The Development of Clinical Nursing Practice Guidelines for Suicide Prevention for Cancer Patients
Cancer patients face multiple dimensions of suffering, grave physical symptoms and psychological distress, contributing to suicide. The research objective was to 1) develop a nursing practice guideline (CNPG) to prevent suicide in cancer patients, and 2) study the effect of this CNPG on the prevention of suicide. An action research approach was used in the Cancer Nursing Department, Maharat Nakhon Ratchasima Hospital, during May 2016 – April 2017. Key informants were 26 nurses who cared for 290 cancer patients. Data was collected using a cancer patient characteristic record form, a cancer patient’s suicidal risk evaluation form, PHQ 9-Thai, dialogue, participant/ non - participation observation and document analysis. Data was represented using mean, standard deviation, number, percent, and content analysis. The CNPG was developed through the research process and implemented with 290 cancer patients. The result revealed that 1) There are 8.28 percent of cancer patients exhibited suicidal risk. 2) The top three risk factors for suicide were organ deficit, rapid pathological decreased, and poor prognosis, respectively. All cancer patients who were at risk had carefully consistent with the CNPG (100%), and there were no successful suicides. In conclusion, the CNPG helped to screen suicide risk of patients and promoted proper care to prevent suicide.
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