Electroconvulsive

Therapy and SelfEsteem

Introduction

Widely used treatment, effective for patients with severe mental

disorders.

Negative psychological factors associated: low self-esteem,

depression and anxiety.

Purpose: Determine effects of supportive nursing care on self-esteem

of patients receiving ECT.

Nursing Care Problem

Fear of ECT

Negativity associated with ECT

Psychosocial effect: low self-esteem

Lack of information

Nursing Theory
Penders Health Promotion Model

Reciprocal relationship between person and environment

Healthy environment = more compliance to partake in health

promoting behaviors and vice versa

Study Methods and Results

Randomized clinical trial

70 patients: 30 in control and 30 in intervention

Control Group: only routine ECT treatment

Intervention Group: supportive care and routine ECT treatment

Rosenberg Self-Esteem Scale ranges 0-30

Self-esteem comparison before and after ECT

Intervention group: 13.68 to 18.22

Control group: 13.14 to 11.54

Evaluation of evidence

Randomized clinical trial

No stated theory or hypothesis

Ethical approval

Author credibility

One notable limitation

Interdisciplinary Collaboration

Nursing team (RNs, LPNs and aides)

Psychiatrist

Social work

Nursing Diagnosis

Fear r/t a real or imagined threat to well-being.

Nursing Diagnosis Interventions

Outcome: Patient reports reduced fear.

Interventions: Discuss situation, encourage expression of emotions,

provide reassurances

Application to other areas of

nursing

Support is a huge part of any nurses role in patient care

Provide accurate information, encourage expression, address fears

and concerns.

Advocate for patients

Address fears

Patient centered care

Provide support

Provide explanations

Significance of this research

Results could be used and applied in any field of nursing involving

patient care

References

Antipuesto, D.J. (2010). Electroconvulsive Therapy (ECT). In Nursing Crib.

Retrieved from http://nursingcrib.com/nursing-notesreviewer/psychiatric-mental-health-nursing/electroconvulsivetherapy/ect/
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. doi:10.5681/jcs.2014.016
Ladwig, G., & Ackley, B. (2014). Mosby's Guide to Nursing Diagnosis (4th
ed., pp. 373-374). Maryland Heights, MO: Elsevier.