以目的为导向的标准流程干预在无抽搐电休克治疗精神障碍患者中的应用

Application of objective-oriented standard procedure intervention on patients with mental disorders treated by modified electroconvulsive therapy

目的观察以目的为导向的标准流程干预在无抽搐电休克治疗(MECT)精神障碍患者中的应用。方法选择2019年8月至2021年8月上饶市第三人民医院收治的60例行MECT的精神障碍患者作为研究对象,按照随机数字表法分为观察组和对照组,各30例。对照组给予常规护理干预,观察组给予以目的为导向的标准流程干预。比较两组患者干预前及干预2周后接受MECT时心律失常的发生情况;观察两组患者精神状况[现状精神病症状检查(PSE)、简明精神病量表(BPRS)]变化,比较两组患者干预2周内其他不良反应的发生情况。结果观察组患者干预2周后的PSE、BPRS评分均低于对照组,差异有统计学意义(P<0.05);观察组心律失常及其他不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论以目的为导向的标准流程干预能有效预防MECT精神障碍患者发生心律失常及其他不良反应,并改善其精神症状和认知功能,提高治疗安全性。

Objective To observe the application of objective-oriented standard procedure intervention on patients with mental disorders treated by modified electroconvulsive therapy(MECT).Methods A total of 60 patients with mental disorders who underwent MECT in the Third People′s Hospital of Shangrao from August 2019 to August 2021 were selected as the research subjects.They were divided into observation group and control group according to the random number table method,with 30 cases in each group.The control group was given routine nursing intervention,while the observation group adopted objective-oriented standard procedure intervention.The incidence of arrhythmia in the two groups was compared before intervention and after 2 weeks of intervention.The changes in mental status(present state examination[PSE],brief psychiatric rating scale[BPRS])of the two groups were observed,and the incidence of other adverse reactions within 2 weeks of intervention was compared between the two groups.Results After 2 weeks of intervention,the scores of PSE and BPRS in observation group were lower than those in control group,the differences were statistically significant(P<0.05).The total incidences of arrhythmia and other adverse reactions in observation group were lower than those in control group,the differences were statistically significant(P<0.05).Conclusion Objective-oriented standard procedure intervention can effectively prevent the arrhythmia and other adverse reactions,improve the mental symptoms and cognitive function,and enhance the treatment safety of patients with mental disorders undergoing MECT.