| Objective To observe the intervention effect of cluster nursing in post-MECT delirium，and explore a new method of post- MECT delirium nursing. Methods in December 2018, 154 inpatients who met the ICD-10 diagnostic criteria for mental diseases and received MECT for the first time in a third class psychiatric hospital of a city were randomly divided into control group and study group, with 77 cases in each group. The control group was given MECT routine nursing, and the study group was given cluster nursing on the basis of routine nursing. The intervention lasted for one course of MECT, 6-12 times MECT as one course. After each treatment, Richmond agitation and sedation scale (RASS) and nursing adverse event record form were used to collect data. The incidence and duration of post-MECT delirium and the incidence of nursing adverse events caused by post-MECT delirium were compared between the two groups. Results after a course of MECT, the incidence of post-MECT delirium was 11.8% in the study group and 16.67% in the control group, the difference was statistically significant (Χ2 = 6.314, P<0.05); The duration of post-MECT delirium in the study group was（5.78±2.73）min and(11.2±4.44）min in the control group, the difference was statistically significant (t = 3.403, P<0.05); The incidence of nursing adverse events caused by post-MECT delirium was 6.97% in the study group and 12.70% in the control group, and the difference was statistically significant (Χ2 = 10.940, P<0.05). Conclusion cluster nursing can reduce the incidence of post-MECT delirium, shorten the duration, and reduce the incidence of nursing adverse events caused by post-MECT delirium. |