Analysis of Caring Pattern for Persons with Schizophrenia in One Tumbon of Khon Kaen Province

Main Article Content

Sawinee Klungka
Lukawee Piyabanditkul
Arunnee Jaitieng


Purpose: To study the community care pattern for persons with schizophrenia and issues/concerns of care for persons with schizophrenia in the community.

Design: Qualitative descriptive study.

Methods: Purposive sampling was used. The informants consisted of 64 including 10 persons with schizophrenia, 15 caregivers of schizophrenia, 13 community leaders, 19 village health volunteers, 2 persons responsible for care of disadvantaged in Subdistrict Administration Organization and 5 healthcare workers. The data were collected by using in-depth interviews and data analysis.         
Main findings: The results showed that caring for schizophrenia patients in the community was relied mainly on family members especially the care for the activity of daily living. However, caregivers showed lack of the accurate knowledge and understanding about the disease. Home care provided by the primary health care workers under public health care system was available based on standardized practices. The basic welfare of patients remained unclear. Career building and support for joining other social activities were still lacking.

Conclusion and recommendations: Results have shown that the scope and role of those involved in community care for persons with schizophrenia is unclear. Then, community nurses should development a care model for persons with schizophrenia including continuing care, referral and emergency management guidelines and the cooperation from network in order to provide care for persons with schizophrenia comprehensively leading to their better quality of life.

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How to Cite
Klungka, S., Piyabanditkul, L. ., & Jaitieng, A. (2022). Analysis of Caring Pattern for Persons with Schizophrenia in One Tumbon of Khon Kaen Province. Nursing Science Journal of Thailand, 40(3), 31–41. Retrieved from
Research Papers


Department of Mental Health, Ministry of Public Health. Situation and trend of mental illness in Thai people 2015-2016 [Internet]. Nonthaburi: Department of Mental Health, Ministry of Public Health; 2017 [cited 2018 Nov 21]. Available from: (in Thai).

Lotrakul M, Sukanich P. Ramathibodi essential pychiatry. 3rd ed. Bangkok: Swicharn Press; 2012. 640 p. (in Thai).

Helman CG. Culture health and illness. 4th ed. New York: Oxford University Press; 2000. 328 p.

Nuntaboot K. Community health systems the collaboration of 3 major systems in the community. Nonthaburi: The Graphic Go Systems; 2010. 106 p. (in Thai).

Juntapim S, Nuntaboot K. Care of schizophrenia patients by the community. Journal of Nursing and Health Care. 2018;36(2):68-76. (in Thai).

Chetchaovalit T, Suttharangsee W, Piboonrungroj P, Sangdee S, Suwaluk Y. Family’s caring for psychiatric patients based on Buddhist’s lifeways. Songklanagarind Journal of Nursing. 2016;36(1):115-26. (in Thai).

Donabedian A. An introduction to quality assurance in health care. Oxford: Oxford University Press; 2003. 200 p.

Oumtanee A. Qualitative research in nursing. 3rd ed. Bangkok: Chulalongkorn University Printing House; 2016. 320 p. (in Thai).

Chantavanich S. Qualitative research methods. 15th ed. Bangkok: Chulalongkorn University Press; 2007. 233 p. (in Thai).

Jirawatkul S. Qualitative study in nursing. 2nd ed. Bangkok: S.Asia Press; 2010. 320 p. (in Thai).

Ngurnchoom K, Wangrat J, Boonchieng W. Shared decision making of family caregivers of patients with psychosis. College of Asian Scholar Journal. 2018; 8 Special:216-29. (in Thai).

Thongsai S. Care for schizophrenic patients in the context of sustainable Thai society. Journal of Nursing Division. 2015;42(3):159-68. (in Thai).

Thiensan T. Psychiatric and mental health nurses with the roles of family preparedness of schizophrenic patients care in the community. Journal of Nursing Science Chulalongkorn University. 2018;30(2):1-15. (in Thai).

Tanyapiboolpong N. Assessment of early warning signs of relapse in patiants with schizophrenia: evidence-based nursing [master’s thesis]. Bangkok: Mahidol University; 2012. 178 p. (in Thai).

Bunserm K. Factors associated with readmission of schizophrenia patients: patient’s perspectives. The Journal of Psychiatric Nursing and Mental Health. 2016;30(1):123-38. (in Thai).

Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract. 1998;1(1):2-4.

Hemarat K, Phaokuntarakorn W, Hoonthasarn S. The development of public health center nurses network to care for schizophrenic patients at home. The Journal of Psychiatric Nursing and Mental Health. 2012;26(2):1-15. (in Thai).

Boontoch K, Sricamsuk SA, Arunpongpaisal S. Social support in patients with schizophrenia. Journal of the Psychiatrist Association of Thailand. 2013;58(1):89-100. (in Thai).

Venkatesh BT, Andrews T, Parsekar SS, Singh MM, Menon N. Stigma and mental health-caregivers’ perspective: a qualitative analysis. Clin Epidemiol Glob Health. 2016;4(1):23-7. doi: 10.1016/j.cegh.2015.06.003.