ELEKTROKONVULZİF TERAPİ ALAN HASTALARIN ÖZNEL DENEYİMLERİNİN ARAŞTIRILMASI

Year 2024, Volume: 25 Issue: 3, 361 - 369, 18.07.2024

Seyhan Oktar , İmran Gökçen Yılmaz-karaman , Elif Baştürk Karımmoajenı , Çınar Yenilmez , Cennet Yastıbaş

https://doi.org/10.18229/kocatepetip.1364858

Abstract

AMAÇ: Elektrokonvulzif terapi (EKT) 1938 yılından bu yana depresyon, şizofreni, bipolar bozukluk başta olmak üzere birçok psikiyatrik bozuklukta sıklıkla kullanılan bir tedavi yöntemi olmuştur. EKT, ilk uygulanılmaya başladığı yıllardan bu yana, en tartışmalı bir tedavi yöntemlerden birisi olma konumunu sürdürmektedir. Literatürde EKT hakkında yapılmış birçok çalışma bulunmasına rağmen, hastaların öznel deneyimlerini inceleyen çalışmalar çok az sayıdadır. Bu çalışmanın amacı, EKT uygulanan hastaların öznel deneyimlerini araştırmaktır.
GEREÇ VE YÖNTEM: Araştırma evrenini 2014 yılından sonra Eskişehir Osmangazi Üniversitesi Tıp Fakültesi’nde EKT uygulanan 40 hasta oluşturmakta olup, kriterlere uyan ve çalışmaya katılmayı kabul eden 11 hasta çalışmaya dahil edilmiştir. Hastalara Sosyodemografik ve Klinik veri formu uygulanmış, bu formda katılımcının yaş, eğitim, medeni durum gibi sosyodemografik özellikleri, hastalık tanısı, EKT uygulanma sebebi, EKT uygulamasına dair değişkenler araştırılmış ve katılımcılara öznel EKT deneyimi ile ilgili açık ve kapalı uçlu sorular yöneltilmiştir.
BULGULAR: EKT uygulanan hastaların 4’ünün tanısı unipolar depresyon (%36.4), 3’ünün bipolar bozukluk (%27.3), 2’sinin şizofreni (%18.2) ve yine 2’sinin tanısı şizoaffektif bozukluktu (%18.2). Genel değerlendirme soruları sonucunda, hastaların 7’sinin (%63.6) EKT’nin faydasının zararından daha fazla olduğunu ifade ettiği, hastaların 10’unun (%90.9) hastalık belirtilerinin EKT’den daha olumsuz bir deneyim olduğunu belirttiği görülmüştür.
SONUÇ: Hastaların büyük çoğunluğunun EKT’den memnun kaldığı görülmüştür. Topluma ve sağlık çalışanlarına EKT’nin daha gerçekçi şekilde tanıtılması, bu güvenli ve etkili yöntemin daha fazla kullanılmasına yol açabilir.

Keywords

Elektrokonvulzif tedavi, Elektroşok tedavisi, Depresyon, Şizofreni, Bipolar bozukluk

INVESTIGATION OF THE SUBJECTIVE EXPERIENCES OF PATIENTS TAKING ELECTROCONVULSIVE THERAPY

Abstract

OBJECTIVE: Electroconvulsive therapy (ECT) has been a frequently used treatment modality for many psychiatric disorders, especially depression, schizophrenia, and bipolar disorder, since 1938. Since its first application, ECT has been one of the most controversial treatment modalities. Although there are many studies on ECT in the literature, very few studies examine patients' subjective experiences. This study aimed to investigate the subjective experiences of patients undergoing ECT.
MATERIAL AND METHODS: The research population consisted of 40 patients who underwent ECT at Eskişehir Osmangazi University Faculty of Medicine after 2014, and 11 patients who met the criteria and agreed to participate in the study were included in the study. A Sociodemographic and Clinical Data Form was administered to the patients, in which sociodemographic characteristics such as age, education, marital status, disease diagnosis, the reason for ECT, and variables related to ECT administration were investigated, and open-ended and closed-ended questions about the subjective ECT experience were asked to the participants.
RESULTS: Of the patients who underwent ECT, 4 had unipolar depression (36.4%), 3 had bipolar disorder (27.3%), 2 had schizophrenia (18.2%), and 2 had schizoaffective disorder (18.2%). As a result of the general evaluation questions, it was observed that 7 (63.6%) of the patients stated that the benefits of ECT were more than the harms, and 10 (90.9%) of the patients stated that the symptoms of the disease were a more negative experience than ECT.
CONCLUSIONS: The majority of patients were satisfied with ECT. A more realistic introduction of ECT to the public and healthcare professionals may lead to more use of this safe and effective method.

Keywords

Electroconvulsive therapy, Electroshock therapy, Depression, Schizophrenia, Bipolar disorder

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