| Xu Yongqing,Liu Ling,Effects of cluster nursing program on post-MECT delirium[J].SICHUAN MENTAL HEALTH,2021,34(3):243-246 |
| Effects of cluster nursing program on post-MECT delirium |
DOI：10.11886/scjsws20200805001 |
| English keywords:Modified electroconvulsive therapy Delirium Cluster nursing |
| Fund projects:广东省高水平临床重点专科（深圳市配套建设经费）资助（项目编号：SZGSP013） |
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| Objective To observe the intervention effect of cluster nursing in post-MECT delirium，and explore a new method of post-MECT delirium nursing.Methods A total of 154 inpatients who met the diagnostic criteria of International Classification of Diseases，tenth edition（ICD-10） and received MECT treatment for the first time were selected and they were randomly divided into control group （n = 77） and study group （n = 77）. The intervention lasted for one course of MECT， 6-12 times MECT as one course. Both groups recieved MECT routine nursing， while the study group was given cluster nursing on the basis of routine nursing. After each treatment， Richmond Agitation Sedation Scale （RASS） and nursing adverse events record form were used to collect data. The incidence and duration of post-MECT delirium and the incidence of nursing adverse events caused by post-MECT delirium were compared between the two groups.Results After one course of MECT， the incidence of post-MECT delirium was 11.80% in the study group and 16.67% in the control group， the difference was statistically significant （χ2= 6.314， P<0.05）. The duration of post-MECT delirium in the study group was（5.78±2.73）min and（11.20±4.44）min in the control group， the difference was statistically significant （t=3.403， P<0.05）. The incidence of nursing adverse events caused by post-MECT delirium was 7.13% in the study group and 12.70% in the control group， and the difference was statistically significant （χ2=10.940， P<0.01）.Conclusion The implementation of cluster nursing can reduce the incidence of post-MECT delirium， shorten the duration and reduce the nursing adverse events caused by post-MECT delirium. |
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