การพัฒนาแนวปฏิบัติการประเมินสุขภาพกายในผู้ป่วยจิตเภทสูงอายุสำหรับพยาบาล

Boonraksa Klinsukont; Dusangsuda Butson; Suthanan Kunlaka

Authors

Boonraksa Klinsukont Srithanya Hospital Department of Mental Health Ministry of Public Health
Dusangsuda Butson Srithanya Hospital Department of Mental Health Ministry of Public Health
Suthanan Kunlaka Boromarajonani College of Nursing, Bangkok, Faculty of Nursing, Praboromarajchanok Institute

Keywords:

older adults with schizophrenia, practice guidelines, physical health assessment

Abstract

Introduction: Older adults with schizophrenia often experience both psychiatric illnesses and age-related physical deterioration. Incomplete and unsystematic physical health assessments can lead to complicated treatment.

Research objectives: To develop and to evaluate the use of the guidelines for assessing the physical health of older adults with schizophrenia for nurses.

Research methodology: This study employed a developmental research approach, guided by the Australian National Council for Medical and Health Research Framework and the physical health assessment concepts for the older adults with schizophrenia by the Department of Medical Services, Ministry of Public Health. The sample consisted of 15 registered nurses and 15 older adults with schizophrenia, purposively selected. Data were analyzed using descriptive statistics and content analysis.

Results: 1. Development of practice guidelines: 1.1) Initiate patients assessment form, structured into four sections as follows: Section 1: Personal information and medical history, Section 2: Physical health assessment, Section 3: Mental health assessment, Section 4: Problem summary and nursing diagnosis. 1.2) Physical health assessment procedures, and 1.3) Physical healthcare activity guidelines.
2. Implementation outcomes: 2.1) 80 - 100% of registered nurses found the guidelines practical and implementable, 2.2) 53.3% of the nurses indicated that nursing diagnosis and nursing care plans were correct and comprehensive, 2.3) registered nurses reported high satisfaction with the guidelines (M = 8.13, SD = .52) and 2.4) older adults with schizophrenia expressed high satisfaction with their care (M = 4.80, SD = 2.82).

Conclusion: The developed practice guidelines are effective in facilitating physical health assessments for older adults with schizophrenia, ensuring improved comprehensive health care.

Implications: These practice guidelines should be adapted to align with the hospital context.

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