AIDET沟通模式在无抽搐电休克治疗中的应用

Application of AIDET communication mode in the therapy of modified electroconvulsive

目的：探讨AIDET沟通模式在无抽搐电休克治疗中的应用效果。方法根据无抽搐电休克治疗程序建立AIDET沟通标准用语,将2013年8—10月住院接受无抽搐电休克治疗的100例精神病患者随机分为对照组和观察组各50例,对照组采用传统说教式沟通方式,观察组采用AIDET沟通程序及标准用语,利用汉密顿焦虑量表（ HAMA）比较两组患者治疗前后焦虑状况、治疗依从性及满意度。结果两组患者入组时HAMA评分比较差异无统计学意义（P〉0.05）,采用两种沟通方式后,观察组患者治疗前后躯体性焦虑、精神性焦虑及焦虑总分均低于对照组,差异有统计学意义（ t值分别为5.99,6.51,10.87,10.23,6.19,7.94；P〈0.05）。观察组患者治疗依从性与满意度均高于对照组,差异有统计学意义（Z=5.77,χ^2=7.16；P〈0.05）。结论运用AIDET沟通模式能有效减轻精神病患者的焦虑程度,改善患者体验,提高其对治疗的依从性及对护理的满意度。

Objective To evaluate the effects of AIDET （ Acknowledge, Introduce, Duration, Explanation, Thanks ） communication mode in the modified electroconvulsive therapy. Methods Firstly, according to the procedure of the modified electroconvulsive therapy, we established the standard phrases of AIDET communication mode. Secondly, 100 cases of hospitalized psychiatric patients from August to October 2013 accepted the modified electroconvulsive therapy and were divided into the control group and the observation group, with 50 cases in each. The control group used the traditional lecture-style communication, while the observation group was given the AIDET communication processes and standard terms. The anxiety of two groups before and after the treatment was compared by the Hamilton Anxiety Scale （ HAMA ） , in addition with the treatment adherence and the satisfaction of nursing. Results Comparison of the HAMA scores in the two groups before the treatment was not significantly different （P 〉0. 05）. After using the two different communication modes, the HAMA scores of somatic anxiety, mental anxiety and the total score of the observation group were significantly lower than those in the control group （t=5. 99, 6. 51, 10. 87, 10. 23, 6. 19, 7. 94, respectively;P〈0. 05）. The treatment adherence and the satisfaction with nursing of the observation group were significantly higher than those in the control group （Z =5. 77,χ^2 =7. 16, respectively;P 〈0. 05）. Conclusions The AIDET mode of communication can effectively reduce the patient′s anxiety, and improve the patients′adherence, treatment compliance and satisfaction.