电休克治疗——患者对其治疗有何看法？

Electroconvulsive Therapy - What Do Patients Think Of Their Treatment?

作者信息

Maguire S, Rea S M, Convery P

机构信息

The Regulation and Quality Improvement Authority, 9th Floor, Riverside Tower, 5 Lanyon Place, Belfast, BT1 3BT.

出版信息

Ulster Med J. 2016 Sep;85(3):182-186.

PMID:27698521

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5031106/

Abstract

BACKGROUND

The Regulation and Quality Improvement Authority (RQIA) monitors the administration of electroconvulsive therapy (ECT) in Northern Ireland (NI). As part of their inspection methodology RQIA wished to include feedback from ECT patients. The aim of this report is to summarise the opinions of ECT patients over a 1-year period and to compare their feedback about treatment with the standards of best practice, as defined by the Electroconvulsive Therapy Accreditation Service (ECTAS).

METHOD

RQIA was granted permission to use the ECTAS patient questionnaire. The questionnaire was distributed to all the ECT clinics in NI and staff were requested to give them to patients who had received a course of ECT.

RESULTS

A total of 42 individuals returned questionnaires, 24 females (57.1%) and 18 (42.9%) males. The response rate was 26%. Almost half of respondents were detained under the Mental Health (Northern Ireland) Order 1986 (n=19, 45.2%), with one third receiving ECT as a day patient (n=14, 33.3%). Respondents reported having detailed information about ECT, with ECTAS standards 4.2 and 4.3 being affirmed in over 80% of cases. Eighty percent of respondents (n=34) believed they benefited from ECT.

CONCLUSION

The results are mainly favourable towards ECT. The majority felt they benefited from treatment.

摘要

背景

监管与质量改进局（RQIA）对北爱尔兰（NI）的电休克治疗（ECT）管理情况进行监测。作为其检查方法的一部分，RQIA希望纳入ECT患者的反馈。本报告旨在总结ECT患者在一年期间的意见，并将他们对治疗的反馈与电休克治疗认证服务（ECTAS）所定义的最佳实践标准进行比较。

方法

RQIA获得使用ECTAS患者问卷的许可。问卷被分发给NI的所有ECT诊所，并要求工作人员将问卷分发给接受过ECT疗程的患者。

结果

共有42人返回问卷，其中女性24人（57.1%），男性18人（42.9%）。回复率为26%。近一半的受访者根据1986年《精神健康（北爱尔兰）令》被拘留（n = 19，45.2%），三分之一的受访者作为日间患者接受ECT治疗（n = 14，33.3%）。受访者报告称已获得有关ECT的详细信息，超过80%的案例符合ECTAS标准4.2和4.3。80%的受访者（n = 34）认为他们从ECT中受益。