PDF(Pubmed)
Abstract：
UNASSIGNED: In the Indian context, published systematic research on the opinions of mental health professionals and other stakeholders (patients and caregivers) regarding the different adverse effects of electroconvulsive therapy (ECT) is not available. This type of study allows for an in-depth exploration of complex phenomena, such as the perspectives of mental health professionals, which can provide a rich understanding of their experiences regarding ECT and also helps to understand the views of mental health professionals regarding the adverse effects of ECT during the post-ECT recovery period and its management. Conversely, the perception of patients and caregivers regarding the adverse effects of ECT can provide a more comprehensive understanding of the treatment and its impact on the patients who receive it.
UNASSIGNED: To explore the understanding of participants about the various adverse effects following ECT and their perception of managing different adverse effects of ECT during the post-ECT recovery period.
UNASSIGNED: A qualitative approach using focus group discussion (FGD) was used. A convenience sampling technique was followed for selecting the participants. FGDs were conducted with stakeholders including mental health professionals, patients, and caregivers. Five FGDs were conducted with psychiatry residents, nursing officers from the ECT suite, and different psychiatry wards at NIMHANS. Four FGDs were held separately for patients receiving ECT and their caregivers, admitted to various psychiatry wards at NIMHANS. A total of 28 mental health professionals, 20 patients, and 20 caregivers participated. The number of participants for FGDs was decided based on data saturation. The FGDs, lasting 30-40 minutes each, occurred between October 2022 and December 2022. The FGDs were audio-recorded with prior permission from the participants. All the participants were informed about the study. Written informed consent was obtained. All FGDs were transcribed. Thematic analysis was done using Atlas. ti software.
UNASSIGNED: The broad categories identified were adverse events associated with ECT during the ECT procedure, adverse events associated with ECT after the ECT procedure, prevalence of different adverse effects according to mental health professionals, effects of adverse effects on the continuity of ECT, and difficulties encountered by mental health professionals throughout the management. Other broad categories were found after conducting FGDs with caregivers and patients, which were patients\' experience as per the caregivers over the course of ECT, caregivers\' and patients\' willingness to continue ECT, unfavorable impacts of ECT experienced by the patients immediately after ECT sessions, and, later till the end of that day, suggestions of the caregivers and patients to improvise the management of ECT-related adverse effects and management of adverse effects by the treating team.
UNASSIGNED: The findings will develop a standard operating procedure that may help nursing officers monitor and identify the adverse effects immediately after ECT and minimize the complications during the post-ECT recovery period.
UNASSIGNED: To explore the understanding of participants about the various adverse effects following ECT and their perception of managing different adverse effects of ECT during the post-ECT recovery period.
UNASSIGNED: A qualitative approach using focus group discussion (FGD) was used. A convenience sampling technique was followed for selecting the participants. FGDs were conducted with stakeholders including mental health professionals, patients, and caregivers. Five FGDs were conducted with psychiatry residents, nursing officers from the ECT suite, and different psychiatry wards at NIMHANS. Four FGDs were held separately for patients receiving ECT and their caregivers, admitted to various psychiatry wards at NIMHANS. A total of 28 mental health professionals, 20 patients, and 20 caregivers participated. The number of participants for FGDs was decided based on data saturation. The FGDs, lasting 30-40 minutes each, occurred between October 2022 and December 2022. The FGDs were audio-recorded with prior permission from the participants. All the participants were informed about the study. Written informed consent was obtained. All FGDs were transcribed. Thematic analysis was done using Atlas. ti software.
UNASSIGNED: The broad categories identified were adverse events associated with ECT during the ECT procedure, adverse events associated with ECT after the ECT procedure, prevalence of different adverse effects according to mental health professionals, effects of adverse effects on the continuity of ECT, and difficulties encountered by mental health professionals throughout the management. Other broad categories were found after conducting FGDs with caregivers and patients, which were patients\' experience as per the caregivers over the course of ECT, caregivers\' and patients\' willingness to continue ECT, unfavorable impacts of ECT experienced by the patients immediately after ECT sessions, and, later till the end of that day, suggestions of the caregivers and patients to improvise the management of ECT-related adverse effects and management of adverse effects by the treating team.
