Effects of Utilizing Nursing Guideline for Patients Receiving Modified Electroconvulsive Therapy in Psychiatric Ward, Nan Hospital
Article Sidebar
Main Article Content
Abstract
In the nursing care for patients treated with modified electroconvulsive therapy (modified ECT), nurses must have the necessary knowledge and skills to prevent adverse effects throughout the treatment process. This quasi-experimental study was integrated into routine nursing practice in a psychiatric unit at Nan hospital. The objectives of this study were to investigate effects of utilizing nursing guidelines for patients receiving modified ECT on 1) nurses’ knowledge of patient care during modified ECT and 2) the incidence of associated complications and adverse effects. The participants of the study were 33 registered nurses involved in administering modified ECT. Data were collected from 210 pre-implementation records of adverse effects and 200 post-implementation records after utilizing the nursing guideline of this study. The research instrument consisted of a nursing guideline, a test to assess knowledge about nursing care of patients with modified ECT, and a form to record complications and adverse effects from modified ECT. The study was implemented from March to September 2023. Data were analyzed using descriptive statistics, t-tests, and Fisher exact tests. The results revealed that after implementing the nursing guideline, nurses' knowledge mean score was increased significantly, while the incidence of ECT-related complications decreased significantly. It can therefore be concluded that the application of the nursing guideline in this study leads to an in improvement in safety for patients receiving modified ECT procedures.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
References
Ittasakuk P, Sukanich. Chapter 31 Pharmacotherapy and ECT. In Lotrakul M, Sukanich P (eds). Ramathibodi essential psychiatry (4th eds). Bangkok: Faculty of Medicine Ramathibodi Hospital 2015.443-80. (in Thai)
Medical Development Division Ministry of Healthy Malaysia. Guideline on electroconvulsive therapy for Ministry of Health: basis, practically & policy [internet]. 2021 [cited on 10 December 2023]. Available from: https://www.moh.gov.my/moh/resources/Penerbitan/Psikiatri/Buku_Garis_Panduan_Rawatan_ Terapi_Elektrokonvulsif.pdf
Napapongsuriya T. Chepter 9 Electro-convulsive therapy. In Seeherunwong A (ed.). Psychiatric nursing. Bangkok: Amarin priniting 2015.151-9.(in Thai)
Suwannarong K, Wongsirimas N. Chepter 8 electroconvulsive therapy and nursing care. In Sitthimongkol Y, Kasornsamoot P, Wongsirimas N, Pornchaikate A (eds). Bangkok: Scan Art 2018. 133-48. (in Thai)
Skulphant S, Suvanarong K, Thanoi W. The situation of modified electroconvulsive therapy in psychiatric patients in Galya Rajanagarindra Institute. Journal of The Royal Thai Army Nurses 2018;19 (Suplement):316-25.(in Thai)
Thongyindee N, Kulrattanayan D, Suvarnarong K, Juntarasaen. The nursing before, during and after the treatment by electroconvulsive therapy through anesthetics medicine. Journal of Somdet Chaopraya Institute of Psychiatry 2017;11(2):28-40.(in Thai)
Chanakul W, Losatiankij. Clinical characteristics of patients with schizophrenia treated with electroconvulsive therapy. Journal of Somdet Chaopraya Institute of Psychiatry 2014;8(1):22-30. (in Thai)
Guimarães JCS, Santos BL, Aperibense PGGS, Martins GCS, Peres MAA, Santos TCF. Electroconvulsive therapy: historical construction of nursing care (1989-2002). Rev Bras Enferm [Internet]. 2018;71 (Suppl 6):2743-50. [Thematic Issue: Good practices in the care process as the centrality of the Nursing] DOI: http://dx.doi.org/10.1590/0034-7167-2018-0168
Abd El-Raof MT, Abd El hameed Loutfi Z, Abdel-Aziz AE. Nurses’ performance regarding care of patients undergoing electroconvulsive therapy. Egypt J Health Care 2022;13(4);757-68.
Cassidy CE, Harrison MB, Godfrey C, Nincic V, Khan PA, Oakley P, Ross-White A, Grantmyre H, Graham ID. Use and effects of implementation strategies for practice guidelines in nursing: a systematic review. Implement Sci 2021;16:102 DOI: 10.1186/s13012-021-01165-5
Suansaranrom Hospital.Development of nursing guideline for patients treated by modified electroconvulsive therapy. Suratthani: ECT unit Suansaranrom Hospital 2016. (in Thai)
Yothongyos M, Sawadsan P. Determining sample size for research [internet]. [cited on 25 November 2023]. Available from; http://dspace.nstru.ac.th:8080/dspace/bitstream/123456789/1580/3/%E0%B9% 80%E0%B8%AD%E0%B8%81%E0%B8%AA%E0%B8%B2%E0%B8%A3%E0%B8%AB%E0%B 8%A1%E0%B8%B2%E0%B8%A2%E0%B9%80%E0%B8%A5%E0%B8%822.pdf (in Thai)
Saengloetuthai J, Thongnin P, Booncherdchoo N, Maneerat C, Srisopha Y, Takomsane M. Action learning. Academic Journal o Phetchaburi Rajbhat University 2020:10(3);155-63.
Bubphamalo P, Nookong A, Rungamornrat S. Effects of nursing practice guidelines of early warning system on nurses’ knowledge, practice, and abnormal signs detection in at-risk neonates. Nurs Sci J Thai 2023:41(3);79-93.(in Thai)
Ritklar L, Salphoklang N. Results of promoting the clinical nurse practice guidelines for mechanically ventilated patients and incidence of ventilator-associated pneumonia in a medical ward at Thammasat University hospital. Nursing Journal 2015:42(supplement);95-105. (in Thai)
Thongyindee N, Leardwiboonanant S. Development of bite guard to prevent oral complications during electroconvulsive therapy. Journal of Somdet Chaopraya Institute of Psychiatry 2023;17(2):78-82. (in Thai)
Toomtong S. Dental complications in patient who received electroconvulsive therapy: review article. Journal of Somdet Chaopraya Institute of Psychiatry 2017;11(2):52-62.(in Thai)
Kansri J, Wasuwat S, Malai C, Boonranarek S. The role of nurse in nursing care for schizophrenia patients with modified electroconvulsive therapy. Journal of Health and Nursing Research 2023; 39(10):11-22. (in Thai)
Wasuwat S, Kansri J, Puangladda S. The development of a psychiatric nursing model in schizophrenia with modified electroconvulsive therapy. Journal of The Royal Thai Army Nurses 2022; 23(1):408-16. (in Thai)