bam' Khai Hoan et al Tap chi KHOA HQC & CONG NGHE 82(06): 109- 112
REALITY ABOUT KNOWLEDGE, ATTITUDE AND PRACTICE IN LEARNING ABOUT BASEDOW OF LOCAL INHABITANTS IN DONG HY DISTRICT
'T
Dam Khai Hoan', Vu Thi Thanh Hoa'*, Luong Ngoc Khue^
' College of Medicine and Pharmacy - TNU, 'The Bureau of Health Examination and Treatment- Ministry of Health SUMMARY
Studying 401 adults in Dong Hy district, Thai Nguyen province from November 30* to December 30*, 2010, the researchers got the following findings:
1) The number of patients with the good knowledge of diseases was low (3.5%). The number of those who have medium attitude was the highest (60.1%). And their weak practice in learning about Basedow accounted for the highest proportion (87.3%).
2) Their attitude to search information about Basedow was relative to their knowledge of the disease and whether they had heard about the disease before or not. Apart from two things above, having periodical health examination is relative to the citizen occupations; the distance from their home to health station; the medium income/person/month; the classification of their attitude in learning about Basedow.
The researchers recommend that doctors and nurses at all health centers should make special efforts to have training courses and enhance general knowledge about health care for citizens in Dong Hy district.
Thai Nguyen province about Basedow disease.
Key words: Basedow, knowledge, attitude, practice, learning STATEMENT AND RATIONALE OF THE
STUDY
Nowadays, Basedow has been identified as an autoimmune disease, which occurs anytime in the pafients' lives, influencing seriously on their health and living activities if it is not found early and treated in a right way [1]. Basedow prevention is mostly to curb their progression and avoid complications, which requires a lot of efforts of both patients and medical staff. The most important factor contributing to the disease prevention and treatment is early diagnosis in order to treat timely and correctly, limit status of the disease and increase recovery possibility.
In addition, it is patients who realize the first abnormal symptoms inside their bodies.
Therefore, basic knowledge of di-seases can lead them to find healthcai^e services for themselves.
Hence, th6 inhabitants'' positive attitude ahd
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knowledge of Basedow disease plays an important role in the disease prevention and control. Then, what knowledge, attitude and practice do people in Dong Hy district, Thai Nguyen province have on Basedow disease? And
What factors affect their searching for information of Basedown disease? In this study, we aim to find the answers for these questions. In details, the researchers tend to get the goals as follows:
1) Assess reality about knowledge, attitude and practice in searching information of Basedown of the residents in Dong Hy district. Thai Nguyen province.
2) Describe factors affecting their detection of this disease
METHODOLOGY Objects of the study
This research was conducted on 401 adults (> 16) living in Dorig Hy district, Thai Nguyen province. ' ' ' ' '
109
Dam Khai Hoan et al Tgp cht KHOA HQC &
C 6 N G N G H $82(06):109-112 Studied time and places
Time: from November 30"' to December 30'\
2010
Place: Dong Hy district. Thai Nguyen province Methods
* Research design: Description, longitudinal study from November 30* to December 30'\
2010
* Sampling selection: on purpose
* Sample size: calculated by the following equation:
n = Z^.„,,pq/dZ(lzZ)
With reliability as 95%, ZI- o ^ =1.96;
P= 0.5 due to no previous research;
Regarding A = 0.049
Replacing them into the equation, we have n=401
* Research items
Participants' knowledge of Basedow disease Their attitude to Basedow
Their practice in studying the disease
Participants' age, gender, ethnic group, profession, educated level, income, living standard, distance to health stations and whether they have heard about the disease or not.
* Assessment method
If the participants meet demand of > 80 % of given criteria, they have a good knowledge, positive attitude and practice of the disease. If they can give appropriate responds to 60 -79% of the questions, their understandings, attitude and practice are at medium level. On the other hand, they know little about Basedow, have negative attitude and practice to the disease when they can only answer fewer than 60% of the questions.
