目的 了解精神疾病患者亲属对改良性电抽搐治疗( MECT)的知识和治疗态度的状况,为今后健康教育提供参考依据. 方法 参照有关文献、专家意见及结合临床经验,拟定调查问卷,对我院接受MECT治疗的205名精神疾病患者亲属进行调查. 结果 205名调查对象对治疗的相关知识均有不同程度的缺乏. 调查的5 个维度的知晓率分别为:治疗程序62. 4%;知情同意98. 5%;适用指征32. 7%;作用机制68. 3%;不良反应92. 7%. 亲属的文化程度越高知晓率越高. 大部分亲属(56. 1%)对治疗有积极的态度,部分亲属(35. 1%)持矛盾态度,少数亲属(8. 8%)有明显的消极态度. 结论 患者亲属对MECT的相关知识普遍缺乏. 亲属对治疗的了解和认识将影响其对治疗的态度,临床工作中需加强对MECT知识的推广和普及,不断完善健康教育的内容,使患者在亲属良好的心理支持下积极主动配合治疗,提高治疗的依从性.%Objective To investigate the knowledge and treatment attitudes toward modified electroconvulsive therapy ( MECT) among family members of mental disorder sufferers, and to provide reference for the related health education. Methods A total of 205 family members of psychiatric inpatients in our hospital, who received MECT, were investigated by a self-designed questionnaire which was based on literature surveys, experts consultation and clinical experiences. Results The results showed a varying lack of knowledge about MECT for those family members. The awareness rates of the five dimensions surveyed were: treatment procedure (62. 4%), informed consent (98. 5%), applicable indications (32. 7%), functional mechanism (68. 3%) and side effects (92. 7%); there was a significant positive relation between education level and knowledge awareness rate. 56. 1% of the family members took positive attitude toward MECT, but 8. 8%thought negatively, and 35. 1% lied between. Conclusions The knowledge about MECT is generally lacking among the family members, this would impact its treatment attitudes. In such case, enhancing MECT knowledge education is recommend to boost the treatment confidence and to increase the compliance.
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