优质护理对无抽搐电休克治疗的抑郁症患者的影响
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摘要
目的探讨抑郁症患者采用无抽搐电休克治疗过程中引入优质护理服务模式对患者的影响。方法将我院2017年6月～2018年6月收治的采用无抽搐电休克治疗的抑郁症患者100例随机分组,对照组(n=50)施以常规护理,观察组(n=50)施以优质护理服务。对两组患者的疗效、依从性、满意度、护理质量评分,不良事件率进行对比。结果干预前,两组焦虑、抑郁评分和MARS量表评分无差异;干预后两组的焦虑、抑郁评分均有降低,且观察组低于对照组(P<0.05)。观察组抑郁症患者总有效率高于对照组(P<0.05);干预后两组的MARS量表评分均增加,观察组增加更为显著(P<0.05)。干预后观察组的满意度评分、护理质量评分均高于对照组(P<0.05)。观察组不良事件率低于对照组。结论对采用无抽搐电休克治疗的抑郁症患者,引入优质护理服务模式展开干预,可增强治疗效果,改善治疗依从性,提高护理满意度及护理质量,减少不良反应。
Objective To explore the effect of high quality nursing service mode on depression patients treated by Modified Electra convulsive Therapy(MECT). Methods 100 depression patients treated by MECT were randomly divided into two groups :control group(n=50)were given conventional nursing,while observation group(n=50)were given high quality nursing service. The effective rate,compliance,satisfaction,nursing quality score and adverse events rate were compared between two groups. Results Before the intervention,there was no difference in scores of anxiety depression and MARS scale between the two groups(P>0.05). After the intervention,the scores of anxiety/depression in both group were decreased,and the observation group was lower than the control group(P<0.05);the scores of MARS scale in both group were increased,and the degree of increase in the observation group was much more(P<0.05). After intervention,the satisfaction score and nursing quality score of the observation group were higher than those of the control group,the total effective rate in the observation group was higher than that in the control group(P<0.05). The incidence of cardiovascular adverse events in the observation group was lower than that in the control group. Conclusion The high-quality nursing service mode can enhance the therapeutic effect,improve treatment compliance,nursing satisfaction and nursing quality in depression patients treated with MECT.
Objective To explore the effect of high quality nursing service mode on depression patients treated by Modified Electra convulsive Therapy(MECT). Methods 100 depression patients treated by MECT were randomly divided into two groups :control group(n=50)were given conventional nursing,while observation group(n=50)were given high quality nursing service. The effective rate,compliance,satisfaction,nursing quality score and adverse events rate were compared between two groups. Results Before the intervention,there was no difference in scores of anxiety depression and MARS scale between the two groups(P>0.05). After the intervention,the scores of anxiety/depression in both group were decreased,and the observation group was lower than the control group(P<0.05);the scores of MARS scale in both group were increased,and the degree of increase in the observation group was much more(P<0.05). After intervention,the satisfaction score and nursing quality score of the observation group were higher than those of the control group,the total effective rate in the observation group was higher than that in the control group(P<0.05). The incidence of cardiovascular adverse events in the observation group was lower than that in the control group. Conclusion The high-quality nursing service mode can enhance the therapeutic effect,improve treatment compliance,nursing satisfaction and nursing quality in depression patients treated with MECT.
引文
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8.李玉梅,林春元.人性化护理对强迫症患者实施无抽搐电休克治疗的效果观察[J].临床医学工程,2016,17(9):1249-1250.
9.张小丽,关明,孙海玲,等.优质护理服务对无抽搐电休克治疗抑郁症病人的影响观察[J].国际精神病学杂志,2017,44(4):708-711.
10.乔霞,钱志梅,李谦.心理护理干预联合MECT对难治性抑郁症患者疗效及依从性的影响[J].齐鲁护理杂志,2014,20(19):21-22.
11.Sampath H,Sharma I,Dutta S.Treatment of suicidal depreeion with ketamine in rapid cycling bipolar discorder[J].Asia Pac Psy-chiatry,2016,8(1):98-101.
12.Kellner CH,Kaicher DC,Banerjee H,et al.Depression severity in eletroconvulsive therapy(ECT)versus pharmacotherapy trials[J].J ECT.2015,31(1):31-33.
13.李启荣,何红波,张春平,等.MECT对难治性抑郁症患者认知功能的影响[J].山东医药,2015,55(18):41-43.
14.吴秋鸣.在无抽搐电休克治疗(MECT)患者中应用优质护理服务的效果分析[J].中国民康医学,2016,10(3):114-115.
2.朱芹,蔡琳,孙玲玲.临床护理路径在无抽搐电休克治疗患者中的应用[J].当代护士(中旬刊),2014,12(11):82-84.
3.吴辉华.无抽搐电休克治疗与护理对强迫症患者认知功能的影响[J].中国民康医学,2015,1(5):35-36.
4.钟智勇,陶炯,王相兰,等.抗抑郁药物联合短期无抽搐电休克治疗对抑郁症疗效及认知功能的影响[J].中国临床药理学与治疗学,2017,22(2):179-183.
5.刘琳,江妙玲,李雪珍.精神科个性化护理干预对依托咪酯复合琥珀胆碱诱导的无抽搐电休克治疗后抑郁症患者效果分析[J].中国实用医药,2016,21(35):165-168.
6.胡立红.无抽搐电休克治疗及护理严重抑郁症患者对其认知功能的影响[J].中国民康医学,2015,15(16):22-23.
7.唐春霞,陈海勤,徐美英,等.精神科无抽搐电休克治疗临床护理路径的建立与实施效果[J].解放军护理杂志,2013,10(1):39-41.
8.李玉梅,林春元.人性化护理对强迫症患者实施无抽搐电休克治疗的效果观察[J].临床医学工程,2016,17(9):1249-1250.
9.张小丽,关明,孙海玲,等.优质护理服务对无抽搐电休克治疗抑郁症病人的影响观察[J].国际精神病学杂志,2017,44(4):708-711.
10.乔霞,钱志梅,李谦.心理护理干预联合MECT对难治性抑郁症患者疗效及依从性的影响[J].齐鲁护理杂志,2014,20(19):21-22.
11.Sampath H,Sharma I,Dutta S.Treatment of suicidal depreeion with ketamine in rapid cycling bipolar discorder[J].Asia Pac Psy-chiatry,2016,8(1):98-101.
12.Kellner CH,Kaicher DC,Banerjee H,et al.Depression severity in eletroconvulsive therapy(ECT)versus pharmacotherapy trials[J].J ECT.2015,31(1):31-33.
13.李启荣,何红波,张春平,等.MECT对难治性抑郁症患者认知功能的影响[J].山东医药,2015,55(18):41-43.
14.吴秋鸣.在无抽搐电休克治疗(MECT)患者中应用优质护理服务的效果分析[J].中国民康医学,2016,10(3):114-115.