* Methods of data collection: quantitative data collection tools
* Methods of data processing: data collected were processed by medicinal statistics with the application of software SPSS 16.0
FINDINGS AND DISCUSSION
Participants' knowledge, attitude and practice on Basedow disease
Knowledge
Survey results showed that the percentage of people having a good knowledge of this disease was the lowest (3.5%) while participants having poor Onderstandings accounted for the highest proportion of 71.1%. we think that these figures reflect the reality of the participants' knowledge of Basedow. It is an inherited autoimmune disease in which the immune system attacks the thyroid gland, which then overproduces thyroid hormone. It is not an infectious disease, so it has not been paid much attention. Today, there has not been any specific program warning about this disease, so the population's knowledge has been limited. In the study, we also looked into whether the subjects had ever heard about this disease;
and an amazing result was that 71.3% of them gave confirmative answer. Then, even people having heard about the disease did not well understand it.
Attitude
People having positive attitude to Basedow accounted for 38.4%, while most of them showed normal attitude (60.1 %). These percentages were lower than that of Basedow female patients treated in the General Central hospital by Duong Hong Thai [4]. It can be explained that in the hospital, the patients were consulted and explained obviously by medical staff, so they had a positive look at their disease. On the contrary, due to poor knowledge of the disease, the participants have not had an appropriate attitude to Basedow.
Practice
We also studied whether people had found information of Basedow or not; if yes, where they found it; and whether they were regularly checked health or not. Results showed that 17.2%
of them had ever looked for information of the disease; 31.4% of them usually went to check their health to realize the disease early.
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Dam Khai Hoan et al Tap chi KHOA HQC & CONG NGHE 82(06): 109-112
In short, weak level of practice in finding out
more about Basedow disease accounted for the highest rate (87.3%) while good level accounted for only 9.5%. This fact was reasons for poor knowledge and negative attitude to the disease of the citizens.
Factors influencing the participants' searching for information of Basedow disease
Research results showed that seeking information of Basedow disease was related to the level of knowledge of Basedow disease and whether people had heard about it or not. We believe that this result is very reasonable because only when hearing about the disease and having knowledge of the disease, f)eople look for information about it.
Besides, that the citizens had a regular physical examination was affected by many other factors such as their occupations, distance to health
stations, average income per head per month and their participation in disease prevention.
CONCLUSION
1) Knowledge, attitude and practice on searching information of Basedow disease of citizens in Dong Hy district, Thai Nguyen province were inadequate. In details: people having good knowledge of the disease only accounted for 3.5%) while those with poor knowledge covered the most proportion (71.1%)); the percentage of positive attitude to the disease was the highest (60.1%)), followed by that of normal attitude (34.4%). There were only 17.2% of participants finding information of Basedow and 31.4% of them went to check their health regularly to realize the disease symptoms early. In addition, weak level of practice in finding out more about Basedow disease accounted for the highest rate (87.3%)) while good level accounted for only 9.5%.
Table 1. Factors affecting people's searching information of Basedow disease
Knowledge Heard about the disease
Profession
Income/head/month Distance to health
stations (km)
Good Medium
Poor Ever Never Table 7
Searching Quantity
9 39 21 63 6
% 64.3 38.2 7.4 22.0
5.2 '.. Factors related to people's
Farmers Official workers
Students Others
<260,000 260,000- 730,000
> 730,000
Heard about the disease Knowledge
Attitude
<5 5-10
>10 Ever Never
Good Medium
Poor Positive Normal Negative
Not searching Quantity
5 63 264 223 109
% 35.7 61.8 92.6 78.0 94.8 regularly medical examination Examination
Quantity 79 17 6 24
2 62 62 114
9 3 116
10 11 43 72 61 65 0
% 26.2 70.8 54.5 36.9 12.5 23.7 50.4 33.8 16.1 37.5 40.6 8.7 78.6 42.2 25.3 39.6 27
0
No examination Quantity
222 7 5 41
14 200
61 223
47 5 170 105 3 59 213
93 176
6
% 73.8 29.2 45.5 63.1 87.5 76.3 49.6 66.2 83.9 62.5 59.4 91.3 21.4 57.8 74.7 60.4 73 100
P
<0.01
<0.01
p
<0.01
<0.01
<0.05
<0.01
<0.01
<0.01
111
Dam Khai Hoan et al
T^p chi KHOA HQC & CQNG NGH$
82(06): 109-112 2) Factors relating to people's seekinginformation of Basedow disease include their knowledge and attitude of the disease, whether they have heard about it or not. Apart from these factors, their regular health examination rely on their jobs, distance to health stations, and average income per capita per month.
