The Nursing Care for Acquirement of Symptom Management and Establishment of Community Support System for Patients with Schizophrenia Who Were Re-hospitalized

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  • 再入院した統合失調症患者の症状マネジメント習得と支援体制確立に向けたケア
  • サイニュウイン シタ トウゴウ シッチョウショウ カンジャ ノ ショウジョウ マネジメント シュウトク ト シエン タイセイ カクリツ ニ ムケタ ケア

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Abstract

The purpose of this study is to clarify the nursing care for patients with schizophrenia who were re-hospitalized by aggravation of symptom within 1 year after discharge. Particularly, this study focused on nursing care which was provided the patients to acquire their symptom management and to establish their community support system. Subjects were 6 nurses who worked at acute care units in 3 psychiatric hospitals. The nurses were interviewed and described nursing care for 6 patients with schizophrenia who were re-hospitalized and discharged within 3 months. The interview data were analyzed qualitatively. As a result of data analysis, 10 categories in nursing care were generated as acquirement of symptom management and 11 categories in nursing care were identified as establishment of community support system. The patients were divided into two groups by the cause of re-hospitalization: the group of medication interruption and the group of stress factor. The number of the patients in each group was three. Compared with two groups, the patients in group of stress factor took more various nursing care than the patients in group of medication interruption. And the patients in group of stress factor were provided nursing care to acquire their symptom management and establish their community support system at early term of re-hospitalization.

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