Oldewening Karen, Lange Rael T, Willan Sharon, Strangway Carrie, Kang Nirmal, Iverson Grant L
Riverview Hospital, British Columbia, Canada.
J ECT. 2007 Jun;23(2):82-8. doi: 10.1097/YCT.0b013e3180421a0a.
Widespread negative attitudes toward electroconvulsive therapy (ECT) are present in the general public and among heath care professionals. However, there is evidence to suggest that clinical experience and knowledge of ECT positively improve attitudes toward this treatment. The purpose of this study was to evaluate the effects of an ECT education training program on attitudes toward ECT. Participants were 73 student nurses (91.8% women) and 21 care aid students (81.0% women) undertaking a 6-week rotation in psychiatry at a large provincial psychiatric hospital in British Columbia, Canada. The ECT education training program consisted of a brief lecture, viewing of an educational videotape, familiarization with the ECT equipment, and observation of an ECT treatment. Participants completed a short questionnaire pretraining and posttraining program. Attitudes toward ECT did not substantially differ between the 2 groups. For the entire sample, only 8.5% reported that they were well informed about ECT before the training session. More favorable attitudes were reported upon completion of the ECT education program compared with attitudes reported before training. These findings suggest that attitudes toward ECT increase favorably when individuals are provided with training and experience.
普通大众和医疗保健专业人员中普遍存在对电休克疗法(ECT)的负面态度。然而,有证据表明,ECT的临床经验和知识能积极改善对这种治疗方法的态度。本研究的目的是评估ECT教育培训项目对ECT态度的影响。参与者为73名学生护士(91.8%为女性)和21名护理助理学生(81.0%为女性),他们在加拿大不列颠哥伦比亚省一家大型省级精神病医院进行为期6周的精神病学轮转实习。ECT教育培训项目包括一次简短讲座、观看教育录像带、熟悉ECT设备以及观察一次ECT治疗。参与者在培训前和培训后完成一份简短问卷。两组对ECT的态度没有显著差异。对于整个样本,只有8.5%的人表示在培训课程前对ECT有充分了解。与培训前报告的态度相比,完成ECT教育项目后报告的态度更为积极。这些发现表明,当个体获得培训和经验时,对ECT的态度会得到有利提升。