电休克治疗相关焦虑现状及相关因素研究

Study on Status and Related Factors of Electroconvulsive Therapy Related Anxiety

目的:探讨电休克治疗相关焦虑现状及相关因素。方法:选取2020年1月-2021年9月于北京大学第六医院住院并进行电休克治疗的132例患者,电休克治疗前后收集一般资料(年龄、性别、职业、文化程度、婚姻状况)、疾病相关资料(病程、疾病类型、是否进行过电休克治疗、电休克治疗次数、住院天数)及状态特质焦虑量表。结果:本研究在电休克治疗前共回收特质焦虑量表131份,状态焦虑量表132份;电休克治疗后回收状态焦虑量表118份。电休克治疗前后状态焦虑量表得分比较,差异有统计学意义(P<0.001)。且电休克治疗前患者特质焦虑量表和状态焦虑量表得分均高于常模(P<0.05),电休克治疗后女性状态焦虑量表高于常模(P<0.05)。电休克治疗相关焦虑水平与特质焦虑水平呈正相关(P<0.001),职业、文化程度、婚姻状况、疾病类型、电休克次数、住院天数与电休克治疗相关焦虑水平均无相关性(P>0.05)。结论:电休克治疗相关焦虑普遍存在,电休克治疗后患者焦虑水平显著降低。电休克治疗相关焦虑水平与特质焦虑水平呈正相关,电休克治疗相关焦虑的相关因素尚未明确,有待进一步研究。

Objective:To explore the status and related factor of electroconvulsive therapy (ECT) related anxiety.Method:A total of 132 inpatients accepting ECT were included from January 2020 to September 2021 in Peking University Sixth Hospital.General data (age,gender,occupation,education degree,marital status),disease-related data (duration of disease,disease,whether or not the first time of ECT,ECT-times,hospital stay) and state-trait anxiety questionnaire were collected before and after ECT therapy.Result:This study collected 131 cases trait anxiety scales and 132 cases state anxiety scales before electroconvulsive therapy,and 118 cases state anxiety scales after electroconvulsive therapy.There was a statistically significant difference in the state anxiety scales before and after ECT (P<0.001).The scores of trait anxiety scales and state anxiety scales before ECT were higher than those of general population (P<0.05).The score of state anxiety scales after ECT of female was higher than that of general population (P<0.05).ECT-related anxiety level was positively correlated with trait anxiety level (P<0.001).Occupation,education level,marital status,disease,time of ECT,duration of hospitalization were not correlated with the level of anxiety related to ECT (P>0.05).Conclusion:ECT-related anxiety is common.And the anxiety level of patients is significantly reduced after ECT.The level of ECT-related anxiety is positively correlated with the level of trait anxiety.The related factors of ECT-related anxiety is not clear yet and remain to be confirmed by further research.