Nursing Care for Alcohol-Dependent Patients in the Rehabilitation Phase at a Psychiatric Home Ward :A Case Study on the Use of Telepsychiatry
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Abstract
This study aimed to compare the conditions before and after nursing care in two patients with alcohol dependence in the rehabilitation phase. Both cases were admitted in psychiatric home ward, with ongoing therapeutic and rehabilitation interventions through a telepsychiatry service system. Patient assessments were conducted using the Stages of Change Assessment, Mental Status Examination (MSE), Health of the Nation Outcome Scales (HoNOS), Gordon’s 11 Functional Health Patterns, the Five-Step Nursing Record, Depression Assessment Tool, and complete patient medical record. In-depth interviews and continuous psychosocial interventions were also employed. Data were collected in June 2025, and patients were followed up once per week for a duration of one month.
The results revealed that both patients received holistic nursing care and continuous psychosocial therapy, which enabled them to successfully abstain from alcohol use. Their motivation to quit drinking increased, with behavioral change advancing to Stage 4 (Action). The psychiatric health score related to alcohol or substance use (Category 3) decreased from 1 to 0 in both cases. In the second case, symptoms related to hallucinations or delusions (Category 6) also decreased from 2 to 1.
Therefore, nursing care for alcohol-dependent patients in the rehabilitation phase at a psychiatric home ward enables patients to successfully abstain from alcohol, cooperate with treatment, and maintain a normal daily life.
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บทความหลังผ่านการปรับแก้จากกองบรรณาธิการแล้ว เป็นลิขสิทธ์ของวารสารจิตเวชวิทยาสาร โรงพยาบาลสวนปรุง กรมสุขภาพจิต กระทรวงสาธารณสุข ห้ามเผยแพร่เพื่อประโยชน์ทางการค้าโดยไม่ได้รับอนุญาต แต่อนุญาตให้เผยแพร่บทความดังกล่าวเพื่อประโยชน์ทางการศึกษาแก่ประชาชนทั่วไป ทั้งนี้กองบรรณาธิการไม่จำเป็นต้องเห็นด้วยกับบทความหรือข้อคิดเห็นใดๆ ที่ปรากฏในวารสารสวนปรุง
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