Kavanagh Adam, McLoughlin Declan M
Department of Psychiatry and Trinity College Institute of Neuroscience, Trinity College Dublin, St Patrick's University Hospital, Dublin, Ireland.
Br J Nurs. 2009;18(22):1370, 1372, 1374-7. doi: 10.12968/bjon.2009.18.22.45564.
Modified electroconvulsive therapy (ECT) is a controlled medical procedure in which a seizure is induced in an anaesthetized patient to produce a therapeutic effect. ECT is the most acutely effective treatment available for affective disorders and is more effective than antidepressant drugs. Although in use for 70 years, ECT continues to attract controversy and there is considerable stigma associated with its use that often overshadows the empirical evidence for its effectiveness. One way to overcome this is for health professionals to be educated about contemporary ECT practice. Patients need to make informed decisions when consenting to ECT and this process can be influenced by preconceived ideas and scientific fact. It is, therefore, essential that nurses possess sufficient information to help patients make rational and informed treatment decisions and be able to care for both the clinical and psychological needs of patients treated with ECT. This review outlines the nursing role in ECT and summarizes the main aspects of contemporary ECT practice relevant to general and psychiatric nursing practice.
改良电休克治疗（ECT）是一种可控的医疗程序，在麻醉状态的患者体内诱发癫痫发作以产生治疗效果。ECT是治疗情感障碍最具速效的方法，比抗抑郁药物更有效。尽管已使用70年，但ECT仍备受争议，其应用存在相当大的污名化现象，这常常掩盖了其有效性的实证证据。克服这一问题的一种方法是让健康专业人员接受当代ECT实践的教育。患者在同意接受ECT时需要做出明智的决定，而这一过程可能会受到先入之见和科学事实的影响。因此，护士必须掌握足够的信息，以帮助患者做出理性、明智的治疗决定，并能够照顾接受ECT治疗患者的临床和心理需求。本综述概述了ECT护理角色，并总结了与普通护理和精神科护理实践相关的当代ECT实践的主要方面。
