Nursing care in Patients with Paranoid Schizophrenia : case study

Abstract

Paranoid Schizophrenia is the most common types of schizophrenia. The incidence of the disease in Khon Kaen Hospital from the year 2017-2019 was 175, 451, 425, respectively. Were treating with antipsychotic drugs which were important for controlling positive symptoms and preventing recurrence. Effective cares could lead to good compliance. The study was to focus mainly on caring paranoid schizophrenia patients with poor compliance, relapse, poor family care, alcohol and drug abuse, whom treated at psychiatric clinic in Khon Kaen Hospital. The treatment care was divided into two phases. The first phase was to eradicate paranoia and efficiency of medication compliance, this process took 8 weeks. The second phase was to improve patients’ selfcare with family planning, this process took 8 weeks. There were 2 case studies during March - June 2020. The methods were specific patient selection, literature review, mental status examination, previous psychiatric problem collection, data analysis, and discussion. The results showed improvement in compliance, decrease of relapse, family and social bonding, and great family caring. This emphasize that community psychiatric guideline can improve patients and their families’ quality of life. Study further study suggestions, the study results should be used for developing guidelines for patients with paranoid schizophrenia and drug abuse and case management for caring schizophrenia patients