亲的态度、癫痫对妊娠及其结局的影响。设计、材料和方法这是一项前瞻性观察性研究,包括100名患者。对所有患者进行了问卷式的面对面访谈。将患者分为知情组和隐蔽组,并比较各种属性及其意义。使用SPSS-20.0和Microsoft Office Excel软件进行统计分析。结果在100例患者中,58例(58%)患者婚前告知,42例(42%)患者隐瞒。33%(42人中有14人)的隐蔽组患者对丈夫的态度是负面的,具有统计学意义(p=0.003)。隐蔽组和穆斯林社区观察到具有统计学意义的不良婚姻结果(p=0.0001)。两组患者中的大多数(86%)认为应在结婚前披露。结论在印度这样的发展中国家,癫痫仍然被认为是一种社会污名,可以表现为感觉到或实施的污名。先前的研究清楚地表明,人们的认识正在提高。只有通过医疗专业人员、政府和公众的共同努力,才能消除与癫痫相关的社会污名。
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Problems Faced by Married Women with Epilepsy in Indian Scenario: A Hospital-Based Study
Abstract Background Epilepsy is still being considered as a social stigma especially in developing countries such as India. This study was conducted to analyze the problems faced by married women with epilepsy in various aspects of personal and social life. Objectives The main purpose of this article is to study the psychosocial problems, drug compliance, clinical course, attitude of in-laws, and effect of epilepsy on pregnancy and its outcome in married women with epilepsy in Indian scenario. Design, Materials, and Methods This is a prospective observational study including 100 patients. Questionnaire-based face-to-face interview of all the patients was conducted. Patients were divided into informed and concealed groups and various attributes and their significance were compared. Statistical analysis was performed using SPSS-20.0 and Microsoft Office Excel software. Results Out of 100 patients, a total of 58 (58%) patients had informed prior to marriage, while 42 (42%) concealed it. Attitude of husband was negative in 33% (14 out of 42) of concealed group and was statistically significant (p = 0.03). Statistically significant adverse marital outcome was observed in concealed group and Muslim community (p = 0.0001). Majority of the patients in both groups (86%) opined that it should be disclosed prior to marriage. Conclusion In a developing country such as India, epilepsy is still considered a social stigma that can manifest as felt or enacted stigma. Previous studies clearly indicate increasing awareness. Social stigma associated with epilepsy can only be eliminated with collaborative efforts of healthcare professional, government, and general public.
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来源期刊
International Journal of Epilepsy
International Journal of Epilepsy Medicine-Neurology (clinical)
CiteScore
0.90
自引率
0.00%
发文量
6
期刊最新文献
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