舒适护理对无抽搐电休克治疗精神病患者治疗依从性及舒适度的影响.docxVIP

舒适护理对无抽搐电休克治疗精神病患者治疗依从性及舒适度的影响 　　[摘要]目的探讨舒适护理在无抽搐电休克（mect）治疗精神病患者中的应用效果。方法选取2017年1月～2019年1月我院收治的62例精神病患者，采用红黄双色球法将其分为对照组和观察组，每组各31例。两组均行mect治疗，对照组采用常规护理，观察组在此基础上采用舒适护理，比较护理前后两组的依从性和舒适度，比较两组护理总满意度。结果护理前两组的舒适度评分、依从性比较，差异无统计学意义（p0.05）;护理后观察组舒适度评分低于对照组，差异有统计学意义（p0.05）;护理后观察组的合理饮食、遵医用药、定期检查比例高于对照组，差异均有统计学意义（p0.05）;观察组护理总满意度高于对照组，差异有统计学意义（p0.05）。结论对mect治疗精神病患者实施舒适护理可有效改善患者遵医行为，提高患者舒适度，提升护理满意度，值得临床推广。 　　[关键词]舒适护理;无抽搐电休克;精神病;依从性;舒适度 　　[abstract]objectivetoexploretheeffectofcomfortnursingonpatientswithmentalillnessaftermodifiedelectroconvulsivetherapy（mect）.methodsatotalof62psychiatricpatientstreatedinourhospitalfromjanuary2017tojanuary2019wereselectedanddividedintocontrolgroupandanobservationgroupbythrowingthered/yellowdouble-colorball，31casesineachgroup.allpatientsweretreatedwithmect.inthecontrolgroup，conventionalnursingwasused，whileintheobservationgroup，comfortnursingonthisbasiswasadopted.thetreatmentcomplianceandcomfortofthetwogroupsofpatientsbeforeandafternursing，thetotalnursingsatisfactionwerecompared.resultstherewasnosignificantdifferenceincomfortscoreandcompliancebetweenthetwogroupsofpatientsbeforenursing（p0.05）.thecomfortscoreofpatientsintheobservationgroupafternursingwaslowerthanthatinthecontrolgroup，andthedifferencewasstatisticallysignificant（p0.05）.afterthenursing，theproportionofpatientsintheobservationgroupwithregulardiet，complianceofmedicationfollowingdoctor′sadvice，andregularexaminationswashigherthanthatinthecontrolgroup，andthedifferenceswerestatisticallysignificant（p0.05）.thetotalsatisfactionoftheobservationgroupwashigherthanthatinthecontrolgroup，andthedifferencewasstatisticallysignificant（p0.05）.conclusiontheimplementationofcomfortnursingforpatientswithmentalillnesstreatedbymectcaneffectivelyenhancecompliance，improvepatients′comfort，andincreasetotalnursingsatisfaction，whichisworthclinicalpromoting. 　　[keywords]comfortnursing;modifiedelectroconvulsivetherapy;psychosis;compliance;comfort 　　無抽搐电休克（mect）是当前治疗精神病的新型方式，临床中医师通过现代麻醉技术使患者放松肌肉，用短脉冲