Manajemen Elektrokonvulsif l.06192 Hal-167
Definisi
Mengidentifikasi dan mengelola penatalaksanaan terapi elektrokonvulsif
(ECT) yang aman dan efisien.
Tindakan
Observasi
-
Periksa tanda vital, status mental, oksimeter nadi, EKG sebelum dan setelah
prosedur
-
Monitor kesadaran dan orientasikan waktu/tempat
-
Monitor efek samping pasca ECT (mis. nyeri otot, sakit kepala, mual, konfusi,
disorientasi)
Teraupetik
-
Berikan dukungan emosional, sesuai kebutuhan
- Puasakan sebelum prosedur
-
Berikan pakaian longgar yang dapat dibuka di depan
-
Lakukan persiapan pra prosedur (mis. melepas gigi palsu, perhiasan, kacamata,
lensa kontak, pemeriksaan tanda-tanda vital, pastikan telah berkemih)
-
Pasang alat pemantauan (mis. EEG, EKG, oksimeter nadi, manset takanan darah)
-
Pasang pagar pengaman tempat tidur
-
Pasang penahan gigi
-
Lakukan jaw thrust selama pengiriman stimulus listrik
-
Batasi stimulasi lingkungan
-
Berikan oksigen, jika perlu
Edukasi
-
Jelaskan tujuan dan prosedur ECT
Referensi
Brown, A. M. (2017).
Reducing falls after electroconvulsive therapy: A quality improvement project.
Journal ofPsychosocial Nursing & Mental Health Services, 55(7), 20-29.
Ebrahimi, H., Navidian, A., & Keykha, R. (2014). Effect of supportive
nursing care on self esteem of patients receiving electroconvulsive therapy: A
randomized controlled clinical trial. Journal of Caring Sciences, 3(2),
149-156.
Kumar, L. M., & Eugin, S. B. (2017). Knowledge and attitude
towards ECT among care givers of mentally ill clients and their socio
demographic correlates: A cross sectional survey. Asian Journal of Nursing
Education and Research, 7(1), 12-16.
doi:http://dx.doi.org/10.5958/2349-2996.2017.00004.0
Navidian, A., Ebrahimi, H., & Keykha, R. (2015). Supportive
nursing care and satisfaction of patients receiving electroconvulsive therapy:
A randomized controlled clinical trial. Iranian Red Crescent Medical Journal,
17(9), 1-7.
Rosenquist, P. B., McCall, W. V., & Youssef, N. (2016).
Charting the course of electroconvulsive therapy: Where have we been and where
are we headed? Journal of Psychosocial Nursing & Mental Health Services,
54(12), 39-43
