Current status of nursing care for patients with paranoid schizophrenia at the Male Chronic ward in Central Psychiatric Hospital 2 in 2024

Abstract

Objective: Describe the patient’s perception of current activity of nursing care for patients with paranoid schizophrenia at the Male Chronic Ward, Central Psychiatric Hospital 2 in 2024. Methods: A cross-sectional descriptive study was conducted on 90 inpatients diagnosed with paranoid schizophrenia at the Male Chronic Ward, Central Psychiatric Hospital 2 from July to October 2024. Data were collected through interviews using a questionnaire with two main parts: general information and 15 nursing care activities across five domains (spiritual care, monitoring/assessment, health counseling/education, nutritional care, medication administration/monitoring). Results: The study reveals that nursing care activities that responded by patients/families had high rates of good/full implementation in many areas: compassionate communication (92.2%), patient encouragement (93.4%), daily vital sign monitoring (100%), medication education/adherence guidance (100%), and medication transparency (100%). However, personal hygiene education had a lower rate of good/full implementation (62.2%), and monitoring for medication side effects was not fully performed for a small percentage of patients (90.0% performed well/fully). Conclusion: Nursing care for patients with paranoid schizophrenia which based patients/families’ perception demonstrates many positive aspects in core activities such as therapeutic communication and medication management. Nevertheless, significant gaps remain in personal hygiene education and comprehensive monitoring for medication side effects. These limitations necessitate timely interventions through enhanced nursing training and quality improvement programs