Home care for schizophrenia

  Schizophrenia is a common chronic mental illness and has a tendency to recur. It is crucial for the families of recovering patients to do a good job of home care for the patients’ recovery.  1. Daily life care: including diet, sleep, hygiene and observation of physical condition; patients should be encouraged and assisted to take care of their daily life, and female patients should also pay attention to their menstrual condition to provide reference for diagnosis and treatment. Oral care, skin care, care of the second stool, clothing hygiene, daily grooming care, and most importantly, dietary care. Psychiatric patients can have various dietary conditions, such as refusing to eat because they think the food is poisonous, refusing to eat because they claim to be guilty, overeating or eating foreign bodies because they do not know whether they are hungry or full, etc. Nurses must grasp the situation of patients, arrange meals reasonably, focus on the elderly, refusing to eat, swallowing difficulties and other patients who need special care, and in the process of eating, be responsible for observing patients eating in groups and report to the doctor in a timely manner to do In the process of meal, we should be responsible for observing the patient’s eating situation in groups, and report to the doctor in time to do relevant treatment, and take different measures to ensure nutrition supply. Sleep care: quiet environment, reasonable arrangement of work and rest time, strengthen rounds, as well as do a good job of promoting patients to develop good sleep habits.  2. Psychological care: establish a good nurse-patient relationship with patients, take the initiative to contact, care, respect and accept patients, treat them gently, calmly and frankly, meet their reasonable requirements appropriately, listen patiently to patients, encourage them to say what they know and feel about the disease, encourage the use of language to express their inner feelings instead of impulsive behavior, and make behavioral agreements.  3, care of social functions: patients have mostly social function deficits or declines due to diminished will and emotional indifference, including role disorders, decreased or lost self-care ability, lazy living, isolation, withdrawal, impaired interpersonal skills, and being in social isolation, etc. Encourage them to participate in group activities and reasonably arrange work and recreational activities to divert their attention and ease their emotions.  (1) Provide a good and safe living environment, reasonable arrangements for patients, strict implementation of security management and inspection system, security management of housing doors, windows and keys; (2) strengthen rounds, understand the condition, timely detection of suicide, self-injury, impulsiveness or runaway aura; grasp the pattern of occurrence of suicide, self-injury, uncooperative, impulsive and escape behavior of patients; patients with obvious dangerous behavior, should strengthen prevention, their activities should be controlled within the field of vision of the guardian.  (3) Handling of impulsive behavior It is very important to prevent the occurrence of impulsive behavior in the first place.  4. Special care: ① Handling of self-inflicted injury, suicide or injury: Strictly implement the companionship system, set up special care, 24-hour supervision, once an accident occurs, isolate the patient immediately and contact the hospital to take effective resuscitation measures.  ② Care of running away: When patients run away, they should report immediately, organize forces to search for them in time, and understand what happened, so as to take further precautionary measures, and strictly prohibit going out alone.  ③Care of delusions and hallucinations: Delusions and hallucinations are common symptoms of schizophrenia and may occur simultaneously or separately. Patients are convinced of the content of delusions and hallucinations, especially ‘command hallucinations’, where patients believe that these commands are irresistible and must be carried out, resulting in runaways and behaviors that endanger society, others or themselves.  ④ Care of uncooperative patients: take the initiative to care, be considerate, and take care of the patient so that the patient will understand and cooperate with the examination and treatment.