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| Effect of total process management on the incidence of arrhythmia in patients with mental disorders undergoing modified electro-convulsive therapy |
| DENG Hongqi YAO Yu |
| Mect Room, the Third People′s Hospital of Shangrao City, Jiangxi Province, Shangrao 334000, China |
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Abstract Objective To explore the effect of total process management on the incidence of arrhythmia in patients with mental disorders undergoing modified electro-convulsive therapy (MECT). Methods Ninety patients with mental disorders underwent MECT in the Third People′s Hospital of Shangrao City from January to June 2021 were selected as research objects. They were divided into control group and observation group by random number table method, with 45 cases in each group. The control group received routine nursing intervention, and the observation group received total process management nursing intervention. The incidence of arrhythmia and adverse events, nursing cooperation and nursing satisfaction were compared between the two groups. Results There were no significant differences between the two groups in the incidence of single ventricular premature beat, bigeminy, trigeminy, ventricular tachycardia, QTc interval prolongation and cardiac arrest at 5, 10 and 30 min after treatment (P>0.05). The total incidence of adverse events such as prolonged apnoea time, dysmnesia, irritability, dizziness and discomfort, large-area rash in regiones pectoris anterior and excessive respiratory secretions in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). Patients cooperating with nurses in the observation group were more than those in the control group, the differences were statistically significant (P<0.05). Treatment time and waiting time in the observation group were shorter than those in the control group, the number of times of risk events in the observation group was less than that in the control group, the differences were statistically significant (P<0.05). The nursing satisfaction in the observation group was higher than that in the control group, the difference was statistically significant (P<0.05). Conclusion Total process management can effectively reduce the incidence rates of arrhythmia and adverse events in patients with mental disorders during MECT, and improve their nursing cooperation and nursing satisfaction.
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| [1] |
张小丽，关明，孙海玲，等.优质护理服务对无抽搐电休克治疗抑郁症病人的影响观察[J].国际精神病学杂志，2017， 44（4）：708-711.
|
| [2] |
张华.心理护理干预联合MECT对难治性抑郁症患者疗效及依从性的影响[J].国际护理学杂志，2019，38（12）：1775-1777.
|
| [3] |
张华，徐振兴.心理护理干预在MECT治疗难治性抑郁症患者中的应用[J].国际护理学杂志，2020，39（8）：1408-1411.
|
| [4] |
田玮，杨永涛，刘杰.多元化访视对抑郁症无抽搐电休克治疗患者应激反应的影响[J].河北医药，2021，43（11）：1717-1719，1724.
|
| [5] |
牛艳，杜娟.优质护理对无抽搐电休克治疗的抑郁症患者的影响[J].国际精神病学杂志，2019，46（3）：545-547.
|
| [6] |
刘秀娥，刘一，仇艳苗，等.流程管理在无抽搐电休克治疗护理配合中的应用[J].解放军护理杂志，2010，27（5）：383-384.
|
| [7] |
黄晶晶，赵敏，肖泽萍，等.ICD-11精神与行为障碍（草案）诊断类别与标准修订进展[J].中华精神科杂志，2017， 50（5）：340-344.
|
| [8] |
张威，庞娜，石丽杰，等.运用临床护理路径在无抽搐电休克治疗中的效果评价[J].山西医药杂志，2017，46（19）：2391-2393.
|
| [9] |
郑玉玲，张少霞，熊灿标，等.无抽搐电休克联合利培酮治疗流浪精神分裂症患者急性期疗效及安全性研究[J].中国医药科学，2021，11（1）：229-232.
|
| [10] |
曲志君.无抽搐电休克治疗儿童青少年精神分裂症对患儿记忆功能的影响及安全性分析[J].中国当代医药，2021， 28（25）：97-99.
|
| [11] |
田玮，张欣娜，王新立，等.FOCUS-PDCA模式在无抽搐电休克治疗室高危药品管理中的应用效果[J].护理实践与研究，2021，18（15）：2313-2317.
|
| [12] |
周雪梅.无抽搐电休克治疗护理配合中流程管理的应用效果[J].重庆医学，2017，46：451-452.
|
| [13] |
权敏芝，李蒙蒙，王为为，等.人文关怀护理对精神分裂症患者无抽搐电休克治疗效果与QOL评分的影响[J].山西医药杂志，2021，50（3）：478-480.
|
| [14] |
孟春燕.全程护理干预对无抽搐电休克治疗重度抑郁发作患者的影响[J].齐鲁护理杂志，2018，24（7）：77-79.
|
| [15] |
沈曙光，姜海涛，肖文斌，等.影响精神病患者行无抽搐电休克治疗不良反应发生的危险因素分析[J].临床精神医学杂志，2018，28（2）：119-121.
|
| [16] |
李艳茹，姜玮，赵希希，等.不同波宽刺激下无抽搐电休克治疗抑郁症疗效及对心脏节律性的影响[J].临床精神医学杂志，2021，31（6）：482-484.
|
| [17] |
王玉秀.基于HACCP的精神科无抽搐电休克治疗患者SBAR护理交接查检表的设计和应用[J].中国实用护理杂志，2018，34（5）：378-382.
|
| [18] |
石文杰，杜向东，王从杰，等.无抽搐电休克治疗引起突发性低血压一例报告[J].精神医学杂志，2020，33（1）：50-51.
|
| [19] |
张小丽，关明，孙海玲，等.优质护理服务对无抽搐电休克治疗抑郁症病人的影响观察[J].国际精神病学杂志，2017，44（4）：708-711.
|
| [20] |
李明芳，戚惠娟，梁慧君，等.渐进性肌肉放松训练对多参数监护无抽搐电休克治疗病人遵医行为的影响[J].护理研究，2017，31（9）：1095-1097.
|
|
|
|
