Nursing care of patients with aggressive behavior and at high risk of committing violence from substance use : 2 case studies in Ranong Hospital

Abstract

            This study aims to compare the nursing care provided to two patients exhibiting aggressive behavior and a high risk of violence associated with substance abuse. The samples were purposively selected based on specified eligibility criteria from psychiatric and substance abuse patients admitted to Ranong Hospital. The instruments used in this study included a psychiatric disorder screening tool, a home visit record form based on the IN HOME SSS guideline, and data collected from patient medical records, interviews with family members, and observations. Data analysis involved comparing pathological factors, health risk factors contributing to disease occurrence, health patterns, pathological symptoms, treatments, nursing diagnoses, and case consultations.

             The two cases compared are as follows: Case 1: A 32-year-old male presenting with irritability and violent behavior towards his wife three hours before hospital admission. He was diagnosed with Multiple Substance-Induced Psychosis Disorder. Case 2: A 26-year-old male displaying disorganized behavior, including walking naked, self-harming by slapping his face, and speaking incoherently one day prior to admission. He was also diagnosed with Multiple Substance-Induced Psychosis Disorder. The study concluded that providing nursing care to psychiatric and substance abuse patients with aggressive behaviors and a high risk of violence during hospitalization effectively reduces aggressive and violent behaviors. Moreover, preparing patients and their families, as well as ensuring consistent and regular follow-up home visits within the community, is crucial for nursing care. These interventions significantly help reduce the recurrence of aggressive behaviors in such patients.