Between Hope and Trauma at the Last Resort: A Qualitative Meta-Synthesis of Patient Experiences With Electroconvulsive Therapy.

IF 1.2 4区医学 Q3 NURSING

Journal of Psychosocial Nursing and Mental Health Services Pub Date : 2025-07-17 DOI:10.3928/02793695-20250708-04

Soyoung Shin, Suyoun Ahn, Hyunsung Oh, Jaewon Joung

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引用次数: 0

Abstract

Purpose: Although electroconvulsive therapy (ECT) has long been used in psychiatry, it remains controversial due to its neurobiological mechanism and side effects. Exploring patient experiences with ECT can provide evidence for-or against-its use. The current study aimed to comprehensively understand patients' ECT experiences by synthesizing results from qualitative studies involving patients who underwent ECT.

Method: A meta-synthesis of studies from 2010 to 2024 was conducted using PubMed, EMBASE, CINAHL, and Web of Science. Of 1,255 articles identified, 12 met inclusion criteria. Authors independently extracted and coded data, categorized it into subthemes, and integrated it into synthesized themes.

Results: We identified nine subthemes and three primary themes: (1) Preconceptions and Decision-Making Pathways, (2) Interpersonal Contexts in the Delivery of ECT, and (3) The Therapeutic Encounter: Between Hope and Trauma at the Last Resort.

Conclusion: Findings reveal conflicting patient experiences. Further research is required to explore the experiences of patients, families, and nurses involved in ECT. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx-xx.].

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在最后的希望和创伤之间：电休克治疗患者经验的定性综合。

目的：电痉挛疗法（ECT）在精神病学中应用已久，但由于其神经生物学机制和副作用，仍存在争议。探索病人使用电痉挛疗法的经历可以提供支持或反对使用电痉挛疗法的证据。本研究旨在通过综合涉及ECT患者的定性研究结果，全面了解患者的ECT体验。方法：采用PubMed、EMBASE、CINAHL、Web of Science等数据库对2010 - 2024年的相关研究进行meta综合分析。在鉴定的1255篇文章中，有12篇符合纳入标准。作者独立提取和编码数据，将其分类为子主题，并将其集成为综合主题。结果：我们确定了9个副主题和3个主要主题：(1)先入为主的观念和决策途径，(2)传导电痉挛疗法中的人际环境，以及(3)治疗遭遇：在最后手段的希望和创伤之间。结论：研究结果揭示了相互矛盾的患者经验。需要进一步的研究来探索患者、家属和护士参与电痉挛治疗的经验。[社会心理护理与精神卫生服务杂志，xx(xx), xx-xx.]

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来源期刊

Journal of Psychosocial Nursing and Mental Health Services 医学-护理

CiteScore

1.60

自引率

0.00%

发文量

117

审稿时长

6-12 weeks

期刊介绍： The Journal of Psychosocial Nursing and Mental Health Services is a peer-reviewed, monthly journal for psychosocial and mental health nurses in a variety of community and institutional settings. For more than 50 years, the Journal has provided the most up-to-date, practical information available for today’s psychosocial-mental health nurse, including short contributions about psychopharmacology, mental health care of older adults, addictive behaviors and diagnoses, and child/adolescent disorders and issues. Begin to explore the Journal and all of its great benefits such as: • Monthly feature, “Clip & Save: Drug Chart,” a one-page resource of up-to-date information on current medications for various psychiatric illnesses • Access to current articles, as well as several years of archived content • Articles posted online just 2 months after acceptance • Continuing Nursing Education credits available each month