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IRCT2015052916564N4 IRCT 2015-07-21 Urmia University of Medical Sciences, Vice chancellor for reasearch Cognitive status of patients treated with Electroconvulsive Therapy (ECT) Electroconvulsive Therapy (ECT) Study The effect of supportive_ educational nursing interventions on cognitive status of patients treated with Electroconvulsive Therapy (ECT) 2015-04-21 anticipated 102 Complete https://irct.ir/trial/15476 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A Condition 1: Schizophrenia. Condition 2: Major depression. Condition 3: Bipolar mood disorder. Intervention 1: Intervention consists of two parts: First part of the intervention consists of patient-education by the researcher who has experience as psychiatric nurse. This part will done after determining the educational needs of the patient and according to previous information and the level of education. Educative intervention will be 30 minutes sessions which will be face-to-face and individually performed in the psychiatric-exam room located within the psychiatric wards. Material presented in this program; include a brief description on the electro convulsive therapy, introduction to its application, the beneficial effects of treatment, methods and preparations, complications, drugs and nursing care before and after ECT. The second part of intervention will be supportive in nature. It will begin just before the each ECT session and will continue after 2 hours of ECT administration. These interventions include effective communication with the patient and supportive care in three dimensions: Information, emotional and physical, including providing information to patients, Responding to questions asked by patients before, During and after the sessions, Explaining the reasons for using this method in patients, explaining the responsibilities of treatment group members, encouraging to express feelings, assessing negative beliefs and fears of patients. Stablishing mutual trust, as well as physical care of these patients due to patient safety in terms of damage due to cognitive impairment after ECT,encouraging patient to do physical activity in order to reduce physical pain between sessions. Intervention 2: Control group: Control group will receive education routine and usual care by nurses including: NPO, Voiding , Leaving jewelry and metals.
public Sarieh Sheikhmohammadi
11 Km Road seru, Campus Nazlu, University of Medical Sciences, Nursing and Midwifery Faculty
Urmia Iran (Islamic Republic of) 575611-5111 +98 44 3275 4961 www.sheikhmohammadi_s@yahoo.com Urmia University of Medical Sciences, Nursing and Midwifery Faculty scientific Dr. Moloud Radfar
11 Km Road seru, Campus Nazlu, University of Medical Sciences, Nursing and Midwifery Faculty
Urmia Iran (Islamic Republic of) 575611-5111 +98 44 3275 4961 mradfar1343@gmail.com; radfar.m@umsu.ac.ir Urmia University of Medical Sciences, Nursing and Midwifery Faculty Iran (Islamic Republic of) Inclusion criteria: Age 18-60 year; lack of physical disease leads to cognitive impairment; lack of chronic disease and disability; and negative symptoms of schizophrenia, associated with their impaired reality-testing ability. Exclusion criteria: Patients who are receiving less than 6 sessions of ECT; patients who receive more than one attempt of electrical shock treatment in one day in order to induce effective convulsive response. 18 years 60 years Both F20 F32.3 F31.9 Schizophrenia Severe depressive episode with psychotic symptoms Bipolar affective disorder, unspecified Other Other Intervention consists of two parts: First part of the intervention consists of patient-education by the researcher who has experience as psychiatric nurse. This part will done after determining the educational needs of the patient and according to previous information and the level of education. Educative intervention will be 30 minutes sessions which will be face-to-face and individually performed in the psychiatric-exam room located within the psychiatric wards. Material presented in this program; include a brief description on the electro convulsive therapy, introduction to its application, the beneficial effects of treatment, methods and preparations, complications, drugs and nursing care before and after ECT. The second part of intervention will be supportive in nature. It will begin just before the each ECT session and will continue after 2 hours of ECT administration. These interventions include effective communication with the patient and supportive care in three dimensions: Information, emotional and physical, including providing information to patients, Responding to questions asked by patients before, During and after the sessions, Explaining the reasons for using this method in patients, explaining the responsibilities of treatment group members, encouraging to express feelings, assessing negative beliefs and fears of patients. Stablishing mutual trust, as well as physical care of these patients due to patient safety in terms of damage due to cognitive impairment after ECT,encouraging patient to do physical activity in order to reduce physical pain between sessions. Control group: Control group will receive education routine and usual care by nurses including: NPO, Voiding , Leaving jewelry and metals Cognative status. Timepoint: Within the period of 15, 30, 60 minutes and 24 hours after the first, third and sixth Electroconvulsive Therapy. Method of measurement: Mini Mental Status Examination. Urmia University of Medical Sciences, Vice chancellor for reasearch Approved 2015-02-28 Urmia University of Medical Sciences Urjance alley, Resalat Blvd, Urmia Urmia Iran (Islamic Republic of)