在COVID-19大流行期间电治疗实践的演变:系统性审查
Josh Martin1, Argyrios Perivolaris, Nadeen M Tantash2
1From the Interventional Psychiatry Program, Mental Health and Addictions Service, St. Michael's Hospital, Toronto, ON.
The journal of ECT
|June 25, 2025
概括
在全球范围内,COVID-19大流行大大减少了电疗法 (ECT) 的数量,影响了患者复发率. 本次审查强调了需要强有力的协议,以确保在卫生紧急情况下继续获得重要的ECT服务.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 在全球范围内,COVID-19大流行给医疗保健提供带来了前所未有的挑战.
- 电疗法 (ECT) 是严重心理健康状况的关键治疗方法,需要持续的护理.
- 在大流行期间,ECT服务的中断危及患者的福祉和治疗疗效.
研究的目的:
- 在COVID-19大流行期间系统地审查和绘制全球电治疗 (ECT) 实践.
- 识别ECT服务所面临的挑战,并分析为维持治疗提供而做出的调整.
- 在未来的公共卫生危机期间,为确保ECT服务连续性的策略的制定提供信息.
主要方法:
- 在主要数据库 (MEDLINE,PsycINFO,Embase) 进行了系统的文献搜索,寻找COVID-19大流行期间发表的英语文章.
- 文章描述了 ECT 在全球中心在疫情期间的实践被批评评价.
- 描述性综合侧重于ECT能力,决策过程,资源可用性,程序修改和患者结果.
主要成果:
- 在297篇确定文章中,有61篇符合纳入标准,其中90.7%报告减少了ECT治疗量.
- 电电治疗服务优先考虑住院治疗,面临人员短缺 (39.3%) 和个人防护设备限制 (18.0%) 等挑战.
- 在报告中断的研究中,复发率达到85.0%,程序修改有显著差异,对最佳实践的共识有限.
结论:
- COVID-19大流行严重影响了全球ECT服务提供,导致体积减少和患者复发增加.
- 疫情期间关于ECT服务的决策往往缺乏临床伦理学家的参与.
- 制定适应性政策和决策矩阵,以应对变化的传输风险和资源可用性,对于确保在未来紧急情况下提供ECT服务的连续性至关重要.
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