Irvin S M
Veterans Affairs Medical Center, Memphis, USA.
AORN J. 1997 Mar;65(3):573-8, 581-2. doi: 10.1016/s0001-2092(06)63078-0.
Depression is a common condition that often responds to a variety of treatment modalities. Concerns about antidepressant medications' safety and efficacy and individuals' lack of response or their problems complying with medication regimens have prompted a resurgence in electroconvulsive therapy (ECT) for specific mental health conditions. Outpatient maintenance ECT, performed under general anesthesia, is a safe, effective follow-up treatment for individuals with major depression who have undergone inpatient ECT. Individuals with bipolar disorders, catatonia, mania, and schizophrenia and those with Parkinson's disease also can benefit from outpatient ECT. Perioperative nursing care for individuals who undergo outpatient ECT is similar to the care provided to patients scheduled for ambulatory surgery. Successful performance of outpatient ECT requires collaboration by skilled perioperative nurses, psychiatrists, anesthesia care providers, affected individuals, and family members.
抑郁症是一种常见病症，通常对多种治疗方式都有反应。对抗抑郁药物安全性和有效性的担忧，以及个体缺乏反应或在遵循药物治疗方案方面存在问题，促使针对特定心理健康状况的电休克疗法（ECT）再度兴起。在全身麻醉下进行的门诊维持性ECT，对于接受过住院ECT治疗的重度抑郁症患者而言，是一种安全、有效的后续治疗方法。双相情感障碍、紧张症、躁狂症和精神分裂症患者以及帕金森病患者也可从门诊ECT中获益。接受门诊ECT治疗的个体的围手术期护理与为安排门诊手术的患者提供的护理相似。成功实施门诊ECT需要熟练的围手术期护士、精神科医生、麻醉护理人员、患者及其家庭成员的协作。