UNASSIGNED: The findings will develop a standard operating procedure that may help nursing officers monitor and identify the adverse effects immediately after ECT and minimize the complications during the post-ECT recovery period.
摘要：
■在印度的背景下，没有发表的关于精神卫生专业人员和其他利益相关者（患者和护理人员）关于电惊厥治疗（ECT）的不同不良反应的意见的系统研究。这种研究可以对复杂现象进行深入的探索,比如心理健康专业人士的观点，这可以丰富了解他们关于ECT的经验，也有助于了解精神卫生专业人员对ECT后恢复期及其管理的不利影响的看法。相反，患者和护理人员对ECT不良反应的认识可以更全面地了解治疗及其对接受治疗患者的影响.
■探讨参与者对ECT后各种不良反应的理解，以及他们对ECT后恢复期管理ECT不同不良反应的看法。
■使用了使用焦点小组讨论(FGD)的定性方法。遵循方便的抽样技术来选择参与者。FGD与包括精神卫生专业人员在内的利益相关者进行，病人,和照顾者。五个FGD是与精神病学住院医师一起进行的，ECT套房的护理人员,和尼曼斯不同的精神科病房。四个FGD分别为接受ECT的患者及其护理人员举行，住在尼曼斯的各种精神科病房。共有28名精神卫生专业人员，20名患者,和20名护理人员参加。FGD的参与者数量基于数据饱和度决定。FGD,每次持续30-40分钟，发生在2022年10月至2022年12月之间。FGD是在参与者事先许可的情况下录制的。所有参与者都被告知了这项研究。获得书面知情同意书。所有FGD都被转录。使用Atlas进行主题分析。ti软件。
■确定的大类是ECT手术期间与ECT相关的不良事件，ECT手术后与ECT相关的不良事件，根据精神卫生专业人员的不同不良反应的患病率，副作用对ECT连续性的影响，以及精神卫生专业人员在整个管理过程中遇到的困难。在与护理人员和患者进行FGD后，发现了其他广泛的类别，这是患者在ECT过程中根据护理人员的经验，护理人员和患者愿意继续ECT，患者在ECT会话后立即经历的ECT的不利影响，and,直到那天结束,护理人员和患者的建议，以提高治疗团队对ECT相关不良反应的管理和不良反应的管理。
■研究结果将制定一种标准的操作程序，该程序可能有助于护理人员在ECT后立即监测和识别不良反应，并最大程度地减少ECT后恢复期的并发症。
■探讨参与者对ECT后各种不良反应的理解，以及他们对ECT后恢复期管理ECT不同不良反应的看法。
■使用了使用焦点小组讨论(FGD)的定性方法。遵循方便的抽样技术来选择参与者。FGD与包括精神卫生专业人员在内的利益相关者进行，病人,和照顾者。五个FGD是与精神病学住院医师一起进行的，ECT套房的护理人员,和尼曼斯不同的精神科病房。四个FGD分别为接受ECT的患者及其护理人员举行，住在尼曼斯的各种精神科病房。共有28名精神卫生专业人员，20名患者,和20名护理人员参加。FGD的参与者数量基于数据饱和度决定。FGD,每次持续30-40分钟，发生在2022年10月至2022年12月之间。FGD是在参与者事先许可的情况下录制的。所有参与者都被告知了这项研究。获得书面知情同意书。所有FGD都被转录。使用Atlas进行主题分析。ti软件。
■确定的大类是ECT手术期间与ECT相关的不良事件，ECT手术后与ECT相关的不良事件，根据精神卫生专业人员的不同不良反应的患病率，副作用对ECT连续性的影响，以及精神卫生专业人员在整个管理过程中遇到的困难。在与护理人员和患者进行FGD后，发现了其他广泛的类别，这是患者在ECT过程中根据护理人员的经验，护理人员和患者愿意继续ECT，患者在ECT会话后立即经历的ECT的不利影响，and,直到那天结束,护理人员和患者的建议，以提高治疗团队对ECT相关不良反应的管理和不良反应的管理。
■研究结果将制定一种标准的操作程序，该程序可能有助于护理人员在ECT后立即监测和识别不良反应，并最大程度地减少ECT后恢复期的并发症。
