The Implementation of Nursing Care for Schizophrenia Patients in Inpatient Units of A Psychiatric Hospital in Yogyakarta

Fathiyyah Intan Niryani, Shanti Wardaningsih

Abstract

Objective: Schizophrenia is a combination of various clinical symptoms in which the patients suffer cognitive, emotional, perceptional, and behavioral disorders. Nursing care for patients with schizophrenia who are hospitalized is of importance in order to restore patient’s health into the highest possible level. This study aimed to explore the implementation of nursing care for schizophrenia patients in inpatient units of a psychiatric hospital in Yogyakarta.

Methods: This was a descriptive quantitative study. Data were collected by observing 78 medical records which were selected using total sampling method. We used checklist form to measure the implementation of nursing care process from assessment, diagnosis, plan, implementation, and evaluation. Data were analyzed using frequency test.

Results: Over half of the patients was diagnosed with undetailed schizophrenia (67.9%) with the length of hospitalization was more than 14 days (59%). The implementation of nursing care was good in general (76.9%). The implementation of nursing care was fair (48.7%) for assessment and intervention (94.9), and good for diagnosis (71.8%), care plan (98.7%), evaluation (100%), and documentation (100%).

Conclusion: The implementation of nursing assessment and intervention was lower compared to other parts of nursing process. Nurse managers need to encourage their nursing staffs to provide accurate and complete documentation of nursing care, particularly in the assessment and intervention parts.

Keywords: medical records, nursing care, schizophrenia

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