Nursing care of a patient with negative symptoms of schizophrenia who underwent tracheotomy: A case report.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

World Journal of Clinical Cases Pub Date : 2025-09-06 DOI:10.12998/wjcc.v13.i25.108124

Jin-Yuan Li, Xiao-En Liu, Wei Li, Li-Na Wang

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引用次数: 0

Abstract

Background: Patients with schizophrenia may lack awareness of the importance of post-tracheotomy care due to the impact of their condition, often showing resistance or misunderstanding of care measures. When coupled with the impact of negative symptoms and the risk of complications after tracheotomy, patients may experience emotional fluctuations, restlessness, anxiety, and hostile behaviors, which pose significant challenges to nursing work.

Case summary: We have reported the case of an 87-year-old male patient who was admitted to the hospital because of negative symptoms of schizophrenia and who underwent tracheotomy for severe pneumonia. In this study, we have summarized the nursing experience of a patient with negative symptoms of schizophrenia who underwent tracheotomy. The key nursing strategies included proper tracheotomy care, the management of psychiatric symptoms, a thorough assessment and implementation of enteral and parenteral nutrition, effective skincare, infection prevention, and comprehensive mental care. Individualized nursing skills helped stabilize the patient's condition, followed by isolation and observation in a psychiatric hospital.

Conclusion: Effective postoperative tracheostomy care in patients with schizophrenia necessitates a tailored, multidisciplinary approach that addresses their psychiatric, physical, and emotional needs to achieve optimal clinical outcomes.

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精神分裂症阴性症状患者气管切开术的护理1例。

背景：精神分裂症患者由于自身状况的影响，对气管切开术后护理的重要性认识不足，往往表现出对护理措施的抗拒或误解。再加上气管切开术后阴性症状的影响和并发症的风险，患者可能出现情绪波动、烦躁不安、焦虑和敌对行为，给护理工作带来重大挑战。病例总结：我们报告了一例87岁男性患者，因精神分裂症阴性症状入院，因严重肺炎行气管切开术。在本研究中，我们总结了一例精神分裂症阴性症状患者行气管切开术的护理经验。重点护理策略包括适当的气管切开术护理、精神症状管理、彻底评估和实施肠内和肠外营养、有效的皮肤护理、感染预防和全面的精神护理。个性化的护理技巧帮助稳定了患者的病情，随后在精神病院进行了隔离和观察。结论：精神分裂症患者气管切开术后的有效护理需要一个量身定制的、多学科的方法来解决他们的精神、身体和情感需求，以达到最佳的临床结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World Journal of Clinical Cases Medicine-General Medicine

自引率

0.00%

发文量

3384

期刊介绍： The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.