Effect of psychological nursing interventions on effectiveness and quality of life in schizophrenia patients receiving modified electroconvulsive therapy

doi:10.12998/wjcc.v12.i16.2751

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Jun 6, 2024 (publication date) through Jan 11, 2025

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Cases. Jun 6, 2024; 12(16): 2751-2757
Published online Jun 6, 2024. doi: 10.12998/wjcc.v12.i16.2751

Effect of psychological nursing interventions on effectiveness and quality of life in schizophrenia patients receiving modified electroconvulsive therapy

Jing Lu

Jing Lu, Department of Psychiatry, Third People's Hospital of Shangrao City, Shangrao 334000, Jiangxi Province, China

Author contributions: Lu J conceptualized this study and contributed to data collection, made contributions to methodology and visualization, validated this study, reviewed and edited the entire manuscript for this study.

Institutional review board statement: This study was reviewed and approved by the Medical Ethics Committee of the Third People's Hospital of Shangrao City.

Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Data sharing statement: No additional data are available.

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Jing Lu, BS, Deputy Chief Nurse, Department of Psychiatry, Third People's Hospital of Shangrao City, No. 1 Taokan Road, Fenghuang East Avenue, Xinzhou District, Shangrao 334000, Jiangxi Province, China. oiqx055@163.com

Received: February 26, 2024
Revised: April 5, 2024
Accepted: April 11, 2024
Published online: June 6, 2024
Processing time: 93 Days and 11.3 Hours

Abstract

BACKGROUND

Schizophrenia is a common and severe mental disorder characterized by severe thought disturbances, hallucinations, delusions, and emotional instability. For some patients, conventional treatment methods may not effectively alleviate symptoms, necessitating the use of alternative therapeutic approaches. Modified electroconvulsive therapy (MECT) is an effective treatment modality for schizophrenia, inducing anti-depressive and antipsychotic effects through the stimulation of brain electrical activity.

AIM

To explore the impact of psychological nursing intervention (PNI) before and after MECT on the efficacy and quality of life of patients with schizophrenia.

METHODS

Eighty patients with schizophrenia who received MECT treatment from 2021 to 2023 were randomly divided into two groups: The intervention group (n = 40) and the control group (n = 40). The intervention group received PNI before and after MECT, while the control group received routine nursing care. The efficacy of MECT was evaluated by the Positive and Negative Syndrome Scale (PANSS) and the Clinical Global Impression Scale (CGI) before and after the treatment. The quality of life was assessed by the Short Form 36 Health Survey (SF-36) after the treatment.

RESUITS

The intervention group had significantly lower scores of PANSS and CGI than the control group after the treatment (P < 0.05). The intervention group also had significantly higher scores of SF-36 than the control group in all domains except physical functioning (P < 0.05).

CONCLUSION

PNI before and after MECT can improve the efficacy and quality of life of patients with schizophrenia. It is suggested that nurses should provide individualized and comprehensive psychological care for patients undergoing MECT to enhance their recovery and well-being.

Keywords: Psychological nursing interventions; Modified electroconvulsive therapy; Schizophrenia; Efficacy; Quality of life; Positive and negative syndrome scale

Core Tip: This study examined the effects of psychological nursing intervention (PNI) before and after modified electroconvulsive therapy (MECT) on the efficacy and quality of life in patients with schizophrenia. The intervention group, which received PNI, showed lower scores of symptoms and global impression and higher scores of quality of life compared to the control group. These findings suggest that providing individualized and comprehensive psychological care to patients undergoing MECT can enhance their recovery and well-being. Nurses should consider incorporating such interventions to improve the outcomes for patients with schizophrenia.