The Development of Nursing Diagnosis Based on Indonesian Nursing Diagnosis Standard of Patient with Schizophrenia in Hospital

Rizki Fitryasari



Objective: Schizophrenia is the common diagnosis for the patient in the hospital who care for mental illness and need several weeks for hospitalization. An accurate nursing diagnosis must be a part of the clinical pathway for patients in a hospital setting to deliver the effective intervention of nursing care. This study aimed to develop a nursing diagnosis based on an Indonesian nursing diagnosis Standart on patients with a diagnosis of schizophrenia in the Surabaya Menur Mental Hospital. Methods: A research and development (R&D) design was employed in this study with a descriptive approach. The sample was 98 medical records documents obtained by purposive sampling. The respondents were selected by inclusion criteria: patients with schizophrenia who had been hospitalized and had experienced a recurrence. The instrument used an observational sheet. The data were analyzed using univariate analysis. Result: The results showed that six nursing diagnoses were formulated during the implementation of nursing care. They were violent behavior (41.8%), hallucinations (36.7%), social isolation (11.2%), self-care deficits (7%), delusions (2%), and risk of suicide (1%). Conclusion: The nursing diagnoses developed based on Indonesian Nursing Diagnosis Standart which were classified as a psychological, behavioral, relational, and environmental category. The nursing diagnoses can be developed in the clinical pathway as a result of evidence-based so they can improve the quality of nursing care.

Keywords: schizophrenia nursing diagnosis, clinical pathway, Indonesian Standard of Nursing Diagnosis

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Rivany, "Indonesia diagnosis-related groups," J. Kesehat. Masy. Nas., vol. 4, no. 1, 2009.

S. Marchisio, M. Vanetti, R. Valsesia, L. Carnevale, and M. Panella, “Effect of introducing a care pathway to standardize treatment and nursing of schizophrenia,” Community Ment. Heath J., vol. 45, no. 4, pp. 255–259, 2009.

INNA, Standar Diagnosis Keperawatan Indonesia (Indonesian Standart of Nursing Diagnosis). Jakarta: PPNI, 2016.

Komisi Akreditasi Rumah Sakit, Pedoman Penyusunan Panduan Praktis dan Clinical Pathway dalam Asuhan Terintegrasi sesuai Standar Akreditas Rumah Sakit (Practical Guidelines and Integrated Clinical Pathway Based on Accreditation Standar of Indonesian Standart). Jakarta: KARS, 2015.

H. Kaplan, B. Sadock, and J. Grebb, Synopsis of Psychiatry, 2nd ed. Jakarta: Bina Rupa Aksara, 2010.

B. Keane, D. Paterno, S. Kastner, and S. Silverstein, “Perceptual organization in schizophrenia spectrum disorders: empirical research and theoretical implications,” J Abnorm Psychol., vol. 125, pp. 543–549, 2016.

G. Stuart and S. Sundeen, Principles and Practice of Psychiatric Nursing. St. Louis: Mosby Year Book, 2012.

N. Hanrahan, Donna, J. Roman, A. Kumar, L. Aiken, and M. Blank, "Promoting self-care management among persons with serious Mental illness and HIV," Home Heal. Care Manag Pract., vol. 23, no. 6, pp. 421–427, 2011.

l B. Riege, D. Moser, S. Anker, L. Appel, S. Dunbar, and K. Grady, "State of the science: Promoting self-care inpatient," Am. Hear. Assoc. Circ., vol. 120, pp. 1141–1163, 2009.

R. Whitley, S. Gingerich, W. Lutz, and K. Mueser, “Implementing the illness management and recovery program in community mental health settings: Facilitators and barriers,” Psychiatr. Serv., vol. 60, pp. 202–209, 2009.

NANDA, Diagnosa Keperawatan: Definisi dan Klasifikasi 2012-2014 (Nursing Diagnosis: Definition and Classification 2012-2014). Jakarta: EGC, 2012.

B.-J. Li et al., "Social isolation induce schizophrenia-like behavior potentially associated with HINT1, NMDA receptor, and dopamine receptor 2," Neuroreport, vol. 28, no. 8, pp. 462–469, 2017.

G. Stuart and M. Laraia, Principles and Practice of Psychiatric Nursing, 10th ed. St. Louis: Mosby Company, 2013.

K. Cullen, A. Guimaraes, J. Wozniak, A. Anjum, S. Schulz, and T. White, “Trajectories of social withdrawal and cognitive decline in the schizophrenia prodrome,” Clin. Schizophr. Relat. Psychoses, vol. 4, no. 4, pp. 229–38, 2011.

H. Wehring and W. Carpenter, “Violence and Schizophrenia,” Schizophr Bull., vol. 37, no. 5, pp. 877–878, 2011.


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