Experience of Using Traditional Wisdom for Health Care among Patients with Schizophrenia

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Chanokporn Sriprasarn
Somjit Danseekaew
Penprapa Phooploy
Nawaphon Phonphoka


Objective: This qualitative research explored the experiences of patients with schizophrenia using traditional wisdom for health care in Yangtalad District, Kalasin, Thailand. Methods: Edmund Husserl’s phenomenology was employed as the research approach. The participants were chosen by purposive sampling; 1) aged 18 years and above 2) had brief psychiatric rating scale scores ≤ 36 3) had experience of traditional wisdom for health care. Data collection was undertaken through in-depth interviews was by a semi-structured interview guide, non-participant observation, tape recorder and field notes. Each interview between 45-60 minutes. Data were analyzed using Colaizzi’s method. Results: After saturated data of 13 patients with schizophrenia, three themes were found reflecting health care experiences of using traditional wisdom: 1) psychiatric symptom treatment: take a holy bath, exorcise, and shaman; 2) mental health promotion: (1) make merit and (2) Bai Sri Su Kwan participation; and 3) mental illness prevention: (3.1) stress relaxation: watched traditional northeastern-style singer, pray Buddha, using Thai herbs, Thai massage, and traditional merit-making event participation; (3.2) avoidance of eating taboo foods. Conclusion: The study’s findings indicate that nurses should consider supporting patients with schizophrenia by using traditional wisdom as part of their healthcare practice. Moreover, the findings provide a basis for planning and developing health care programs using traditional wisdom among patients with schizophrenia with promoting the family, community and primary healthcare participation.


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Sriprasarn, C. ., Danseekaew, S. ., Phooploy, P. ., & Phonphoka, N. . (2023). Experience of Using Traditional Wisdom for Health Care among Patients with Schizophrenia. Journal of Research in Nursing-Midwifery and Health Sciences, 43(2), 29–41. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/260821
Research Articles


Tungpunkom P. Nursing care for persons with schizophrenia. Chiangmai: Smart Coating and Service; 2017. Thai.

Keltner NL. Schizophrenia spectrum and other psychotic disorders. In: Keltner NL, Steele D, editors. Psychiatric Nursing. 8 th ed. St. Louis Missouri: Elsevier; 2019.

Videbeck SL. Psychiatric-mental health nursing. 8 th ed. Philadelphia: Wolters Kluwer; 2020.

World Health Organization. Schizophrenia [internet]. Geneva: World Health Organization; 2022 [cited 2022 Dec 20]. Available from: https://www.who.int/news-room/fact-sheets/detail/schizophrenia

Department of Mental Health. Patient’s service report [internet]. Nonthaburi: Department of Mental Health; 2021 [cited 2022 Dec 5]. Available from: https://dmh.go.th/report/datacenter/dmh/

Thanunchai S, Yunibhand J. Selected factors related to violent behavior in community of schizophrenic patients. RTNNMDjournal. 2019; 46(3): 536-51. Thai.

Paholpak P. Schizophrenia spectrum and other psychotic disorders. In: Piyavhatkul N, Chaiudomsom K, Piyawattanametha S, et al, editors. Psychiatry. 3 rd ed. Samut Sakhon: Siam Tong Kit; 2020. Thai.

Phongsakchat P, Malai C, Noysipoom N, et al. Health behaviors enhancing based on local wisdom. JRTAN. 2019; 20(3): 44-53. Thai.

Dolchalermyuthana P, Wannagu P. The development of quality of life of schizophrenic patients through participation of continuing care from hospital to community life, Kalasin hospital network. JNHC. 2014; 32(1): 176-84. Thai.

Van der Watt ASJ, Van de Water T, Nortje G, et al. The perceived effectiveness of traditional and faith healing in the treatment of mental illness: A systematic review of qualitative studies. Soc Psychiatry Psychiatr Epidemiol. 2018; 53: 555-66. doi: 10.1007/s00127.o18.1519.9.