Implication
The residents in Dong Hy district. Thai Nguyen province need to know and to be provided with basic information of Basedow disease. Medical staff should also make them realize the importance of the disease prevention and control.
Therefore, they can recognize disease symptoms early, actively access health care services and get timely treatment. All training activities should be carried out in discussion on health education between the citizens and medical staff. It is also very important to encourage the participation of organizations, departments and sectors such as Women's Associafion and the Red Cross.
REFERENCES
[I]. Ngo Thi Phuong, Ta Van Binh (2007), Study the concentration of autoantibodies in Basedow patients with stage of thyroid hormone toxicity. Full reports of scientific researches. Medical Publishing House, Hanoi.
[2]. Ngo Thi Phuong, Ta Van Binh (2007), Study the relationship between autoantibodies and some characteristics in Basedow patients with stage of thyroid hormone toxicity. Full reports of scientific researches. Medical Publishing House, Hanoi.
[3]. Nguyen Thanh Danh, Tran Viet Tan {2005),Study knowledge, attitude and practice of using iodine salt of women from 15 to 49 years old in Binh Duong province in 2005, Full reports of scientific researches,
Medical Publishing House, Hanoi.
[4]. Duong Hong Thai, Vu Thi Thanh Hoa (2009),
"Understanding the attitudes to Basedow disease of female patients in reproductive age in Thai Nguyen General Central Hospital", Journal of Practical Medicine , Ministry of Health.
[5]. Nguyen Dinh Thanh, Do Trung Quan (2000), Some comments on thyrotoxicosis outpatients treated in the endocrinology hospital from 1997 1999, Proceedings of the full text of scientific research, Medical Publishing House, Hanoi.
[6]. Trinh Xuan Trang (2001), Study several factors leading to Basedow disease in Thai Nguyen, Ministry of Education and Training, B98- 04- 11.
[7]. Bloom J.D. (1956), Taxonomy of educational objectives: the classification of educational goals:
Handbook 1, The cognitive domain. Long man.
New York.
TOM TAT
THV'C TRANG KIEN THlTC THAI DQ VA T H l / C HANH T I M HIEU T H O N G TIN VE BASEDOW CUA NGUCJI DAN D 6 N G HY - T H A I NGUYEN
Dam Khai Hoskn', Vu Thj Thanh Hoa'*, Lu-ong Ngpc Khue^
'Tru&ng Dgi hgc Y Dugc - DH Thdi .Nguyen, 'Cyc Khdm chUa benh - Bg Y te Nghien cuu 401 nguoi lan a huyen Dong Hy tinh Thii Nguyen tir 30/10/2010 den 30/12/2010, cic tic gii
thu duac ket qui nhu sau:
1) Kien thuc tot ve benh ciia doi tugmg nghien cuu co ty I? thap (3,5%). Thai dp ve benh mue trung.binh chiem ty le cao nhit (60,1%). Mue dp thyrc hanh yeu chiem cao nhat (87,3%).
2) Hanh vi tim kiem thong tin ve Basedow co lien quan toi trinh dp kien thuc ve benh vi viec nguai dan da nghe ve benh Basedow truoc do hay chiia. Ngoii hai yeu to tren, hinh vi di kham sue khoe djnh ky con lien quan vai: nghe nghiep ngudi dan; khoing each tir nhi tai TVT; thu nhap trung binh/nguai/thing; phan loai thii dp trong tim hieu thong tin ve benh Basedow.
Cic tic gii khuyen nghj dpi ngu cin bp y te tai cic ca sa can tang cuong giao due sue khoe, nang cao hieu biet ve benh Basedow cho ngudi dan sinh song tai huyen Dong Hy, tinh Thii Nguyen.
Tir khoa: Basedow, kien thirc, thdi do, thitc hdnh, tim hieu. ,-
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