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评估精神疾病患者对电休克治疗作为一种治疗选择的态度。

Assessment of attitudes of patients with psychiatric disorders regarding electroconvulsive therapy as a treatment option.

作者信息

Khan Ghaazaan, Nazar Zahid, Haq Mian Mukhtiar Ul, Hussain Mian Iftikhar

机构信息

Ghaazaan Khan, Consultant Psychiatrists, Iftikhar Psychiatric Hospital, Peshawar, Pakistan.

Zahid Nazar, Department of Psychiatry, Lady Reading Hospital, MTI, Peshawar, Pakistan.

出版信息

Pak J Med Sci. 2020 Mar-Apr;36(3):565-568. doi: 10.12669/pjms.36.3.1637.

DOI:10.12669/pjms.36.3.1637
PMID:32292472
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7150403/
Abstract

OBJECTIVE

To assess the attitudes of psychiatric patients towards electroconvulsive therapy (ECT) as a treatment modality.

METHODS

This descriptive cross-sectional study was conducted from 1 January, 2017 to 15 April, 2018 in Department of Psychiatry, MTI, Lady Reading Hospital, Peshawar. It comprised of total 154 patients, having previous experience with electroconvulsive therapy (ECT) who were selected through a non-probability consecutive sampling. Their attitude was assessed by their responses to 15 questions on a Likert Scale, each question scoring 01-05 with a summed up cut-off score of 45 points. Score over 45 points is considered positive and below 45 as negative while those scoring exactly 45 points were considered as having Ambivalent attitude towards ECT.

RESULTS

Of all, 73% patients revealed positive and 27% negative attitude towards ECT. Mean age of the sample was 35 years. Out of all patients, 67.5% were males & 32.5% females, 73% were married & 27% unmarried, 47% were illiterate & 53% variably educated, 43% were employed while 57% were unemployed.

CONCLUSION

A significant majority of the patients accepted ECT as an effective treatment modality. However, to make the procedure more acceptable, it may be made more effective and safe to the expectations of the patients and medical professionals for better outcomes.

摘要

目的

评估精神科患者对电休克治疗(ECT)作为一种治疗方式的态度。

方法

这项描述性横断面研究于2017年1月1日至2018年4月15日在白沙瓦市莱迪·雷丁医院MTI精神病科进行。研究共纳入154例曾接受过电休克治疗(ECT)的患者,通过非概率连续抽样选取。通过他们对15个李克特量表问题的回答来评估其态度,每个问题得分为01 - 05分,总分截止分为45分。得分超过45分被认为是积极态度,低于45分为消极态度,而恰好得45分的患者被认为对ECT持矛盾态度。

结果

总体而言,73%的患者对ECT持积极态度,27%持消极态度。样本的平均年龄为35岁。在所有患者中,67.5%为男性,32.5%为女性;73%已婚,27%未婚;47%为文盲,53%接受过不同程度教育;43%有工作,57%无工作。

结论

绝大多数患者接受ECT作为一种有效的治疗方式。然而,为了使该治疗程序更易被接受,可能需要使其在疗效和安全性方面更符合患者及医学专业人员对更好治疗效果的期望。

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本文引用的文献

1
Use of Electroconvulsive Therapy in Central-Eastern European Countries: an Overview.中东欧国家电休克治疗的应用:概述
Psychiatr Danub. 2017 Jun;29(2):136-140. doi: 10.24869/psyd.2017.136.
2
In-hospital mortality among electroconvulsive therapy recipients: A 17-year nationwide population-based retrospective study.接受电休克治疗患者的院内死亡率:一项基于全国人口的17年回顾性研究。
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Evidence for the Continuing Benefits of Electroconvulsive Therapy.
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Stop stunting: Pakistan perspective on how this could be realized.杜绝发育迟缓:巴基斯坦对如何实现这一目标的看法。
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Effects of ECT in treatment of depression: study protocol for a prospective neuroradiological study of acute and longitudinal effects on brain structure and function.电休克疗法治疗抑郁症的效果:一项关于对脑结构和功能的急性及纵向影响的前瞻性神经放射学研究的研究方案
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