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Management of epilepsy in Laos: Perceptions of healthcare professionals from Vientiane Capital province and traditional healers in Southern Laos

机译:在老挝的癫痫管理:南方万象首都和传统治疗师的医疗保健专业人员的看法

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Background and aimTraditional practices are deeply rooted in Lao people’s perceptions and beliefs about health and illness.The objective of the study was to understand the perceptions of healthcare professionals and traditional healers regarding the management of epilepsy in Laos, and their reciprocal views.Experimental procedureAn observational study was carried out in two areas of Laos from February to May 2017. Semi directive questionnaires were used to collect quantitative and qualitative data. Semiotic square was carried out to highlight relationships between attitudes of traditional healers and healthcare professionals. For quantitative approach, the proportions were reported, and the test used was Fisher’s test for nominal variables. The mean and standard deviation expressed the continuous variables and the Student’s t-test was used.Results and conclusionEpilepsy was cited by 90.9% of traditional healers as a convulsive disease with saliva or urine, and herbal medicines were predominantly used (86.4%) to treat it. Few healthcare professionals (26.5%) pointed out that they knew remedies to treat epilepsy other than antiepileptic drugs (AEDs), and 76.5% of healthcare professionals mentioned that epilepsy was a disease which only AEDs could treat. On the other hand, 54.5% of traditional healers confirmed a traditional remedy could cure completely epilepsy through long-term use. Ninety percent of traditional healers said the collaboration with healthcare professionals was a good idea and 44.1% of the healthcare professionals group said was complicated.The combination of these medicines for the management of epilepsy needs to be adapted to Lao’s medical context.
机译:背景和艾斯特拉密实践深深植根于老挝人民的看法和对健康和疾病的信念。该研究的目标是了解对老挝癫痫管理的医疗专业人士和传统治疗师的看法及其互惠意见。实验性手术观察从2017年2月至5月的老挝两个地区进行了研究。半导系指令问卷采用定量和定性数据。开展符号级广场,以突出传统治疗师和医疗保健专业人员之间的关系。为了定量方法,报告了比例,使用的测试是Fisher对标称变量的测试。平均值和标准偏差表达了连续变量,使用学生的T检验。结果和结论被引用的90.9%的传统治疗师作为唾液或尿液的惊厥疾病引用,主要使用草药(86.4%)治疗它。少数医疗保健专业人士(26.5%)指出,他们知道除了抗癫痫药物(AEDs)以外治疗癫痫的补救措施,76.5%的医疗保健专业人士提到癫痫是一种只有AED可以治疗的疾病。另一方面,54.5%的传统治疗师证实了传统的补救措施可以通过长期使用来治愈完全癫痫症。百分之九十的传统治疗师表示,与医疗保健专业人员的合作是一个好主意,44.1%的医疗保健专业人士群表示复杂。这些药物对癫痫管理的组合需要适应老挝的医学背景。

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