ประสิทธิผลของการใช้แนวปฏิบัติทางคลินิกสำหรับการพยาบาลผู้ป่วยจิตเภทที่มีอาการหูแว่ว แผนกผู้ป่วยใน โรงพยาบาลสวนปรุง จังหวัดเชียงใหม่

Abstract

Auditory hallucination is the most common symptom among schizophrenic patients. If they cannot manage the hallucination, they may suffer and have behavior that harms themselves and others. This operational study aimed to investigate the effectiveness of implementing clinical practice guidelines (CPGs) for schizophrenic patients with auditory hallucination at Suanprung Psychiatric Hospital, Chiang Mai province. The sample included 1) 22 schizophrenic patients who received treatment during April to May 2022, 2) 12 health care personnel who used the Clinical Practice Guidelines for Nursing Care of Schizophrenic Patients with Auditory Hallucination, Inpatient Department, and 3) 22 caregivers of patients with schizophrenia. The study tools included 1) the Clinical Practice Guidelines for Nursing Care of Schizophrenic Patients with Auditory Hallucination; 2) the clinical outcomes assessment including the incidence rate of severe aggressive behavior of schizophrenic patients against themselves and others, assessment of the level of suffering from auditory hallucination of schizophrenic patients, the number of schizophrenic patients with auditory hallucination re-admitted to the hospital; and 3) the process outcome assessment including the assessment of the satisfaction of health care personnel who used the Clinical Practice Guidelines for Nursing Care of Schizophrenic Patients with Auditory Hallucination, and the assessment of the satisfaction of schizophrenic patients with auditory hallucination who received Clinical Practice Guidelines for Nursing Care of Schizophrenic Patients with Auditory Hallucination, as well as the assessment of the satisfaction of caregivers of schizophrenic patients with auditory hallucination who received Clinical Practice Guidelines for Nursing Care of Schizophrenic Patients with Auditory Hallucination. Data were analyzed using descriptive statistics. The results showed that: After implementing CPGs 1. The incidence rate of severe aggressive behavior of schizophrenic patients against themselves and others was zero. 2. In 86.36% of schizophrenic patients, the level of suffering from auditory hallucination decreased while for the remaining 13.64%, there was no change. 3. The number of schizophrenic patients with auditory hallucination re-admitted to the hospital within 28 days was zero. 4. The satisfaction of health care personnel who used the Clinical Practice Guidelines for Nursing Care of Schizophrenic Patients with Auditory Hallucination, were at a high level (100%). 5. The satisfaction of schizophrenic patients with auditory hallucination who received the Clinical Practice Guidelines for Nursing Care of Schizophrenic Patients with Auditory Hallucination, were at a high level (100%). 6. The satisfaction of caregivers of schizophrenic patients with auditory hallucination who received the Clinical Practice Guidelines for Nursing Care of Schizophrenic Patients with Auditory Hallucination were at a high level (77.27%) and a moderate level (22.73%). The results showed that the Clinical Practice Guidelines for Nursing Care of Schizophrenic Patients with Auditory Hallucination were effective for reducing suffering from auditory hallucination and reducing the incidence rate of severe aggressive behavior of schizophrenic patients against themselves and others. Therefore, these CPGs should be used to care for persons with schizophrenia in routine work.