Effectiveness of Implementing Clinical Practice Guidelines for Nursing Care of Schizophrenic Patients with Auditory Hallucination, Inpatient Department, Suan Prung Psychiatric Hospital, Chiang Mai Province

Abstract

This operational research aimed to investigate the effectiveness of implementing clinical practice guidelines (CPGs) for nursing care of schizophrenic patients with auditory hallucination, inpatient department, Suan Prung Psychiatric Hospital, Chiang Mai Province. The participants included 12 healthcare personnel who used the CPGs, 22 schizophrenic patients, and 22 caregivers of schizophrenic patients. The research instruments consisted of the CPGs for nursing care of schizophrenic patients with auditory hallucination, a personal data of healthcare personnel record form, a personal data of schizophrenic patient record form, a personal data of caregiver of schizophrenic patient record form, an incidence of severe aggressive behavior record form, a suffering from auditory hallucination assessment form, a re-admitted to the hospital within 28 days record form, a healthcare personnel satisfaction assessment form, a schizophrenic patient satisfaction assessment form, a caregiver of schizophrenic patient satisfaction assessment form, and a self-care after discharge assessment form with a reliability of .81. The implementation and data collection were conducted from April to June 2022. Data were analyzed by frequency, percentage, mean, and standard deviation.

The research results revealed that the incidence rate of severe aggressive behavior of schizophrenic patients against themselves and others was zero. In 86.36% of schizophrenic patients, the level of suffering from auditory hallucination decreased. The number of schizophrenic patients re-admitted to the hospital within 28 days was zero. The satisfaction of healthcare personnel who used the CPGs was at a high level (100%). The satisfaction of schizophrenic patients was at a high level (100%). Additionally, the satisfaction of caregivers of schizophrenic patients was at a high level (77.27%) and a moderate level (22.73%).

This research suggests that psychiatric personnel should utilize the CPGs for the care of schizophrenic patients with auditory hallucination to reduce the incidence rate of severe aggressive behavior of schizophrenic patients against themselves and others.