Coventry & Warwickshire Partnership NHS Trust, Caludon Centre, Coventry, UK.
Int J Psychiatry Clin Pract. 2008;12(3):235-7. doi: 10.1080/13651500802054142.
Objective. To evaluate the effectiveness of a care pathway for the use of electroconvulsive therapy (ECT) in a UK psychiatric inpatient unit. Methods. A completed clinical audit cycle of the care pathway and variance from it. Results. Sixty courses of treatment were reviewed. All were given for severe depressive disorder. Consent was recorded for all but one course. Clinical assessments were completed for 96% during and 50% after treatment. Conclusions. Use of a care pathway enhanced aspects of the clinical practice of ECT, although the overall effect was inconsistent. ECT was not used to treat schizophrenia. Maintenance ECT continues to be used despite the recent NICE guidance on this subject. The care pathway ensured regular clinical assessment of patients during their courses of ECT.
目的。评估在英国精神病住院病房使用电抽搐治疗（ECT）的护理路径的有效性。
方法。护理路径的临床审核周期和偏离情况。
结果。共审查了 60 个疗程。均用于严重抑郁症。除了一个疗程外，其余的都记录了同意书。96%的疗程在治疗期间完成了临床评估，50%的疗程在治疗后完成了临床评估。
结论。护理路径虽然效果不一致，但增强了 ECT 临床实践的某些方面。ECT 并未用于治疗精神分裂症。尽管最近有关于该主题的 NICE 指南，但仍继续使用维持性 ECT。护理路径确保了患者在 ECT 疗程期间定期进行临床评估。
