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Patients and Relatives' Perspectives about Electroconvulsive Therapy (ECT) In Khartoum, Sudan

Original article

Abstrak

Kekurangan ilmu pengetahuan dan sikap acuh tidak acuh terhadap keperluan rawatan terapi elektrokonvulsif (ECT) mempengaruhi rawatan psikiatri dari segi morbiditi dan mortaliti. Terdapat sedikit kajian sistematik yang dilaporkan mendalami bidang ini. Kajian ini bertujuan untuk menilai pengetahuan, sikap dan kepatuhan dalam penggunaan ECT dari perspekstif pesakit dan ahli keluarga iaitu di Khartoum, Sudan. Kajian ini merupakan kajian pemerhatian berdasarkan hospital di mana 103 pesakit psikiatri dan ahli keluarga yang mendapatkan rawatan di Hospital Psikiatri Taha Basher and Eltigani Elmahi, Sudan pada 2016. Kedua-dua pesakit dan ahli keluarga ditemubual tentang pengetahuan dan sikap terhadap penggunaan ECT. Peratus skor dikira berdasarkan jawapan positif dengan mengira min daripada jawapan. Semua data dikira melalui soal-selidik secara ‘pre-designed’ dan seterusnya dianalisa secara statistik. Lelaki diwakili seramai 61 iaitu 59.2% di mana kumpulan pesakit adalah di antara 16-30 tahun. Skor keseluruhan terhadap penggunaan ECT pada para pesakit dan ahli keluarga adalah sebanyak 54.9%, dan 59.4%, masing-masing. Penerimaan penggunaan ECT sebagai perawatan dipersetujui sebanyak 43.7% oleh para pesakit dan melebihi 70% pesakit dan ahli keluarga percaya bahawa dengan memberi ECT untuk perawatan kes psikiatri. Para pakar psikiatri merupakan sumber utama informasi dilaporkan oleh pesakit (73.8%) dan ahli keluarga (67%). Para ahli keluarga yang terdiri dari lelaki menunjukkan sikap cenderung untuk mencadangkan perawatan ECT (p=0.004). Para pesakit dan ahli keluarga melaporkan pengetahuan dan sikap yang sederhana atau baik terhadap penggunaan ECT. 

Abstract

Lack of knowledge and inappropriate attitude towards electroconvulsive therapy (ECT) treatment may affect the outcome of psychiatric’s morbidity and mortality. However, less systematic studies have been done on this area. This study aimed to assess the patients’ and relatives’ perspectives, i.e. knowledge, attitude and compliance on ECT in Khartoum State, Sudan. This was an observational hospital-based study conducted among 103 psychiatric patients and their relatives respectively who visited the Taha Basher and Eltigani Elmahi psychiatric hospitals during 2016. Both the patients and their relative inquired about different criteria of knowledge and attitude towards ECT. The percentage of score was calculated based on their positive answers by selecting the most appropriate answer or by calculating the mean of many positive answers. All the data were collected through a pre-designed questionnaire, and further analyzed statistically. Male was represented 61 (59.2%) and the commonest age group of patients was 16-30 years. The overall score of knowledge towards ECT among patients and their relative was 54.9% and 59.4%, respectively. Acceptance on the use of ECT were agreed by 43.7% of patients and more than 70% of patients and their relatives believed giving ECT for emergency psychiatric cases. Psychiatrist was the most frequent source of information reported by both patients (73.8%) and relatives (67%). Male relatives showed significantly higher attitude of recommending ECT treatment (p=0.004) for other patients. Patients and their relatives were reported to have moderate and better knowledge and attitude towards the use of ECT, respectively.