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首页> 外文期刊>BMC Pediatrics >Knowledge about childhood autism and opinion among healthcare workers on availability of facilities and law caring for the needs and rights of children with childhood autism and other developmental disorders in Nigeria
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Knowledge about childhood autism and opinion among healthcare workers on availability of facilities and law caring for the needs and rights of children with childhood autism and other developmental disorders in Nigeria

机译：对儿童自闭症的了解，以及医护人员对设施的可用性和照顾尼日利亚儿童自闭症及其他发育障碍儿童的需求和权利的法律的意见

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Background In designing programs to raise the community level of awareness about childhood autism in sub-Saharan Africa, it is logical to use the primary healthcare workers as contact point for education of the general public. Tertiary healthcare workers could play the role of trainers on childhood autism at primary healthcare level. Assessing their baseline knowledge about childhood autism to detect areas of knowledge gap is an essential ingredient in starting off such programs that would be aimed at early diagnosis and interventions. Knowledge of the healthcare workers on availability of facilities and law that would promote the required interventions is also important. This study assessed the baseline knowledge about childhood autism and opinion among Nigerian healthcare workers on availability of facilities and law caring for the needs and rights of children with childhood autism and other developmental disorders. Method A total of one hundred and thirty four (134) consented healthcare workers working in tertiary healthcare facilities located in south east and south-south regions of Nigeria were interviewed with Socio-demographic, Knowledge about Childhood Autism among Health Workers (KCAHW) and Opinion on availability of Facilities and Law caring for the needs and rights of children with Childhood Autism and other developmental disorders (OFLCA) questionnaires. Results The total mean score of participated healthcare workers on KCAHW questionnaire was 12.35 ± 4.40 out of a total score of 19 possible. Knowledge gap was found to be higher in domain 3 (symptoms of obsessive and repetitive pattern of behavior), followed by domains 1 (symptoms of impairments in social interaction), 4 (type of disorder autism is and associated co-morbidity) and 2 (symptoms of communication impairments) of KCAHW respectively among the healthcare workers. Knowledge about childhood autism (KCA) as measured by scores on KCAHW questionnaire was significantly associated with age group distribution of the healthcare workers, with those age group of fourth decades and above more likely to have higher mean score (p = 0.004) and previous experience of managing children with autism spectrum disorders (ASD) (p = 0.000). KCA showed near significant association with area of specialty, with those healthcare workers in psychiatry compared to pediatrics having higher mean score (p = 0.071) and also with years of working experience of the healthcare workers (p = 0.056). More than half of the healthcare workers subscribed to the opinion that facilities and law caring for the needs and rights of children with childhood autism and other developmental disorders are lacking in Nigeria. Conclusion The correlates of KCA may help in selection of those tertiary healthcare workers that would best fit the role of trainers. It is important to update the knowledge gaps of those healthcare workers who scored low in different domains of KCAHW questionnaire. It is imperative for policy makers in Nigeria to advocate and implement multidisciplinary healthcare service system that would ensure early diagnosis and interventions. Nationally representative baseline epidemiological data that would guide policy and planning are also desirable.
机译：背景技术在设计程序以提高社区对撒哈拉以南非洲地区儿童自闭症的认识水平时，将初级医疗保健工作者用作大众教育的联系点是合乎逻辑的。三级医疗保健工作者可以在初级医疗保健方面扮演儿童自闭症培训员的角色。评估他们关于儿童自闭症的基础知识以发现知识差距的领域是启动此类旨在早期诊断和干预的计划的重要组成部分。使医护人员了解可促进所需干预措施的设施和法律可用性也很重要。这项研究评估了尼日利亚自闭症患者对儿童自闭症的基本知识，以及对设施的可用性和照顾儿童自闭症及其他发育障碍儿童的法律要求的意见。方法对位于尼日利亚东南部和南南地区的三级医疗机构中的一百三十四名（134）同意的医护人员进行了社会人口统计学，《关于医护人员儿童自闭症的知识》（KCAHW）和意见调查。关于照顾儿童自闭症和其他发育障碍儿童（OFLCA）的需求和权利的设施和法律的调查表。结果参加KCAHW问卷的参与医护人员的总平均分为12.35±4.40，满分为19。发现领域3中的知识鸿沟更高（强迫行为和重复性行为的症状），其次是领域1（社交互动障碍的症状），领域4（自闭症的类型和相关的合并症）和2（医护人员之间的KCAHW沟通障碍症状）。通过KCAHW问卷上的得分衡量的关于儿童自闭症（KCA）的知识与医护人员的年龄组分布显着相关，其中四十岁及以上的年龄组更有可能获得更高的平均分（p = 0.004）和以前的经验自闭症谱系障碍（ASD）儿童的管理（p = 0.000）。 KCA与专科领域有着显着的相关性，与那些平均得分较高的儿科医师（p = 0.071）以及与该医护人员多年的工作经验（p = 0.056）相比，精神科医护人员具有显着的相关性。一半以上的医护人员同意这样的观点：尼日利亚缺乏照顾儿童自闭症和其他发育障碍儿童的需求和权利的设施和法律。结论KCA的相关性可能有助于选择最适合培训师角色的三级医疗保健人员。重要的是要更新那些在KCAHW问卷的不同领域得分较低的医护人员的知识差距。尼日利亚的决策者必须倡导和实施多学科的医疗服务系统，以确保及早诊断和干预。具有指导政策和计划的，具有全国代表性的基线流行病学数据也是可取的。

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