精神障碍患者家属对无抽搐电休克的认知及心理状况的变化研究

摘要

目的：评估无抽搐电休克(MECT)前后精神障碍患者家属对治疗的认知及家属心理特征的变化。方法：采用自制 MECT 调查问卷、SCL-90、SAS、SDS 对30名经过 MECT 前、后的精神障碍患者家属进行无抽搐电休克认知及患者家属心理状况的研究。结果：经 MECT后，患者家属对治疗的过程、疗效及不良反应均有所增加。治疗后 SCL-90总分，阳性项目数，总均分，强迫状态，恐怖因子分均明显低于治疗前(P<0.05)。结论：精神障碍患者家属在患者经过 MECT 后，对治疗的认知及其心理状态均得到改善。%Objective:To investigate the changes of psychological status and acknowledge of modified electroconvulsive therapy (MECT) in family members of patients with mental disorder before and after MECT. Methods:Thirty family members of the patients with mental disorder participated in this study. They were assessed with self-administered questionnaire, SCL-90, SAS and SDS be-fore and after MECT. Results: After MECT, the knowledge of MECT (process, efficacy and adverse reactions of MECT) in the family members increased, and the total score of SCL-90, the number of positive items, total average score, and and scores in the factors of compulsion and terror were significantly lower than those before the treatment (P<0. 05). Conclusions: After the treatment of MECT in the patients with mental disorders, the knowledge of MECT and the psychological status of their family members are improved.