摘要
目的:探讨心理护理干预在预防无抽搐电休克治疗(modified electroconvulsive therapy,MECT)精神障碍患者过程中发生心律失常的效果。方法:搜集笔者所在医院2016年1月-2018年10月行无抽搐电休克治疗的住院患者256例,按入组先后顺序分为观察组和对照组,各128例。对照组给予常规精神病护理,观察组在常规精神病护理的基础上结合心理护理。结果:MECT开始后30 min内心律失常发生率为16.02%(41/256),包括频发室性早搏14例,室性二联律8例,室性三联律4例,室性心动过速7例,QTc间期延长7例,心脏骤停1例。其中MECT开始后5 min内心脏不良事件发生率为13.28%(34/256)。观察组心律失常发生率低于对照组,差异有统计学意义(P<0.05)。结论:联合心理护理能降低MECT过程中心律失常的发生率,提高治疗安全性,值得临床推广使用。
Objective:To explore the effect of psychological nursing intervention on preventing arrhythmia in mental disorders during the treatment of modified electroconvulsive therapy.Method:A retrospective analysis was performed on 256 inpatients who received modified electroconvulsive therapy in our hospital from January 2016 to October 2018,they were divided into observation group and control group in sequential order,128 cases in each group.The control group was given routine psychiatric nursing,the observation group was combined with psychological nursing on the basis of routine psychiatric nursing.The incidence of arrhythmia was compared between the two groups.Result:The proportion of arrhythmias occurred within 30 min after the start of MECT was16.02%(41/256),including 14 cases of frequent ventricular premature beat,8 cases of ventricular bigeminy,4 cases of ventricular trigeminy,7 cases of ventricular tachycardia,7 cases of prolongation of QTc interval,and 1 case of cardiac arrest.Among them,the incidence rate of adverse cardiac events within5 min after the start of MECT was 13.28%(34/256).The rate of arrhythmia in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Combined psychological nursing can reduce the incidence of arrhythmia in the process of MECT and improve the safety of treatment,which is worthy of clinical application.
作者
孙福玲
李兆秀
王倩
SUN Fuling;LI Zhaoxiu;WANG Qian(Rizhao Mental Health Center,Rizhao 276800,China)
出处
《中外医学研究》
2019年第19期69-71,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
心理护理
无抽搐电休克治疗
心律失常
Psychological nursing
Modified electroconvulsive therapy
Arrhythmias