Nasir A, Nur KA. Traditional knowledge and formulations of medicinal plants used by the traditional medical practitioners of bangladesh to treat schizophrenia like psychosis. Schizophr Res and Treatment. 2014; 2014: 1-10. doi: 10.1155/2014/679810.

Wongsin N. Experience of self-care for non-relapse schizophrenia patients and caregivers in Bung Nam Rak District Amphoe Bang Nam Priao Chachengsao [internet]. 2020 [cited 2022 Nov 2]. Available from: http://www.oic.go.th/FILEWEB/CABINFOCENTER4/DRAWER076/GENERAL/DATA0000/00000375.PDF

Songnok T, Channete N. The Study of local wisdom from villagers’ ways of life in Muen Wai Sub-district, Muang Nakhon Ratchasima District, Nakhon Ratchasima Province. NRRU Community Research Journal. 2020; 14(3): 129-43. Thai.

Kerdsung U. Research and development of community-based rehabilitation program in schizophrenia on participated behavior of village health volunteer [dissertation].[Bangkok]: Srinakharinwirot University; 2020. 293 p.

Arpanantikul M. Phenomenology: An application in nursing research. Bangkok: Chulalongkorn University Press; 2020. Thai.

Streubert HJ, Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative. 5 th ed. Philadelphia: Wolters Kluwer; 2011.

Morrow R, Rodriguez A, King N. Colaizzi’s descriptive phenomenological method. The Psychol. 2015; 28(8): 643-4.

Anunvrapong A. Research principle for development Thai’s local wisdom products. Bangkok: Chulalongkorn University Press; 2017. Thai.

Department of Cultural Promotion. Isan local wisdom heritage [Internet]. 2018 [cited 2022 Dec 19]. Available from: http://book.culture.go.th/ich_isan/mobile/index.html#p=1

Bureau of Elderly Health, Department of Health, Ministry of Public Health. Religion ceremony arrangement manual and custom activity arrangement in Covid-19 pandemic. Samut Prakan: TS Interprint; 2020. Thai.

Sritunma K, Chakcha C, Pratoomra N, et al. Knowledge management: The wisdom of local I-San medicine for healer [Internet]. MahaSarakham: Rajabhat MahaSarakham University; 2018 [cited 2022 Dec 1]. Available from: http://fulltext.rmu.ac.th/fulltext/2561/M126248/Sritunma%20Kidsada.pdf

Attapaiboon S, Champa-on V, Chompha C. The scholarly national artists of morlum in Ubon Ratchathani province. Faculty of Humanities and Social Sciences Thepsatri Rajabhat University Journal. 2016; 7(1): 97-110. Thai.

Sangkla J, Gray R. Prayers, happiness and mental health of Thai Buddhists. HSSJ. 2022; 16(1): 24-39. Thai.

Chetchaovalit T, Suttharangsee W, Piboonrungroj P, et al. Family’s caring for psychiatric patients based on Buddhist’s lifeways. Songklanagarind J Nurs. 2016; 36(1): 115-25. Thai.

Kittakoop P. Folk wisdom of Thai traditional medicine and its use as products. J Chulabhorn Royal Acad. 2022; 4(1): 15-23. Thai.

Plangmal C. Local wisdom to use of medicinal plants at Songneu Community Talad Sub-district Meuang District Mahasarakham Province. rdhsj. 2018; 11(1): 443-51. Thai.

Jitratanaporn S, Sriamonruttanakul T. The synthesis of the research papers related to massage to treat health problems. J of Suvarnabhumi Tech. 2018; 4(suppl): 236-51. Thai.

Rujkorakarn D, Jundeekrayom S, Sriprasarn C. Factors influencing daily living of male schizophrenia in northeastern community. RDHSJ. 2018; 11(1): 268-76. Thai.

Lapo S. Khalam: Synthesis of folk wisdom about restrictions as a guide for the life of Isan community [dissertation].

[Mahasarakham]: Mahasarakham University; 2017. 406 p.

Department of Mental Health, Ministry of Public Health. A manual of schizophrenia caring. 2 nd ed. Bangkok: Victoria Image; 2017. Thai.