Scholz-Hehn Anne Deborah, Müller Jana Christina, Deml Ruben, Methfessel Isabel, Zilles David, Hädrich Florian, Hecht Gregory, Luedecke Daniel, Gornisch Janina, Albrecht Heiko, Stumm Laura, Freundlieb Nils
Department of Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen.
Clinic for Psychiatry, Psychotherapy, and Psychosomatics, Medical Center Dr. Fontheim, Liebenburg.
J ECT. 2019 Jun;35(2):106-109. doi: 10.1097/YCT.0000000000000544.
Despite being a highly effective treatment, electroconvulsive therapy (ECT) is still stigmatized even among professionals. The aim of this study was to identify factors associated with a positive attitude toward ECT among health care workers.
We investigated staff's attitude and their self-assessment of knowledge while introducing ECT in 3 German psychiatric clinics. Furthermore, we compared this data to that of a clinic where ECT has been applied with a long tradition. An anonymous questionnaire was answered by n = 182 employees in the ECT-introducing clinics (novices) and n = 68 employees in the clinic with a long history of ECT (experts).
Irrespective of the clinical history, the majority of participants approved the application of ECT in their clinic. Factors associated with a positive attitude were (a) profession (physicians presented a more positive mindset about ECT than nursing staff), (b) subjective feeling of being adequately informed, and (c) having had contact to patients undergoing ECT. Interestingly, the general attitude toward ECT did not differ between subjects who reported to have seen an ECT and those who had not.
When introducing ECT as a new treatment into a clinic, formal information should be adapted to the needs of each profession with a special emphasis on nurses. To further increase acceptance, contact to ECT-experienced patients (professionals taught by patients) might result in a more positive attitude toward ECT than participation in an ECT treatment itself.
尽管电休克疗法（ECT）是一种高效的治疗方法，但即使在专业人员中仍存在污名化现象。本研究的目的是确定与医护人员对ECT持积极态度相关的因素。
在3家德国精神病诊所引入ECT时，我们调查了工作人员的态度及其对知识的自我评估。此外，我们将这些数据与一家长期应用ECT的诊所的数据进行了比较。n = 182名在引入ECT的诊所工作的员工（新手）和n = 68名在有长期ECT应用历史的诊所工作的员工（专家）回答了一份匿名问卷。
无论临床经验如何，大多数参与者都赞成在他们的诊所应用ECT。与积极态度相关的因素有：（a）职业（医生对ECT的态度比护理人员更积极），（b）主观感觉信息充分，以及（c）与接受ECT治疗的患者有过接触。有趣的是，报告看过ECT的人和没看过ECT的人对ECT的总体态度没有差异。
当在诊所将ECT作为一种新的治疗方法引入时，正式的信息应根据每个职业的需求进行调整，特别要重视护士。为了进一步提高接受度，与有ECT治疗经验的患者接触（由患者教导专业人员）可能比参与ECT治疗本身更能使人们对ECT持积极态度。
