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目的探讨精神科无抽搐电休克治疗(MECT)临床护理路径的建立与实施效果。方法选取2009年6月至2014年6月我院精神科收治的行MECT治疗的126例患者为研究对象,按照数字法分为对照组(n=63,予以常规护理)和研究组(n=63,予以临床护理路径进行护理),采用自制护理质量量表对两组患者治疗后护理质量、满意度、并发症发生率进行比较。结果研究组护理质量以及满意度均明显高于对照组,差异具有统计学意义(P<0.05);研究组并发症发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论精神科无抽搐电休克治疗临床护理路径的建立与实施,利于规范治疗过程,可显著提高护理质量和患者满意度,减少并发症发生率,值得临床推广使用。
Objective To explore the establishment and implementation of clinical nursing pathway of psychiatric convulsion-free electroconvulsive therapy (MECT). Methods Totally 126 patients underwent MECT in psychiatric department from June 2009 to June 2014 were selected as the control group (n = 63, normotensive group) and the study group (n = 63, to be the path of clinical nursing care), the use of self-care quality of care table after treatment of two groups of patients with quality of care, satisfaction, complication rates were compared. Results The nursing quality and satisfaction of the study group were significantly higher than that of the control group, the difference was statistically significant (P <0.05). The incidence of complications in the study group was significantly lower than that in the control group (P <0.05). Conclusions The establishment and implementation of clinical nursing pathway of neurotransmitter-free electroconvulsive therapy is conducive to the standardization of the treatment process, which can significantly improve the quality of care and patient satisfaction, reduce the incidence of complications, and worthy of clinical promotion and use.