格拉斯哥评定联合洼田饮水试验对改良电休克治疗患者进食与服药时间的影响研究

Combined Glasgow Coma Scale and the water swallow test for guiding the feeding and medication timing in patients undergoing modified electroconvulsive therapy

摘要:

目的 探讨格拉斯哥评定联合洼田饮水试验对改良电休克治疗（MECT）患者进食与服药时间的影响。方法 选取2023年3月—2023年6月绵阳市第三人民医院行MECT的82例精神疾病患者，采取随机数字表法分为观察组和对照组，分别有45、37例。对照组患者治疗后由医务人员根据自身经验对患者进行评估；观察组患者则采取格拉斯哥评定量表和洼田饮水试验法联合评定法干预，根据评估结果指导患者进食进水及服药。比较两组患者连续3次MECT后进食、进水、服药时间及呛咳、噎食发生率、患者治疗满意率情况。结果 观察组第1、2、3次MECT后进食时间、进水时间和服药时间均长于对照组（P <0.05）。观察组并发症总发生率低于对照组（P <0.05）。观察组总满意率高于对照组（P <0.05）。结论 采用格拉斯哥评定量表和洼田饮水试验法联合评定可较好掌握改良电休克治疗患者进水及进食时间，改善患者治疗体验和治疗舒适度，为进食和服药时间提供客观量化依据，有效地避免改良电休克治疗后发生呛咳噎食，还可提升患者治疗满意率。

Abstract:

Objective To explore the role of Glasgow Coma Scale combined with the water swallow test in guiding the feeding and medication timing in patients undergoing modified electroconvulsive therapy (MECT).Methods A total of 82 patients with mental disorders who underwent MECT at the Third Hospital of Mianyang from March to June 2023 were selected and divided into an observation group and a control group using a random number table method, with 45 and 37 cases in the respective groups. After treatment, patients in the control group were assessed by medical staff based on clinical experience, while patients in the observation group were evaluated using both the Glasgow Coma Scale and the water swallow test. Based on the assessment results, feeding, fluid intake, and medication administration were guided accordingly. The timing of feeding, fluid intake, and medication administration, as well as the incidence of choking and aspiration and patient treatment satisfaction, were compared between the two groups after three consecutive sessions of MECT.Results After the first, second, and third MECT sessions, the times to feeding, fluid intake, and medication administration in the observation group were all longer than those in the control group (P < 0.05). The overall incidence of complications was lower in the observation group than in the control group (P < 0.05). In addition, the overall patient satisfaction rate was higher in the observation group than in the control group (P < 0.05).Conclusion The combined use of the Glasgow Coma Scale and the water swallow test enables more accurate determination of feeding and fluid intake timing in patients undergoing MECT, improves treatment experience and comfort, provides objective and quantitative criteria for feeding and medication timing, effectively reduces the occurrence of choking and aspiration after treatment, and enhances patient treatment satisfaction.