无抽搐电休克治疗全流程护理专家共识  

Expert consensus on the whole process of nursing for modified electroconvulsive therapy

作　　者：中华护理学会精神卫生专业委员会 许冬梅[2] 耿丽弟 高静[2] 屈燕花 李菲菲[2] 李拴荣[3] 杨波[4] 张海娟[5] 王冲[2] 王晨[2] 邵静[2] Mental Health Professions Committee of Chinese Nursing Association;Xu Dongmei

机构地区：[1]不详 [2]北京回龙观医院 [3]新乡医学院第二附属医院 [4]重庆市精神卫生中心 [5]北京大学第六医院

出　　处：《中华现代护理杂志》2023年第34期4621-4627,共7页Chinese Journal of Modern Nursing

基　　金：北京市卫生健康委高层次公共卫生技术人才建设项目培养计划(学科骨干-02-08)。

摘　　要：目的形成无抽搐电休克治疗(MECT)全流程护理专家共识,规范MECT治疗前、治疗中、治疗后护理,以保证精神障碍患者治疗安全。方法检索、评价和汇总MECT医疗及护理证据,提取相关的推荐建议和研究结论,结合MECT临床护士工作经验,形成共识初稿。通过2轮德尔菲专家函询及2次专家论证会,结合专家意见,对初稿进行调整、修改和完善,形成共识终稿。结果2轮函询专家积极系数均为100.00%(20/20),专家权威程度均为0.93,各指标重要性赋值均数均>3.50分,且变异系数均<0.25,专家肯德尔和谐系数为0.134~0.182(P<0.05)。最终形成共识推荐意见21条,共识内容包括3个一级主题(MECT治疗前准备、MECT治疗中的护理配合及相关要点、MECT治疗后护理)和11个二级主题。结论本共识可为精神科MECT治疗全流程护理提供指导依据,使护理操作更规范。Objective To form an expert consensus on the nursing for modified electroconvulsive therapy(MECT)in the whole process and standardize the nursing before,during and after MECT treatment,so as to ensure the treatment safety of patients with mental disorders.Methods The consensus draft was formed through retrieving,evaluating and summarizing medical and nursing evidence of MECT,extracting relevant recommendation suggestions and research conclusions,and combing the work experience of MECT.Through 2 rounds of Delphi expert letter consultation and 2 expert demonstration meetings,the first draft was adjusted,modified and improved in combination with expert opinions to form a consensus final draft.Results The positivity coefficients of the two rounds of correspondence were all 100.00%(20/20),and the authority level of the experts was 0.93.The mean value of the importance of each index was greater than 3.50 and the coefficient of variation was all less than 0.25.The Kendall's harmony coefficient of the experts was 0.134 to 0.182(P<0.05).Finally,a total of 21 consensus recommendations were formed,including 3 primary themes(pre treatment preparation for MECT,nursing cooperation and related points during MECT treatment,and post treatment care for MECT)and 11 secondary themes.Conclusions This consensus can provide guidance for the the whole process of nursing of psychiatric MECT treatment,making nursing procedures more standardized.

关 键 词：无抽搐电休克治疗 精神科 护理 全流程 专家共识 

分 类 号：R47[医药卫生—护理学]